College of Nursing, Brigham Young University, Provo, UT, USA.
Utah Valley Hospital, Provo, UT, USA.
J Nurs Manag. 2020 Sep;28(6):1241-1249. doi: 10.1111/jonm.13070. Epub 2020 Jul 13.
To explore the validity of and expand upon a model of organisational learning in hospitals.
Organisational learning is a positive change in an organisation's collective knowledge, cognition and/or action, leading to improved hospital performance. A current model offers an evidence-based, theoretical representation of organisational learning in hospitals, yet the intricacies of organisational learning in clinical practice are not fully understood. Additional guidance is needed to effectively foster and study organisational learning.
Semi-structured interviews were used to gather 15 first-hand experiences of organisational learning from 14 nurses. Data were analysed via deductive thematic analysis.
Organisational learning was more effective when aligned closely with the model and less effective when alignment was poor. The nurses' experiences illustrate relationships among elements of the model and underscore the importance of leadership and psychological safety in organisational learning.
This study helps validate the model and offers new insights into organisational learning. Additional research is needed to explore the role of leadership and psychological safety in organisational learning.
Nurse managers can use the Organisational Learning in Hospitals model to evaluate organisational learning. Nurse managers have the opportunity to develop effective leadership practices designed to cultivate psychological safety within their teams.
探索并扩展医院组织学习模型的有效性。
组织学习是组织集体知识、认知和/或行动的积极变化，可提高医院绩效。现有模型为医院组织学习提供了基于证据的理论表示，但临床实践中组织学习的复杂性尚不完全清楚。需要额外的指导来有效地促进和研究组织学习。
采用半结构化访谈，从 14 名护士中收集了 15 个关于组织学习的第一手经验。通过演绎主题分析对数据进行分析。
当组织学习与模型紧密结合时，其效果更好，而当结合不佳时，效果则较差。护士的经验说明了模型要素之间的关系，并强调了领导力和心理安全在组织学习中的重要性。
本研究有助于验证该模型，并为组织学习提供新的见解。需要进一步研究领导力和心理安全在组织学习中的作用。
护士长可以使用《医院组织学习模型》来评估组织学习。护士长有机会制定有效的领导实践，旨在培养团队内的心理安全。
