The relationship between knowledge management and nursing care performance

Olateju Jumoke Ajanaku; Stephen Mutula

doi:10.7553/84-2-1785

Olateju Jumoke Ajanaku Doctoral candidate Information Studies Programme, College of Humanities, University of KwaZulu-Natal, South Africa http://orcid.org/0000-0003-4257-4195
Stephen Mutula Professor Information Studies Programme, College of Humanities, University of KwaZulu-Natal, South Africa http://orcid.org/0000-0003-3776-8104

Keywords: Knowledge management, knowledge management infrastructure, knowledge management process, nursing care performance, teaching hospitals

Abstract

The role of knowledge management in addressing the quality of care rendered by registered nurses has received little attention in Nigerian teaching hospitals. This study investigated the relationship between knowledge management and performance of nursing care in selected teaching hospitals. A quantitative study comprising of a survey design was employed. Data was collected from 320 registered nurses using the proportionate stratified sampling method from two purposively selected teaching hospitals in South West, Nigeria. Questionnaires were distributed to registered nurses across the clinical units in the selected teaching hospitals. Structural equation modelling using SPSS version 22 was used to test the hypothesised relationships. The findings revealed that information technology, organisational structure and organisational culture in knowledge management infrastructure are found to positively and significantly influence knowledge management processes (knowledge acquisition, conversion, application and protection) in the selected teaching hospitals. The study further revealed that the mutual relationship between the dimensions of knowledge management infrastructure and knowledge management process strongly and significantly influence nursing care performance in the teaching hospitals. Knowledge management infrastructure and process can contribute to the overall performance of nursing care and simultaneously improve the performance of teaching hospitals.

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Author Biographies

Olateju Jumoke Ajanaku, Doctoral candidate Information Studies Programme, College of Humanities, University of KwaZulu-Natal, South Africa

Doctoral studentInformation Studies Programme

Stephen Mutula, Professor Information Studies Programme, College of Humanities, University of KwaZulu-Natal, South Africa

Professor in the Information Studies Programme and Acting Deputy Vice-Chancellor: College of Humanities

References

Ajanaku, O.J. 2018. Knowledge management infrastructure and processes on effectiveness of nursing care. Proceedings of 12th International Conference on Research Challenges in Information Science (RCIS). 29-31 May 2018. Nantes, France: IEEE. 1–6.

Alavi, M. and Leidner, D.E. 2001. Knowledge management and knowledge management systems: conceptual foundations and research issues. MIS Quarterly, 25(1): 107–136.

American Nurses Association (ANA). 2010. Nursing: scope and standards of practice. 2nd ed. Silver Spring, MD: ANA.

Anderson, K.K. 2009. Organisational capabilities as predictors of effective knowledge management: an empirical examination. PhD thesis. Nova South Eastern University.

Aujirapongpan, S., Vadhanasindhu, P., Chandrachai, A. and Cooparat, P. 2010. Indicators of knowledge management capability for knowledge management effectiveness. Vine, 40(2): 183–203.

Bagheri, R., Hamidizadeh, M.R. and Sabbagh, P. 2015. The mediator role of KM process for creative organizational learning case study: knowledge based companies. Vine, 45(3): 420–445.

Bose, R. 2003. Knowledge management-enabled health care management systems: capabilities, infrastructure, and decision-support. Expert Systems with Applications, 24(1): 59–71.

Burhans, L.M. and Alligood, M.R. 2010. Quality nursing care in the words of nurses. Journal of Advanced Nursing, 66(8): 1689–1697.

Byrne, B.M. 2001. Structural equation modelling: perspectives on the present and the future. International Journal of Testing, 1(3-4): 327–334.

Carney, M. 2011. Influence of organisational culture on quality healthcare delivery. International Journal of Health Care Quality Assurance, 24(7): 523–539.

Carrillo, P.M. Robinson, H.S. Anumba, C.J. and Al-Ghassani, A.M. 2003. IMPaKT: a framework for linking knowledge management to business performance. Electronic Journal of Knowledge Management, 1(1): 1–12.

Chourides, P., Longbottom, D. and Murphy, W. 2003. Excellence in knowledge management: an empirical study to identify critical factors and performance measures. Measuring Business Excellence, 7(2): 29–45.

