Study about the Pattern of Knowledge Management in (Glenview) Healthcare Service Provider

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1 World Applied Sciences Journal 8 (9): 6-, 00 ISSN 88-9 IDOSI Publications, 00 Study about the Pattern of Knowledge Management in (Glenview) Healthcare Service Provider Hasan Rafati, Hojat Rashidi Jahan, Mohamma Javad Hosein Pourfard, Hamid Reza Tavakoli and Shahram Tofighi Trauma Research Center &, Health School, Baqiyatallah University of Medical Sciences, Iran Health School Baqiyatallah University of Medical Sciences, Iran Health Research Center &, Health School, Baqiyatallah University of Medical Sciences, Iran Abstract: In many organizations have not enough information about individual knowledge. This health care centers and hospitals in the communities responsible for health promotion increasingly are important. Effective knowledge management by focusing on solutions that encompasses the whole system, including the most important tools for this information is considered. Therefore, using of knowledge management for increasing the efficiency of these centers as a tool for productivity would benefit. This cross sectional study to evaluate status and level of knowledge about non-physician staff in a health care center. Data collection was conducted by questionnaire. Average of values and weight were calculated for all questions and standard. The end result is a numeric between and that shows the position of knowledge by this description: less than : poor knowledge, to : relative knowledge existence, and : acceptance knowledge and more than : desirable. Among the non-physician staff, 7 were selected randomly and questionnaires were distributed among them. Number of right completed questionnaires collected, is 7 cases (0 persons write incomplete and did not fully answer the questions). Total score of observed health care center is equal.77 namely the non-physician staff of this center has respective knowledge about their works. According to the score list, raised problems, the desired center need to implement infrastructure of knowledge projects in organization and new personals and youth should appropriate training programs had served during work time even understanding knowledge factors as an important investment to take organizational foundation. Key words: Knowledge management Pattern Nonaka model Healthcare service provider INTRODUCTION importance of knowledge and knowledge management and knowledge was components and functions and its There is not enough information about staffs Implications to achieve strategic advantages from individual knowledge in many organizations. Effective making knowledge management implementation in the knowledge management by focusing on solutions that organization, the platforms and areas of success and how encompasses the whole organization, including the most interaction and balance between these factors, special important information tools for this matter is considered. attention was paid. Knowledge Management helps Knowledge management is the art of value creation about organizations to use from new knowledge from existing invisible assets or capital and intellectual property of fact. knowledge by advantages [-]. Clear and systematic management of knowledge and Organizations were used some methods for processes of creation, collected, organized, distribution improving performance and management such as TQM and use is related to a conscious process includes (total quality management) and BPR (business process creating of knowledge, accreditation of knowledge, reengineering) current years. Expert systems and systems knowledge provide, distributed knowledge and its DSS (decision support system) and development of application. For designing of knowledge management information technology development for knowledge and system and improve its level in an organization, it is experience sharing and knowledge management literature necessary to first fully understand the nature and was introduced slowly [6-0]. Corresponding Author: Hasan Rafati Shaldehi, Trauma Research Center & Health School, Baqiyatallah University of Medical Sciences, Iran. Fax:

