knowledge management

Objentive (s): 

The use of knowledge based on evidence and adoptive to the societies needs as a human asset to get in the right way of a knowledge which is under the influence of many elements and nowadays is vital to compete in the universal market to improve business cannot be neglected. This research with the goal of analyzing the condition of research centers of medical university of Ilam from various aspects such as the production of knowledge, the transfer of knowledge based on evidence and strategies to improve the condition was made.

This was an explanatory sequential mixed method study using a standard questionnaire, and semi structured interviews. Descriptive statistics was used for quantitative data and content analysis was used for the qualitative information.

The average score of all Ilam medical university research centers for four aspects (production of knowledge, knowledge transfer, the promotion and the usage of evidence) was 70.6%. The qualitative phase indicated 5 themes including: networking, prioritization, internationalization, attraction creation, and value creation. There was a total agreement of 90.46% as final strategies and methods to improve the situation.

The findings from the current study offers a new vision about strategies for improving the output of research center. Further research on the topic is suggested.

Effective and efficient sharing of knowledge in health care can lead to the clarification of health data and dissemination of up-to-date health information among employees, decision-makers, and other stakeholders, thereby improving the probability of occurrence of desirable health outcomes. The current study aimed to identify the determinants of effective knowledge management and sharing in healthcare.

This study was conducted to identify the facilitators and barriers of knowledge sharing in healthcare and also identify successful strategies in this field using the approach of review studies in 2023. A thorough literature review was conducted using relevant keywords in PubMed, Scopus, and SID databases and the Google Scholar search engine. Data extraction was done by two researchers using the data extraction table. The content analysis method was used to analyze the data.

Reviewing 21 studies revealed 176 determinants of knowledge management and sharing in healthcare organizations. Among the determining factors, 96 were facilitators, and 80 were barriers to knowledge sharing. After removing duplicate factors and merging similar cases, 54 facilitators and 55 barriers were obtained uniquely. The determining factors were classified into four categories: organizational factors, infrastructure factors, individual factors, and factors related to the information system. Also, 35 effective strategies for knowledge management in healthcare organizations were identified, the most important of which was related to the empowerment of managers in information technology (IT).

  The success of knowledge sharing in healthcare requires a strong IT infrastructure, supportive leadership, an organizational culture that governs knowledge development, commitment and cooperation among healthcare team members, and effective knowledge management.

The insurance industry as one of the sectors of the economy is affected by changes in business and trade conditions, and for its success, it needs to provide services and deal with business based on new economic requirements. Providing health for every people in any society is one of the fundamental human rights that should be given serious attention by governments and those in charge of affairs. This research has focused on the design of the network of knowledge management topics in Iran's health insurance industry.

This research is an applied study in terms of its purpose. Qualitative research method, meta-composite technique and Delphi panel were used to collect data, Shannon's entropy technique was used to evaluate criteria, and CASP was used as a tool for quality control of articles and synthesis of qualitative findings. In this research, 20 senior managers, experts and experts of key health system organizations in five major cities (Tehran, Isfahan, Shiraz, Mashhad and Ahvaz) were selected and examined.

Based on the theme analysis, 6 main themes have been identified. These 6 themes are maturity, knowledge-based decision-making, structural flexibility, knowledge-centeredness, community’s, and localization of cloud computing. One of the main results of this approach is to increase the speed of reaction in the face of rapid changes in the insurance market.

The use of cloud computing in Iran's health insurance knowledge management requires technological maturity. Knowledge management in Iran's health insurance industry is of great importance due to its dynamics and complexities. Using an organizational agility approach based on cloud computing can improve this industry and ensure that insurance organizations gain more productivity from superior technology and access to big data. One of the main results of this approach is to increase the speed of reaction in the face of rapid changes in the insurance market. As a core infrastructure, the cloud provides the possibility of providing improved insurance services and accelerating decision-making processes and responding to customer needs. This approach can help insurance organizations enjoy a better user experience and, as a result, guarantee customer satisfaction and increase interactions with them.

Time management and knowledge management are two important and influential components of the quality of care and the improvement of nurses' performance, especially in Intensive Care Units (ICUs). Therefore, this study was conducted with the aim of determining the relationship between knowledge management and time management among nurses working in ICUs in hospitals in the Khuzestan province.

