Implementing process‐oriented knowledge management strategies

Maier, Ronald; Remus, Ulrich

doi:10.1108/13673270310492958

Cited by 121 publications

(94 citation statements)

References 8 publications

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“…Hansen et al (1999) argued that this could be due to a gap between the theories, strategies and frameworks of KM that are presented and the approaches for their practical application. Maier and Remus (2003) concurred that uncertainty towards KM is fuelled by the lack of a commonly agreed method or procedure for implementing KM. This remains the case in 2014.…”

Section: Introductionmentioning

confidence: 99%

Implementing a knowledge management system within an NHS hospital: a case study exploring the roll-out of an electronic patient record (EPR)

McCracken

Edwards

2017

Knowledge Management Research & Practice

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This research aims to contribute to understanding the implementation of knowledge management systems (KMS) in the field of health through a case study, leading to theory building and theory extension. We use the concept of the business process approach to knowledge management as a theoretical lens to analyse and explore how a large teaching hospital developed, executed and practically implemented a KMS. A qualitative study was conducted over a 2.5 year period with data collected from semi-structured interviews with eight members of the strategic management team, 12 clinical users and 20 patients in addition to non-participant observation of meetings and documents. The theoretical propositions strategy was used as the overarching approach for data analysis. Our case study provides evidence that true patient centred approaches to supporting care delivery with a KMS benefit from process thinking at both the planning and implementation stages, and an emphasis on the knowledge demands resulting from: the activities along the care pathways; where cross-overs in care occur; and knowledge sharing for the integration of care. The findings also suggest that despite the theoretical awareness of KMS implementation methodologies, the actual execution of such systems requires practice and learning. Flexible, fluid approaches through rehearsal are important and communications strategies should focus heavily on transparency incorporating both structured and unstructured communication methods. KeywordsKnowledge Management Systems, Health, Hospitals, Business Processes, Electronic Patient Record, Electronic Health Record INTRODUCTIONThere has been relatively little research about how to actually carry out knowledge management (KM) within healthcare organisations. Hospitals in particular still perceive implementing KM to be difficult: it has only been in the last 10 years that such implementation issues have begun to be tackled in the field of health. Hansen et al (1999) argued that this could be due to a gap between the theories, strategies and frameworks of KM that are presented and the approaches for their practical application. Maier and Remus (2003) concurred that uncertainty towards KM is fuelled by the lack of a commonly agreed method or procedure for implementing KM. This remains the case in 2014. Deciding to 'do' KM is not the same as actually 'doing it'(Edwards, 2009).The Business Process Approach to KM provides a method for 'doing' KM and has been explored by a number of authors (Kwan and Balasubramanian, 2003;Maier and Remus, 2003;Edwards, Hall and Shaw, 2005). Studies exploring this approach have however not been in healthcare. This study therefore attempts to fill this gap and to contribute to the theory on KM implementation in health, by focusing on knowledge management system (KMS) implementation from the theoretical lens of Business Process theory. The overall goal is to understand better how to implement knowledge management systems effectively in healthcare. 2The exploratory study reported here concer...

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Section: Introductionmentioning

confidence: 99%

Implementing a knowledge management system within an NHS hospital: a case study exploring the roll-out of an electronic patient record (EPR)

McCracken

Edwards

2017

Knowledge Management Research & Practice

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“…KM research can be divided into two categories: human-oriented and technologyoriented research (Maier et al 2003). It is widely recognized that technology can support knowledge management activities and can often be an enabler of knowledge management.…”

Section: Introductionmentioning

confidence: 99%

“…Many knowledge management systems are shunned by users, because they are not willing to update knowledge in the systems. One reason that people do not contribute to knowledge management systems continuously is that the technological architecture of such systems does not match human social behavior and work processes (Kwan et al 2003;Maier et al 2003;Scholl et al 2004). Another reason is that knowledge workers do not want to give up autonomy and anonymity (Mangisengi et al 2003).…”

Section: Introductionmentioning

confidence: 99%

Using peer-to-peer technology for knowledge sharing in communities of practices

Wang

Yang

Chou

2008

Decision Support Systems

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“…Berkes, 2008;Maier & Remus, 2003). The term knowledge management strategy is usually used to describe approaches for managing knowledge-related activities such as knowledge elicitation, information dissemination, and learning (Bhatt, 2002).…”

Section: Introductionmentioning

confidence: 99%

Transforming food systems at local levels: Using participatory system dynamics in an interactive manner to refine small-scale farmers’ mental models

Kopainsky

Hager

Herrera

et al. 2017

Ecological Modelling

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AcknowledgementsWe are very grateful to the research assistants and field officers in Zambia for facilitating communication with farmers and the implementation of individual interviews as well as the participatory system dynamics model building workshops. Our sincere gratitude goes to the traditional leadership in the workshop communities for their support and to all the farmers who generously shared their time and insight with us. Funding sourcesWork on this article was supported by the Norwegian Research Council through the project "Simulation based tools for linking knowledge with action to improve and maintain food security in Africa" (contract number 217931/F10) and the Peder Sather Center for Advanced Study through the project "Knowledge analysis in coupled social-ecological systems. A pilot study in smallholder farmer communities in Zambia". The views and conclusions expressed in this paper are those of the authors alone and do not necessarily reflect the views of the funding sources. The funding sources had no role in study design, collection, analysis and interpretation of data, in the writing of this article or in the decision to submit this article for publication. Conflicts of interestThe authors declare no conflict of interest. AbstractFood systems will need to undergo considerable transformation. To be better prepared for and resilient to uncertainty and disturbances in the future, resource users and managers need to further develop knowledge about the food and farming system, with its dominating feedback structures and complexities, and to test robust and integrated system-based solutions. This paper investigates how participatory system dynamics modeling can be adapted to groups at the community level with low or no formal educational background. The paper also analyses the refinement of workshop participants' mental models as a consequence of a participatory system dynamics intervention. For this purpose, we ran two workshops with small-scale farmers in Zambia. Analysis of workshop data and postworkshop interviews shows that participatory system dynamics is well adaptable to support an audience-specific learning-by-doing approach. The use of pictures, objects and water glasses in combination with the basic aspects of causal loop diagramming makes for a wellbalanced toolbox. Participants acquire understanding that is also relevant beyond systems thinking in that it offers a range of practical insights such as a critical evaluation of common food security strategies.

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Implementing process‐oriented knowledge management strategies

Cited by 121 publications

References 8 publications

Implementing a knowledge management system within an NHS hospital: a case study exploring the roll-out of an electronic patient record (EPR)

Implementing a knowledge management system within an NHS hospital: a case study exploring the roll-out of an electronic patient record (EPR)

Using peer-to-peer technology for knowledge sharing in communities of practices

Transforming food systems at local levels: Using participatory system dynamics in an interactive manner to refine small-scale farmers’ mental models

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