2 World Appl. Sci. J., 8 (9): 6-, 00 In this model is putative that only personals create the knowledge. Thus, the process of organizational knowledge production as a continuously process in which the organized knowledge that created by persons must strength and conduct. MATERIALS AND METHODS To review level and status of non-physician personals in the healthcare center likert scale Fig. : SECI model of NONAKAandTAKEUCHI questionnaire was used to measure the amount of accountable oppose or agreement []. Thence the model Health centers and hospitals as organizations of nonaka has 8 parts, to prepare the questionnaire at first responsible for promoting health in their communities are appropriate parameters for each of 8 parts, produced the like many other organizations at any time, suffered the questionnaire, therefore each layer of model has a pressures of relationships within and outside the field of questionnaire. health officials are sometimes many of boss admit For validity of the questionnaire, people who deficiency of this centers explicitly and whereas the health studied community, experts were considered, selected centers and hospitals have major role in the process of and questionnaires distributed between them and providing health care and responsible for this []. their opinions were collected during several steps to Because the health centers play an important role in troubleshoot. Finally the questions were evaluated by citizen satisfaction plays, if non-efficient irrecoverable Cochran's Q test []. And suitability of questions strokes would be compiled to health community. evaluated. Therefore, the top treatment centers mission- Main questionnaire determine persona's real improving the health community-as well as the knowledge status of the healthcare center (determines diversity of information and health professional weight of the questions) and 8 specialized questionnaires field as well the optimal management of limited resources determine the impact parameters set of persona's and the need for increased efficiency can be centers of knowledge improvement in center (determined the value knowledge management as a tool would benefit to of questions). Then, average weight ( Wi) and value ( Xi ) productivity []. of each question calculated and standard by using the In this paper, knowledge status of non-medical staff following formula. has been investigated based on nonaka and takeuchi Xi Wi model, in a healthcare center. V = i Wi Knowledge Management Nonaka s Model: Nonaka i and takeuchi model, between presented models for survey of knowledge status is the only model levels Consequently, the above function makes a number of knowledge and levels of transmission to each other between and that classify following: and separate the clear expression of this model is Less than : poor knowledge, to : The relative actually used capacity localize to create the knowledge knowledge, to : acceptance knowledge and more than management process [-7]. : favorite knowledge. This model, unlike the other models, focus of two obvious and hidden knowledge and had paid their way RESULTS into each other and how to create the all organizational levels (individual, group and organizational) [8-0]. this Among the non-physician staff of healthcare center, model used conversion the two types of knowledge and 7 were randomly selected and described the goals for how knowledge management in relation to spiral life cycle their research, questionnaires were distributed among (spiral) according to Figure and is assumed continuous selected to complete the must return. Number of process []. questionnaires collected properly and 7 respectively. 7

3 World Appl. Sci. J., 8 (9): 6-, 00??????????????????? ? Diagram : The most achieved points..? Diagram : The situation of personal explicit knowledge level to the organizational explicit knowledge Diagram : The situation of the level of personal implicit knowledge in the organization... Diagram 6: The situation of organizational explicit knowledge level.....?.. Diagram : The situation of explicitizing personal implicit knowledge level to the personal explicit Diagram 7: The situation of the level of changing from knowledge. grouping explicit knowledge to the organizational organized knowledge Diagram : The situation of personal explicit knowledge level.. Diagram 8: The situation of the organizational implicit knowledge 8