The present cross sectional study was conducted with the aim of determining the relationship between knowledge management and time management in 384 head nurses working in ICUs in educational and private hospitals in Khuzestan province, with the position of head nurse and with informed consent, using a census method. Demographic, time management, and knowledge management questionnaires were completed by the participants.

The findings indicated that the majority of participants were female (189 Individuals, 93.1%) and married (196 Individuals, 96.6%). Time management among the studied charge nurses in the ICUs was mostly at a moderate level, with 87.2% (177 Individuals) falling into this category. Regarding knowledge management scores, most of the studied charge nurses in the ICUs were weak, with 91.2% (186 Individuals) falling into this category. There was a significant relationship between knowledge management and time management (P<0.003).

Since according to the findings of the current research, the score of time management was at an average level and the score of knowledge management was at a weak level, therefore, including the educational content related to these two subjects in the educational program of undergraduate students and designing in-service training courses, especially for nurses and supervisors is suggested. Actually, it is considered as one of the effective steps that can help improve the present situation.

Considering the importance of professional performance in personnel, especially nursing personnel, and the importance of factors related to it, such as knowledge management and organizational learning, this research was carried out in 1402 on the nursing personnel of Shahid University of Medical Sciences. Beheshti took place. So far not enough studies have been conducted in this field.

In this Correlation research, statistical population consisted of 6,000 nurses at Shahid Beheshti University of Medical Sciences, 361 of them were selected by random stratified sampling using Morgan's sample size estimation table. In order to collect the required information, Lawson's standard knowledge management questionnaires, Nifeh's organizational learning standard questionnaires, and Hersey's and Goldsmith's standard organizational performance questionnaires were used. In order to measure knowledge management with 24 questions including 6 components were used. The components consisted of knowledge creation, knowledge absorption, knowledge organization, knowledge storage, knowledge dissemination, and knowledge application based on a five- point Likert spectrum with questions such as (the organization responds appropriately to constructive ideas and provides them with documents to write down the knowledge of the employees .). In order to measure organizational learning, 33 questions with 7 options were used. This questionnaire has 7 components of common vision, organizational culture, teamwork and learning, knowledge sharing, systems thinking, collaborative leadership and development of employees' competencies. Respondents were asked to indicate their opinion on each item on a seven-point scale. In order to measure organizational performance, 42 questions with 5 options including dimensions of organizational performance were used. 7 components of ability, clarity, help, incentive, evaluation, credibility and environment were measured. Pearson's correlation coefficient was used to check the validity of the tests.

The findings were made on 361 nurses; 24.3% of the respondents were male, and 75.7% of the respondents were female. The rank of knowledge management was (2.98 ± 0.68) and the amount of organizational learning was (3.17 ± 1.13) and there was a correlation between knowledge management and organizational performance (r = 0.08) and between organizational learning and performance. A very good organizational correlation was obtained with a correlation coefficient of 0.95.

The findings showed that at Shahid Beheshti University of Medical Sciences, there is a correlation between knowledge management and organizational learning and organizational performance. In addition, an experimental study to investigate the impact of knowledge management and organizational learning on organizational performance is recommended.

Knowledge-sharing is a process in which people mutually exchange tacit and objective knowledge and create new knowledge. This study aimed to identify the main themes and organize the components of nurses' knowledge sharing.

A mixed research method was adopted to conduct the present study. To this end, a qualitative method with a thematic analysis approach was first implemented to investigate the statistical population. The required data were collected by reviewing the published national and international articles using the keyword "knowledge sharing" in search engines. In total, 387 scientific research articles were retrieved from searching the literature. Then, the inclusion criteria were used to filter the information and reduce the number of articles to 48 containing the related codes specific to the themes. The quantitative part was an analytical survey. The statistical population included the nurses of Kermanshah University of Medical Sciences. The structural equation modeling methodology was adopted to determine a sample size of 284 individuals.

In the qualitative part, there were 27 main themes, 11 sub-core themes, and nine knowledge-sharing organizing themes, including attitude, mental norms, rewards, costs, perceived behavioral control, mutual benefits, knowledge-sharing tools, and perception of gaining reputation. The components of knowledge-sharing intention were identified in the quantitative part based on the nurses' points of view, and gaining reputation, mutual benefits, and mental norms were found the most important components in order of priority.

Based on the findings of this study, the components of attitude, perceived behavioral control, reward, mutual benefits, reputation and subjective norms are effective in the knowledge sharing behavior pattern of nurses and can cause the actual behavior of the individual.

