Information and knowledge processes as a knowledge management framework in health care: Towards shared decision making?

Driving Sustainable Innovation in New Ventures: A Study Based on the fsQCA Approach

With the external environment becoming increasingly complex and changeable, how we can effectively enhance the innovation of companies in sustainability has become the focus of research. For startups, due to their lack of resources and poor independent innovation capabilities, they need to search for external knowledge from outside to meet their own needs. Therefore, obtaining external knowledge sources and adopting appropriate methods for knowledge search is the key to affecting innovation in sustainability. Moreover, enterprise capability is also an important factor restricting sustainable innovation. In this paper, we construct an integrated framework of resources and capabilities based on theoretical learning and practice between 2018 and 2021, containing technical knowledge, market knowledge, a formal search, an informal search, organizational learning, and strategic flexibility. Taking 450 new ventures in China as the research sample, we adopt the fsQCA method and derive the path driving the sustainable innovation of new ventures. The results show that resources and enterprise capabilities combine to influence sustainable innovation, and there are two configuration paths driving the sustainable innovation of new ventures. In the first pathway, a technical knowledge search, a market knowledge search, organizational learning and strategic flexibility are the core conditions; in the second pathway, a formal search, an informal search, organizational learning, and strategic flexibility are the core conditions.

Perception of privacy issues and awareness in health-care knowledge management systems: empirical study in Indian health-care context

Purpose

Focusing on the Indian context, with the increase in the amount of data and its analysis in health-care knowledge management (KM), the privacy concerns rise which results in loss of trust of an individual in e-health-care systems. Privacy issues in health care, specific to India, are caused by prevalent complacency, culture, politics, budget limitations, large population and infrastructures. Because of these factors, data security requires a backseat that allows easy access to confidential information. Furthermore, the prevalent culture affects health-care disclosure in India. In many cultures, disclosing sensitive personal health-care data is considered ill mannered. This leads to discrepancies in the recorded health-care data and a decrease in the level of treatment meted out. The results and statistics of treatments given do not match the records because of inaccurate data reporting. With the significant rise in the analysis and use of technology in health-care KM systems, it is important to understand the perception of KM in terms of its use and awareness about data sharing in the KM system. The purpose of the paper is to measure the perception of privacy issues in the context of Indian healthcare management systems.

Design/methodology/approach

To measure the perception of the use of the KM system, a set of 20 questions was circulated with a sample size of 337 which includes health-care researchers, doctors, practitioners and patients. The questions focused upon the use, share the sensitive health data in the KM platform. All the demographic information such as age, sex, religion, occupation is recorded. The privacy of the individual is maintained while circulating the questionnaire. The usage of health KM system and its privacy is measured through means and t-test.

Findings

The results of the t-test were found positive. This research study finds that the privacy factor is important among the Indians to share the information with the KM repository. It is also found that medical practitioners or data custodians are not much serious about sensitive data is being stored for analysis. From the statistical perception of usage of KM and its privacy, new architecture and privacy guidelines were suggested which can be considered in future research.

Research limitations/implications

From the literature review, the questionnaire has developed which can help policymakers and hospital administrators collect information about KM processes in health-care organizations, and this can result in higher performance of health organizations. The privacy factor can also be included in typical health KM architecture ensure that while knowledge acquisition process, privacy of individual or organization can be maintained.

Social implications

KM enhances the value of corporations and business industries through knowledge production, distribution and provides reliable access to the knowledge resources. KM in health care can comprise a confluence of formal methodologies and techniques to facilitate the creation, identification, acquisition, development, preservation, dissemination and finally the utilization of the various facets of a health-care enterprise’s knowledge assets. According to IBM Global executive report in the year 2012, the entire health-care system has changed from diseases-centric to patient-centric. India is emerging in terms of revenue and employment in the health-care field. The advances of information and communication technology help the health-care sector streamline for data structure and access and health analytics.