4 World Appl. Sci. J., 8 (9): 6-, 00 total the achieved center position is not desirable and if the strategy to move towards the center axis being is knowledge, project management should knowledge on a. regular basis and systematic implementation and follow-up to the center to the knowledge leads to. excellence. I do this in the questionnaire should be considered cases of the center of a great importance to respondents, but its value is low in the center, are prioritizing and appropriate strategies for their.. knowledge management projects to determine and implement seems. In addition to the analysis Diagram 9: The situation of the changing level from the performed and the scores calculated in different organizational implicit knowledge to the parts, try to list the problems are a way to phase in personal explicit knowledge implementation of knowledge management and proposal for improving knowledge, could be more efficient 0 respondents answered the questions as incomplete way to act. and respondents did not answer the questions Based on this study about center problems and fully..7% over the study higher than bachelor's degree, challenges can be considered the following: 6% have a bachelor's degree, % above high school degree and / 8% are also high degree. Also, 69% of lack of existing knowledge processes for knowledge respondents were male and % of them are female. 7% extraction of workers. of persons between age to years, 0% below the Implement documentation procedures fail and lack of and % are over years of age. experience for the electronic system. In data analysis, the overall score of personals' Non-interest managers to make documentary at knowledge is equal.77 that is says non-physician staff project finished. of healthcare center have desired knowledge relative to Low or lack of social and viewpoints conferences their work (Diagram ). and presentations. The score of each nonaka and takeuchi s model Non-interest of staff to provide their knowledge. section indicates that state of knowledge about the Disregard of strategic programs design in research community in general, all parts (except two organization. cases) is average (relative existence to knowledge) and Not optimal reward system, forming the material and should knowledge management projects at the center of knowledge Exchange. the base to promote the desired knowledge non-physician Do not use the conference facilities for formal and workers attempted. non-official exchange comments and experiences. Results of model calculations for 8 Parts has been Not study and research by the staff in their work. shown in Table and graphs to 9. Lack of desire people relationships of students and professors and their low participation in educational CONCLUSION programs Resistance against employees using new methods The cases mentioned in Table can be concluded and Life Sciences. that observed center in part reveal individual knowledge Being a long time to achieve the required knowledge into collective knowledge, a clear (or the same turn) to solve problems. and also part of a group of explicit knowledge is weaker No action to buy technical knowledge. than other parts. While this, in part or building social Speed of new employees become familiar with the knowledge into categories of individual and collective institutionalization of Life Sciences Center. knowledge implicit part of the collective knowledge Not enough funding for research and lack of institutionalization best condition compared to other parts interaction with other levels of research center. is able. Also, the total score gained by the organization Non-published journal with the participation of and the score obtained in each section, you said that in persons. 9

5 World Appl. Sci. J., 8 (9): 6-, 00 Table : The situation of the studied center base of nonaka model situation score Dimensions of the model desirable.0 The level of personal implicit and explicit knowledge moderate. Externalizing personal implicit knowledge to the personal explicit knowledge moderate.90 The situation of the level of explicating personal knowledge moderate.6 The situation of the level of changing personal explicit knowledge to the organizational explicit knowledge moderate. The situation of the level of organizational explicit knowledge moderate.8 The level of changing grouping explicit knowledge to the organizational organized knowledge desirable.8 The situation of the level of the organizational organized knowledge moderate.9 The situation of the level of changing organizational organized knowledge to the personal implicit knowledge Table : list of the studied center s problem according to importance Score The produced challenges and problems through knowledge management in the studied society 0 Lack of to be process to extract employee s knowledge 08 Not to be apply experiences documentation pressures in the society and lack of using electronic system for it 0 Lack managers interest in to have projects documentary knowledge at the end of the work 0 To be few or lack of meetings and associations to present the organization knowledge achievements and presenting insights and views 88 Lack of interest in the studied society s employees to share their knowledge in the organization 8 Lack of consideration the organization to design effective plans base on increasing grow of role of knowledge from the production 8 Not to be give reward because presenting experiences and externalizing knowledge and not to be desirable material and abstract rewarding system against exchanging knowledge 8 Not to be use the organization from facilities of formal and informal meetings to exchange views and experiences 70 Lack of study and research by the organization s employees in the field of their work 70 Lack of tendency to commune cat between the master and pupil by the society s people and to be few their participation in training programs 68 The organization s employees resistance against using new methods and knowledge's 6 To be long achieving time to the required knowledge in the organization to solve the problems 6 The organization doesn t act to buy technical knowledge 6 The slow speed of the organization to familiarize the organization new employees with its organized knowledge's Not to be spend fund to do researches to corporate client s need and lack of interaction between the organization research department and other parts of it Not to be publish publication with participating the organization s people in the field of production knowledge Validity to the problems or challenges (not the same On the other hand should center for young people new to problems or challenges) they re experts and the research training programs while at work is appropriate to the community involved and one of them was requested importance of knowledge factors as an important to problems and challenges obtained according to investment to take organizational foundation. Facilities importance, they Scoring (6 points to the most important must also parts of their health than before realizing the problem and the lowest is ). The results obtained using importance of knowledge assets to. The importance of the Friedman test was analyzed []. creativity and innovation is also noted staff. Also in terms Based on test results be the same problems or of organization, dynamic interaction with visitors and challenges are rejected (P <0.00). In other words, patients and, above all, a system designed to encourage problems and challenges identified in the organization the and reward good yield for those who seriously task same weight are not equal. Final result inserted in Table Affairs performs, including strategies for promoting (which sorted problems are based on experts). In fact, the efficient organization is knowledge. System of low facilities, must according to the desired center cases documentation of the experiences that other cases considered in Table, to solve problems and engage. should be sure to pay attention. On the other hand to create technological infrastructure such as internal Suggestions and Strategies: The desired scores by the network (Intranet Organization), experience electronic practice list, in healthcare center and problems related documentation system designed to prevent bureaucracy, to, it seems, the center need to implement infrastructure is holding formal and informal conferences, database projects and the knowledge infrastructure. This design and using high technology as the important infrastructure includes human resources as the most day for move towards becoming knowledge based important part is included and technological facilities. organization. 0