Chua, A. 2004. Knowledge management system architecture: a bridge between KM consultants and technologists. International Journal of Information Management, 24(1): 87–98.

Cruz, S.G. and Ferreira, M.M.F. 2016. Knowledge management in Portuguese healthcare institutions. Revista Brasileira de Enfermagem, 69(3): 492–499.

Davenport, T.H. and Prusak, L. 1998. Working knowledge: how organisations manage what they know. Boston: Harvard Business School Press.

Ghosh, B. and Scott, J.E. 2005. Comparing knowledge management in health-care and technical support organisations. IEEE Transactions on Information Technology in Biomedicine, 9(2): 162–168.

Ghosh, B. and Scott, J.E. 2007. Effective knowledge management systems for a clinical nursing setting. Information Systems Management, 24(1): 73–84.

Gold, A.H., Malhotra, A. and Segars, A.H. 2001. Knowledge management: an organisational capabilities perspective. Journal of Management Information Systems, 18(1): 185–214.

Ho, C.F., Hsieh, P.H. and Hung, W.H. 2014. Enablers and processes for effective knowledge management. Industrial Management & Data Systems, 114(5): 734–754.

Holsapple, C.W. and Joshi, K.D. 2000. An investigation of factors that influence the management of knowledge in organisations. The Journal of Strategic Information Systems, 9(2-3): 235–261.

Idris, K.M., Richard, K.A. and Waziri, A.Y. 2016. Environmental factors of knowledge management model for implementation and adaptation in the construction industry. Journal of Social Science Studies, 3(1): 251–264.

Institute of Medicine. 2001. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press.

Jacobs, E.J. and Roodt, G. 2011. The mediating effect of knowledge sharing between organisational culture and turnover intentions of professional nurses. South African Journal of Information Management, 13(1): 1–6.

Jaradat, N.M.S. and Al Maani, A.I. 2014. The impact of knowledge management infrastructure on performance effectiveness in Jordanian organisations. Arab Economic and Business Journal, 9(1): 27–36.

Khalifa, M. and Liu, V. 2003. Determinants of successful knowledge management programs. Electronic Journal on Knowledge Management, 1(2): 103–112.

Kim, S. and Lee, H. 2006. The impact of organisational context and information technology on employee knowledge‐sharing capabilities. Public Administration Review, 66(3): 370–385.

Kline, R.B. 2005. Principles and practice of Structural Equation Modeling. 2nd ed. New York: Guilford Press.

Krejcie, R.V. and Morgan, D.W. 1970. Table for determining sample size from a given population. Educational and Psychological Measurement, 30(3): 607–610.

Lee, E.J., Kim, H.S. and Kim, H.Y. 2014. Relationships between core factors of knowledge management in hospital nursing organisations and outcomes of nursing performance. Journal of Clinical Nursing, 23(23-24): 3513–3524.

Lee, H. and Choi, B. 2003. Knowledge management enablers, processes, and organisational performance: an integrative view and empirical examination. Journal of Management Information Systems, 20(1): 179–228.

Lee, H.S. 2017. Knowledge management enablers and process in hospital organisations. Osong Public Health and Research Perspectives, 8(1): 26–33.

Lee, L.T.S. and Sukoco, B.M. 2007. The effects of entrepreneurial orientation and knowledge management capability on organisational effectiveness in Taiwan: the moderating role of social capital. International Journal of Management, 24(3): 549–573.

Lee, T.T. 2005. Nurses’ concerns about using information systems: analysis of comments on a computerized nursing care plan system in Taiwan. Journal of Clinical Nursing,14(3): 344–353.

Lupiáñez-Villanueva, F., Hardey, M., Torrent, J. and Ficapal, P. 2011. The integration of Information and Communication Technology into nursing. International Journal of Medical informatics, 80(2): 133–140.

Massey, A.P., Montoya-Weiss, M.M. and O'Driscoll, T.M. 2002. Knowledge management in pursuit of performance: insights from Nortel Networks. MIS Quarterly, 26(3): 269–289.

McGlynn, E.A., Asch, S.M., Adams, J., Keesey, J., Hicks, J., DeCristofaro, A. and Kerr, E.A. 2003. The quality of health care delivered to adults in the United States. Journal of Medicine, 348(26): 2635–2645.

Migdadi, M.M. 2005. An integrative view and empirical examination of the relationships among knowledge management enablers, processes, and organisational performance in Australian enterprises. Doctoral thesis. University of Wollongong.