 The necessity of up-to-date information and knowledge of the staff of medical sciences universities, which are the standard bearers of public health, is doubly important compared to some other organizations, and knowledge management is applied to improve the quality of services. Various studies have been conducted on knowledge management among healthcare workers in Iran. Therefore, our study is a systematic review and meta-analysis of the application of knowledge management among medical university personnel in Iran.

 using advanced search in PubMed / MEDLINE, Web of Science, Scopus, Google Scholar, MagIran, SID databases with keywords knowledge management, university of medical sciences/ hospital/ health/ treatment, Iran and similar words, all articles published in English or Persian languages were reviewed. The variance of each study was calculated according to the binomial distribution and the heterogeneity of the studies using the I2 index. Data analysis was done using Rev5.3 software.

 All samples were 2748 people in 17 studies. The application rate of knowledge management in medical sciences universities of Iran is 2.93 (CI; 2.80-3.06), which is lower than the average. This amount has been investigated at the optimal level only in the medical sciences universities of Tehran in the initial studies.

 Considering the lower-than-average estimate of applying knowledge management and the increasing importance of it in universities of medical sciences in today's world, the need for managers' serious attention and appropriate and timely planning in this field is necessary. In this regard, employees must be aware of the importance and benefits of knowledge management in different ways so that they can use knowledge management in practice.

The main goal of this research is to design and validate the quality model for virtual university education with a knowledge management approach. According to the purpose and nature of the research, this research has used the combined or mixed research method through the integration of qualitative and quantitative methods. For this purpose, qualitative data will be collected first, and then quantitative data will be collected, then quantitative approaches will be used to confirm the qualitative results. The statistical population in this part of the research is all the professors and faculty members of the electronics department, 15 of whom will be selected for interviews in a targeted manner, who have executive records at decision-making levels and are known as knowledgeable experts. This group was selected to conduct the qualitative part of the research and participate in the interview process. Solving the problem in the current research was done with interpretative structural modeling method. After determining the relationships and level of dimensions, they can be drawn in a model form. For this purpose, the dimensions have been adjusted according to their levels, from top to bottom, in the current research, the quality dimensions are placed in 10 levels, and finally, the design of an interpretive-structural model to categorize the dimensions of the quality model is a part of university education. virtual with knowledge management approach.

Knowledge, as the most valuable asset of the organization, should include social factors as well as economic and technological factors. This study aimed to investigate the relationship between organizational culture and knowledge management by considering the mediating variable of unlearning.

This study was a descriptive correlational study, and its initial statistical population included 450 employees of the support area from public hospitals in Tehran province, out of which 420 people participated in the research. The standard organizational culture, knowledge management, and unlearning questionnaires were used to collect the required data. Data analysis was performed using structural equation modeling in SPSS 16 and AMOS software.

The study results confirmed the assumed structural relationships, so that the organizational culture affected the knowledge management directly (0.34) and indirectly through unlearning (0.78). In addition, the unlearning variable had a significant and positive effect on the knowledge management (0.55).

Considering the positive relationship between organizational culture and knowledge management and the role of unlearning as a mediating variable in this relationship, it was suggested that organizational culture development and unlearning dimension improvement may have facilitated implementing knowledge management and its development in hospitals. This, in turn, may have increased the patient satisfaction and improved the quality of services provided by the medical centers.

Groups providing knowledge-based services to patients. Knowledge management is the key to the success of organizations and motivation is one of the effective factors in maintaining the employees. This study aimed to investigate the direct and indirect effects of nurses’ motivation on knowledge management in hospitals affiliated to Qom University of Medical Sciences (QUMS), Qom, Iran.

This analytical cross-sectional study was conducted on 349 nurses from hospitals affiliated to QUMS. The instrument was a researcher-made questionnaire with acceptable validity and reliability designed to measure motivation and knowledge management. Data were analyzed using exploratory factor analysis, confirmatory factor analysis, and structural equation modeling in SPSS software, version  20 and LISREL software, version 8.8.

The mean scores of motivation and knowledge management were 3.071±1.344 and 3.30±0.783, respectively. The motivation of nurses had a positive and significant effect on the knowledge management (T=3.01, β=0.19, P=0.045).