6 World Appl. Sci. J., 8 (9): 6-, 00 REFERENCES. Sadaghiani, I., 00. Evaluation of Health Care and Hospital Standards, pp:.. Nonaka: The Knowledge Creating Company. Harvard. Mirzabeygy, J., 00. Knowledge Transfer and Business Review. 99, Maintenance Skills. Continuous Need of. Davenport, T.H., 998. Prusak L: Working Globalization Process. Modirsaz J., pp: 7. Knowledge How Organizations Manage What They. Swan, J., 00. Knowledge Management in Action. Know. Boston Harvard Business School Press. Handbook on Knowledge Management, McGee, J. and L. Prusak, 99. Managing Information. Clyde, W., 00. Holsapple Knowledge and Its Strategically. New York John Wiley and Sons. Attributes. Handbook on Knowledge Management,. Davenport, T.H. and L. Prusak, 997. Information pp: Ecology. Mastering The Information and Knowledge 6. Okunoye, A., 00. Knowledge Management and Environments. New York Oxford University Press. Global Diversity. A Framework to Support. Pawlowsky, P., 00. The Treatment of Oganizational Organization in Developing Countries. Dissertation Learning in Management Science. Handbook of University of Turku Finland. Organizational Learning and Knowledge. M Dierkes 7. Nonaka, I. and H. Takuchi, 99. The A Berthoin. Antal. J. Child and I Nonaka Eds. New Knowledge-Creation Company. How Japanese York Oxford University Press, pp: Companies Create the Dynamics of Innovation. 6. Quinn, J.B., 99. Intelligent Enterprise. A Oxford University Press London. VIII. Knowledge and Service-Based Paradigm for Industry 8. Middleton, M., 00. Information Management. New York. Free Press. A Consolidation of Operations Analysis and 7. Davenport, T.H. and G.J.B. Probst, 00. Knowledge Strategy Centre for Information Studies. Wagga nd Management. Case Book Edition. Berlin Publicis NSW. Corporate Publishing and John Wiley and Sons. 9. Miller, R., 00. Get Smart with Business 8. Zack, M.H., 999. Developing a Knowledge Strategy. Intelligence Software. E Content, 6: -9. California Management Review, : -. (http://www.ecmag.net). 9. Bell, H., 00. Measuring and Managing Knowledge. 0. Davenport, T. and L. Prusak, 000. Working Boston McGraw-Hill/Irwin. Knowledge. How Organizations Manage what They 0. Sveiby, K.E., What is KM? 000. nd Know, edition. Harvard Business School Press.. Rashidi, H., 00. Review Factors Affecting Beds Cambridge MA. Allocated Baqiyatallah Alazam Hospital. Baqiyatallah. Hall, R.A., 00. Permission Managing Knowledge University of Medical Sciences, pp:. for Innovation in Long Range Planning, : 9-8.

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