通过慈善信托基金发起的以临终关怀为重点的项目进行组织学习。

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES Journal of Health Organization and Management Pub Date : 2024-08-29 DOI:10.1108/JHOM-01-2023-0019
Tiffany Cheng Han Leung, Robin Stanley Snell, Daisy Lee
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引用次数: 0

摘要

目的:我们从一个由大型慈善信托基金赞助的项目中汲取经验教训,该项目旨在通过跨学科和多机构合作,在香港建立临终关怀的能力:设计/方法/途径:通过对不同利益相关者进行 21 次深入访谈,开展了一项深入案例研究。Lyman 等人(2018 年)的医疗机构组织学习(OL)模型被用于分析特定背景因素和机制的相对重要性,并确定认为已经取得的成果:在环境因素中,评估和教育材料等基础设施最受重视,而在机制中,培训课程等有意识的学习最受关注。虽然人们的看法表明在社会影响方面取得了预期成果,但提及 "软 "因素(如提高工作人员的积极性、领导力或 OL 技能)的次数相对较少:本研究扩展了有关如何通过 OL 创造有价值的社会影响的文献。以往的研究都是从解决社会和环境问题的角度来研究社会影响,而我们的研究则是为数不多的从医疗保健的角度来研究如何提高组织产生此类影响的能力的研究。
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Organisational learning through a charitable trust-initiated project focusing on end-of-life care.

Purpose: We identify lessons from a project sponsored by a large charitable trust, which sought to build capability for end-of-life (EOL) care in Hong Kong through interdisciplinary and multi-agency collaboration.

Design/methodology/approach: An in-depth case study drawing on 21 in-depth interviews with diverse stakeholders was conducted. Lyman et al.'s (2018) model of organisational learning (OL) in healthcare settings was applied to analyse the relative emphasis on particular contextual factors and mechanisms, and to identify outcomes perceived to have been achieved.

Findings: Infrastructure such as materials for assessment and education received the most emphasis among the contextual factors and deliberate learning such as training sessions received the greatest attention among the mechanisms. While perceptions indicated that desired outcomes were being achieved in terms of social impact, there were relatively few mentions of "soft" factors such as enhanced motivation, leadership or OL skills among staff.

Originality/value: This study extends the literature on how to create valuable social impact through OL. While prior studies have examined social impact in terms of solutions for social and environmental problems, ours is one of the few that examines how improvements are made to organisations' capability to deliver such impacts in the context of healthcare.

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来源期刊
CiteScore
3.20
自引率
7.10%
发文量
72
期刊介绍: ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
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