Originality/value

In India, the KM is frequently used in health-care industries majorly by health-care practitioners and professionals. As health-care data and knowledge are considered to be sensitive, the privacy of an individual while using the data cannot be compromised. The proposed empirical work will provide a solution in determining the main barriers of implementing privacy policies that need to be solved first and to ensure effective implementation of KM in the health care of India.

Mediating Role of Knowledge Management in the Relationship between Organizational Learning and Sustainable Organizational Performance

Organizations operating in the intensive knowledge-based sector seek efficient management approaches and sustainable development practices to perform efficiently in the dynamic business environment. Knowledge management practice and organizational learning are significant factors in order to achieve sustainable organizational performance in a rapidly changing business environment. Based on the scientific literature analysis, there is still a lack of evidence related to the mediating role of the whole knowledge management cycle, including the five knowledge management processes (knowledge acquisition, creation, storage, sharing, and application) in the relationship between organizational learning and sustainable organizational performance for organizations operating in intensive knowledge-based sectors. This study aimed to examine the impact of the whole knowledge management cycle on the relationship between organizational learning and sustainable organizational performance in intensive knowledge-based sectors, specifically the audit and consulting companies in the Middle East region. Systematic scientific literature analysis, expert evaluation (structured questionnaire), and structural equation modeling (SEM) technique were used to develop and verify the research model. Data was collected through a structured questionnaire distributed among auditing experts working in a knowledge-based sector—audit and consulting companies in the Middle East region. The research results supported the hypotheses stating that organizational learning positively affects knowledge acquisition, storage, sharing, application processes, and sustainable organizational performance. However, the results verified that organizational learning has an insignificant impact on the Middle Eastern audit and consulting companies’ knowledge creation process.

Designing a maturity model for analyzing information and knowledge management in the public sector

Purpose

This study aims to report the design and testing of a maturity model for information and knowledge management in the public sector, intended for use in frequent monitoring, trend analysis and in-depth analysis of the contemporary information and knowledge management practices of an organization.

Design/methodology/approach

A design science approach was used to develop the proposed model. Creation of the model was based on an extensive literature review. Testing of the model was implemented as a survey receiving 37 responses from nine organizations organizing and purchasing public services.

Findings

The study presents four alternative profiles for an organization’s status, novice, experimenter, facilitator and advanced exploiter, and investigates the differences between these profiles on the basis of the empirical data gathered. The model was found to be both a valid and practical way to determine the state of an organization’s information and knowledge management and identify development needs.

Research limitations/implications

Testing was conducted in the Finnish public sector and further studies applying the model could be implemented in other countries. The model presented was designed specifically for the public sector and more research is needed to test its applicability in the private sector.

Originality/value

Maturity models are useful when evaluating information and knowledge management status in an organization, and beneficial for improving organizational performance. The proposed maturity model combines the fields of knowledge management and information management and contributes to the literature with an overarching maturity model that includes a dimension of satisfaction with the organizational maturity level. While many earlier models originate from the consultancy business, the model presented here was also designed for research purposes and tested in practice.

Impact of information technologies and social networks on knowledge management processes in Middle Eastern audit and consulting companies

Purpose

The purpose of this study is to examine the impact of information technologies and technology-enabled social networks on the efficiency of knowledge management processes in the Middle Eastern audit and consulting companies.

Design/methodology/approach

Scientific literature analysis, structural equation modeling and expert evaluation (structured questionnaire) were used to develop the research model, collect data from the audit and consulting companies’ experts and test the research hypotheses.

Findings

The empirical results of this research supported the hypotheses stating that information technologies and social networks positively affect the knowledge management cycle, including five processes (acquisition, creation, storage, sharing and application) within the Middle Eastern audit and consulting companies.

Research limitations/implications

The research results were generated from the Middle Eastern audit and consulting companies, which form a limitation concerning the geographical area and the business sector.

Practical implications

From the results of this study, audit and consulting companies, as well as organizations and society broadly, would benefit via the positive effect of information technologies and technology-enabled social networks on the whole knowledge management cycle, which has a further impact on organizational performance. These practical implications are related to a more open, sharing culture that drives organizational performance to the members and stakeholders of organizations, which, in turn, benefits society.