Mills, A.M. and Smith, T.A. 2011. Knowledge management and organisational performance: a decomposed view. Journal of Knowledge Management, 15(1): 156–171.

Mills, M.E. and Staggers, N. 1994. Nurse-computer performance: considerations for the nurse administrator. The Journal of Nursing Administration, 24(11): 30–35

Mutula, S.M. 2015. Factors influencing perceptions and attitudes of nurses towards the use of ICT in patient care in KwaZulu Natal Province, South Africa. The African Journal of Information Systems, 8(1): 1–14.

Nahm, R. and Poston, I. 2000. Measurement of the effects of an integrated, point-of-care computer system on quality of nursing documentation and patient satisfaction. Computers in Nursing, 18(5): 220–229.

Nguyen, T.N.Q. 2010. Knowledge management capability and competitive advantage: an empirical study of Vietnamese enterprises. Doctoral thesis. Southern Cross University.

Nonaka, I. and Takeuchi, H. 1995. The knowledge creating company: how Japanese companies create the dynamics of innovation. New York: Oxford University Press.

Ojerinde, O. and Iroju, O. 2015. Strategies for managing information flow in Nigeria healthcare system. International Journal of Applied Information System, 9(8): 15–21.

Pallant, J. 2005. SPSS Survival Manual: a step by step guide to data analysis using SPSS for Windows (Version 12). New South Wales, Australia: Allen & Unwin.

Pandey, S.C., Dutta, A. and Nayak, A.K. 2018. Organisational capabilities and knowledge management success: a quartet of case studies. Kybernetes, 47(1): 222–238.

Raftopoulos B. and Theodosopoulou H. 2001. The quality in health care sector. Nosileftiki, 1: 8–23.

Rouleau, G., Gagnon, M.P. and Côté, J. 2015. Impacts of information and communication technologies on nursing care: an overview of systematic reviews (protocol). Systematic reviews, 4(1): 75.

Schein, E.H. 1992. Organisational culture and leadership. San Francisco: Jossey-Bass Press.

Schulz, M. and Jobe, L.A. 2001. Codification and tacitness as knowledge management strategies: an empirical exploration. The Journal of High Technology Management Research, 12(1): 139–165.

Schumacker, R.E. and Lomax, R.G. 2010. A beginner’s guide to Structural Equation Modeling. New York: Routledge.

Senge, P.M. 1994. The fifth discipline fieldbook: strategies and tools for building a learning organization. New York: Currency, Doubleday.

Siemuri, K.E. 2014. Factors influencing the utilization of the nursing process in Ogun State, Nigeria. International Journal of General Medicine and Pharmacy, 2(3): 57–64.

Siu, H.M. 2015. Understanding nurses’ knowledge work. DPhil thesis. Western University.

Smedley, A. 2005. The importance of informatics competencies in nursing: an Australian perspective. CIN: Computers, Informatics, Nursing, 23(2):106–110.

Smith, T.A., Mills, A.M. and Dion, P. 2010. Linking business strategy and knowledge management capabilities for organisational effectiveness. International Journal of Knowledge Management, 6(3): 22–43.

Suppiah Dall, V.A. 2014. Factors influencing nurses’ attitudes towards information technology in nursing practice in Western Australia. Doctoral thesis. Curtin University.

Tanriverdi, H. 2005. Information technology relatedness, knowledge management capability, and performance of multi-business firms. MIS Quarterly, 29(2): 311–334.

Wickramasinghe, N., Bali, R.K. and Geisler, E. 2007. The major barriers and facilitators for the adoption and implementation of knowledge management in healthcare operations. International Journal of Electronic Healthcare, 3(3): 367–381.

Wong, K. 2005. Critical success factors for implementing knowledge management in small and medium enterprises. Industrial Management and Data Systems, 105(3): 261–279.

Wuttichaikitcharoen, P. and Babel, M.S. 2014. Principal component and multiple regression analyses for the estimation of suspended sediment yield in ungauged basins of Northern Thailand. Water, 6(8): 2412–2435.

Zaied, A.N.H., Hussein, G.S. and Hassan, M.M. 2012. The role of knowledge management in enhancing organisational performance. International Journal of Information Engineering and Electronic Business, 4(5): 27–35.