Hodgins Michael, Dadich Ann
School of Business, Western Sydney University , Parramatta, Australia.
J Health Organ Manag. 2017 Apr 10;31(2):162-174. doi: 10.1108/JHOM-06-2016-0108.
Purpose Despite the importance of evidence-based practice, the translation of knowledge into quality healthcare continues to be stymied by an array of micro, meso and macro factors. The purpose of this paper is to suggest a need to consider different - if not unconventional approaches - like the role of positive emotion, and how it might be used to promote and sustain knowledge translation (KT). Design/methodology/approach By reviewing and coalescing two distinct theories - the broaden-and-build theory of positive emotions and the organisational knowledge creation theory - this paper presents a case for the role of positive emotion in KT. Findings Theories pertaining to positive emotion and organisational knowledge creation have much to offer KT in healthcare. Three conceptual "entry points" might be particularly helpful to integrate the two domains - namely, understanding the relationship between knowledge and positive emotions; positive emotions related to Nonaka's concept of knowledge creation; and the mutual enrichment contained in the parallel "upward spiralling" of both theories. Research limitations/implications This is a conceptual paper and as such is limited in its applicability and scope. Future work should empirically explore these conceptual findings, delving into positive emotion and KT. Originality/value This is the first paper to bring together two seemingly disparate theories to address an intractable issue - the translation of knowledge into quality healthcare. This represents an important point of departure from current KT discourse, much of which continues to superimpose artefacts like clinical practice guidelines onto complex healthcare context.
目的 尽管循证实践很重要,但知识转化为高质量医疗保健仍受到一系列微观、中观和宏观因素的阻碍。本文的目的是提出需要考虑不同的——即便不是非传统的方法——比如积极情绪的作用,以及它如何被用于促进和维持知识转化(KT)。
设计/方法/途径 通过回顾和整合两种不同的理论——积极情绪的拓展与建构理论和组织知识创造理论——本文阐述了积极情绪在知识转化中的作用。
发现 与积极情绪和组织知识创造相关的理论对医疗保健中的知识转化有很大贡献。三个概念性的“切入点”可能对整合这两个领域特别有帮助,即理解知识与积极情绪之间的关系;与野中郁次郎的知识创造概念相关的积极情绪;以及两种理论并行的“向上螺旋”中包含的相互丰富。
研究局限/影响 这是一篇概念性论文,因此其适用性和范围有限。未来的工作应该实证探索这些概念性发现,深入研究积极情绪和知识转化。
原创性/价值 这是第一篇将两种看似不同的理论结合起来解决一个棘手问题——知识转化为高质量医疗保健——的论文。这代表了与当前知识转化话语的一个重要出发点,当前的许多话语仍在将诸如临床实践指南等人工制品叠加到复杂的医疗保健背景上。