Originality/value

This research analyzes information technologies and technology-enabled social networks’ impact on knowledge management processes, particularly in the context of the Middle Eastern audit and consulting companies. While the phenomena have received some attention in the prior scientific research, the studied context so far remained under-researched, where a gap is found in studying the knowledge management cycle as a whole.

Practice ecology of knowledge management—connecting the formal, informal and personal

Purpose

This paper aims to explore the coexistence of formal, informal and personal knowledge management (KM) practices as they support employees' everyday work in organizations.

Design/methodology/approach

Qualitative study involving 12 in-depth interviews and 30 hours of observations in a small, quickly growing, knowledge-intensive company.

Findings

Formal, informal and personal KM practices were all found to be relevant and interconnected in supporting everyday work in the organization. This suggests a shift from understanding KM as an organizational approach to ecology, shaped by multiple actors and concerns and extending over the formal/informal as well as organizational/personal divides. Interrelationships between formal, informal and personal KM practices took various forms. Among each of these KM categories were practices that contributed in a unique way, without having a functional parallel in other categories. Some KM practices had a strong functional overlap and were competing. Moreover, some formal, informal and personal KM practices formed complementary relationships.

Research limitations/implications

Findings are based on fieldwork in only one organization.

Practical implications

Organizations would benefit from the formal, informal and personal KM practices being complementarily connected. As these connections are sustained by employees in everyday work, effective management of KM ecology needs a collective and distributed effort.

Originality/value

This paper is one of the very few empirical accounts that problematizes the coexistence of formal, informal and personal KM practices and suggests a practice-ecology perspective through which their interrelationships could be studied.

Knowledge creation and interaction in an R&D project: the case of the energy weather forecast

Purpose

The purpose of this paper is to examine knowledge-creating interaction in developing an innovation in a multidisciplinary research community with hermeneutic phenomenology, to understand how previous experiences and future prospects shape the process and to examine the circumstances, which support or limit knowledge creation.

Design/methodology/approach

The approach of this study is phenomenological and the empirical case study has been conducted using ethnography. The data consist of field notes, videos, interviews and documents of a BCDC energy consortium, developing energy weather forecast (EWF) in a new type of research environment.

Findings

The results indicate that the role of actual interactive events was crucial in the development of EWF. Hermeneutic approach illustrated that the roots of that event were in the past experiences of the participants and the circumstances, which promoted the development of the innovation, but the acknowledgment of the future prospects was crucial in finalizing the process. The role of a leader organizing the interaction and collaborative work was also substantial.

Practical implications

The results of this study could be used to plan and organize knowledge creation processes in organizations, especially in universities and research communities, striving to create multidisciplinary research environments and practices.

Originality/value

This study proposes a new approach based on hermeneutic phenomenology to examine it in a unified way, by focusing on the key aspects of elements affecting knowledge-creating interaction.

Transitions in workplace information practices and culture

Purpose

The purpose of this paper is to empirically investigate how new healthcare professionals engage with information practices and information culture in their workplace, and the resulting influences on development and change.

Design/methodology/approach

A longitudinal study was conducted on a hospital training programme. Three series of focus groups provided data from 18 recently qualified nurses, supported by observations. Data were thematically analysed applying a framework consisting of six approaches to information use.

Findings

Newcomers take a proactive approach to seek, use and share scientific information, which is negotiated within existing information practices and organisational information culture. Their competencies, such as research skills, values, motivation and sense of integrity to use and share scientific information, often differ from those existing workplace practices. For this reason, they drive towards renewal and change.

Practical implications

Examination of organisational approaches to information use indicates clearly the necessity for improvements to meet the needs of information proactiveness and thus be able to face challenges and changes in an organisation.

Originality/value

This work sheds new light on newcomers’ information use, as they integrate into a workplace and interact with information practices and organisational approaches to information use. A significant contribution is the identification of the dynamics and interdependencies between newcomers’ individual agency in their way of seeking, using and sharing information, and the established community’s social agency promoting existing information practices and the organisational agency represented by information culture.