评估影响两家癌症中心医学影像科医护人员知识共享的因素:并行混合方法研究。

IF 2.6 Q2 HEALTH CARE SCIENCES & SERVICES JMIR Human Factors Pub Date : 2024-11-13 DOI:10.2196/53780
Maryam Almashmoum, James Cunningham, John Ainsworth
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引用次数: 0

摘要

背景:知识共享是实施知识管理的重要组成部分。它指的是组织中团队成员之间分享技能和经验。在医疗环境中,共享知识(无论是隐性知识还是显性知识)都非常重要,可以带来更好的医疗服务。在医学影像部门,知识共享尤为重要。影响医学影像科室知识共享实践的因素有几个:个人因素、科室因素和技术因素。评估这些因素的重要性并了解其作用有助于改善医学影像科室的知识共享实践:我们旨在评估英国克里斯蒂癌症中心和科威特癌症控制中心(KCCC)两家癌症中心医学影像科室的动机水平,确定当前的知识共享工具,并评估影响知识共享的因素:方法:在 2023 年 2 月 1 日至 2023 年 7 月 30 日期间,通过非概率抽样技术同时进行了一项混合方法研究。采用半结构式访谈来验证定量分析的结果。数据收集采用电子问卷的形式,问卷通过 Qualtrics 分发给两个癌症中心的医护人员。半结构式访谈使用 Microsoft Teams 在线进行。定量数据使用 Qualtrics MX 软件进行分析,以报告每个问题的结果,而定性数据则使用主题方法进行分析,并通过 NVivo 进行代码分类:根据 Qualtrics 调查工具,共有 56 名来自 KCCC 的受访者和 29 名来自 The Christie 的受访者参与了调查,回复率为 100%(分别为 56/56,100% 和 29/29,100%)。克里斯蒂医院共有 59%(17/29)的医护人员将电子邮件和面对面交流作为日常分享知识的主要工具,而 KCCC 共有 57%(32/56)的医护人员将面对面交流作为分享知识的主要工具。除了外在动机被评为 "既不同意也不不反对 "之外,两个中心所有影响知识共享行为的因素的李克特量表平均得分都在 "有点同意 "和 "非常同意 "之间。这与激励机制的结果类似。结果显示,克里斯蒂医院 52%(15/29)的医护人员没有鼓励知识共享的激励措施。因此,制定明确的激励管理政策对于增加知识共享实践非常重要:本研究对影响两个癌症中心知识共享的因素进行了评估。大多数医护人员都意识到了知识共享实践对提升医疗服务的重要性。但也发现了一些限制知识共享实践的挑战,如时间限制、人员缺乏和语言障碍。因此,制定明确的知识共享政策对于实践知识共享行为和应对任何限制这种做法的挑战至关重要。
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Evaluating Factors Affecting Knowledge Sharing Among Health Care Professionals in the Medical Imaging Departments of 2 Cancer Centers: Concurrent Mixed Methods Study.

Background: Knowledge sharing is a crucial part of any knowledge management implementation. It refers to sharing skills and experience among team members in an organization. In a health care setting, sharing knowledge, whether tacit or explicit, is important and can lead to better health care services. In medical imaging departments, knowledge sharing can be of particular importance. There are several factors that affect knowledge-sharing practices in medical imaging departments: individual, departmental, and technological. Evaluating the importance of these factors and understanding their use can help with improving knowledge-sharing practices in medical imaging departments.

Objective: We aimed to assess the level of motivation, identify current knowledge-sharing tools, and evaluate factors affecting knowledge sharing in the medical imaging departments of 2 cancer centers, The Christie, United Kingdom, and the Kuwait Cancer Control Center (KCCC).

Methods: A concurrent mixed methods study was conducted through nonprobability sampling techniques between February 1, 2023, and July 30, 2023. Semistructured interviews were used to validate the results of the quantitative analysis. Data were collected using an electronic questionnaire that was distributed among health care professionals in both cancer centers using Qualtrics. Semistructured interviews were conducted online using Microsoft Teams. The quantitative data were analyzed using the Qualtrics MX software to report the results for each question, whereas the qualitative data were analyzed using a thematic approach with codes classified through NVivo.

Results: In total, 56 respondents from the KCCC and 29 from The Christie participated, with a 100% response rate (56/56, 100% and 29/29, 100%, respectively) based on the Qualtrics survey tool. A total of 59% (17/29) of health care professionals from The Christie shared their knowledge using emails and face-to-face communication as their main tools on a daily basis, and 57% (32/56) of health care professionals from the KCCC used face-to-face communication for knowledge sharing. The mean Likert-scale score of all the components that assessed the factors that affected knowledge-sharing behaviors fell between "somewhat agree" and "strongly agree" in both centers, excepting extrinsic motivation, which was rated as "neither agree nor disagree." This was similar to the results related to incentives. It was shown that 52% (15/29) of health care professionals at The Christie had no incentives to encourage knowledge-sharing practices. Therefore, establishing clear policies to manage incentives is important to increase knowledge-sharing practices.

Conclusions: This study offered an evaluation of factors that affect knowledge sharing in 2 cancer centers. Most health care professionals were aware of the importance of knowledge-sharing practices in enhancing health care services. Several challenges were identified, such as time constraints, a lack of staff, and the language barrier, which limit knowledge-sharing practices. Therefore, establishing a clear policy for knowledge sharing is vital to practicing knowledge-sharing behaviors and facing any challenges that limit this practice.

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来源期刊
JMIR Human Factors
JMIR Human Factors Medicine-Health Informatics
CiteScore
3.40
自引率
3.70%
发文量
123
审稿时长
12 weeks
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