Nurses’ motivation has a positive and significant effect on the knowledge management in hospitals. The hospital managers, in addition to providing the necessary infrastructure to implement the knowledge management process, should adopt methods to create motivation in nurses, in order to improve the quality of nursing services.

Knowledge creation is the most basic source of innovation and learning for educational organizations, especially military ones. Military nursing, as a new field, plays a vital role in improving the health of military forces and society. Therefore, this research was performed to a pattern for organizational knowledge creation in military nursing education.

This qualitative study was performed using the systematic strategy of grounded theory by Strauss and Corbin (2015) approach. The data were collected through semi-structured interviews with 16 experts and university professors with experience in the field of military nursing and continued until theoretical saturation. Participants were selected by the theoretical sampling method. Data analysis was done by constant comparative method and theoretical coding, and then the paradigm pattern was explained. The correctness and strength of the collected data were evaluated based on Lincoln and Goba criteria.

The findings led to the identification of 27 components, in the form of a paradigm pattern, that include the central phenomenon (organizational knowledge creation), "causal components" with sub-factors (sovereign will to creating knowledge, educational system of military nursing, individual and skill competencies and motivational factors), "contextual components" with sub-factors (demographic characteristics, infrastructures and equipment, information technology and scientific resources, research structure, organizational culture, management factors, educational organization strategies), "intervening components" with sub-factors (organizational conflict, security factors, economic resources, environmental factors, Educational inter organizational interactions), "strategic components" with sub-factors ( Creating a knowledge creation system, experiences recording, content production and publications, meta-technology of learning, improvement and  promotion of curriculum, targeted recruitment of human resources, empowerment of professors and specialized training of nursing students) and "Consequent components" with sub-factors (acquiring scientific authority and responding to the needs of the organization and society).

The presented pattern shows managerial, scientific, technological, and organizational importance for the realization of knowledge creation in the field of military nursing education. Careful monitoring, extensive measures, and the implementation of appropriate programs and policies in the above fields can lead to increasing scientific authority and responding to the needs of the organization and society.

 Graduates of universities should be equipped with role-playing equipment before entering the world of work, which includes the ability to manage knowledge. By designing and validating a questionnaire, this research examines the effectiveness of the course titles approved by the specialized sciences of medical schools to create knowledge management capabilities in graduates. 

 To design a content domain of the questionnaire, after studying the available documents, the questionnaire was designed based on the components of the knowledge management model of Bukowitz and Williams, consisting of 38 items. According to the selected model, to determine the content validity ratio (CVR) and content validity index (CVI), and clarity of the questions, the questionnaire was given to 15 specialists in knowledge and information science and 8 specialists in basic sciences and postgraduate studies. Internal consistency and reliability of the questionnaire were determined using Cronbach's alpha and correlation coefficient.

 The questionnaire has seven components, including knowledge acquisition (4 items), knowledge application (7 items), knowledge process learning (6 items), knowledge sharing (6 items), knowledge evaluation (4 items), knowledge creation and registration (5 items), and optimal use of knowledge (6 items). The CVR, CVI, and clarity were 0.72, 0.86, and 0.82, respectively. The reliability of the questionnaire was obtained at 0.935 using Cronbach's alpha test, and there was a positive and significant correlation between the questionnaire components (p<0.01). 

 The designed questionnaire has high reliability and validity and is a standard tool to measure the effectiveness of the course titles of basic sciences in medical schools.

One of the strategic goals of knowledge management and health information systems in the world is to provide up-to-date and quality medical information to scholars. It is important to provide efficient services by maintaining, upgrading, and dynamizing libraries and ultimately satisfying and meeting the information needs of users. The present study aims to investigate the quality of information services in medical libraries in Iran based on the knowledge management model

In this study, the quality of information services in the libraries of medical universities in Iran was examined through interviews with managers of selected libraries. The interview was based on Lawson’s knowledge management model in six areas of creation, capture, organization, storage, dissemination, and application. The participants were 10 managers of the libraries at Shahid Beheshti University of Medical Sciences, Iran University of Medical Sciences, Isfahan University of Medical Sciences, Tabriz University of Medical Sciences, Birjand University of Medical Sciences, Guilan University of Medical Sciences, Kermanshah University of Medical Sciences, Zahedan University of Medical Sciences, Bushehr University of Medical Sciences, and Zabol University of Medical Sciences. The information was analyzed in Excel software.

The highest score (4.41) was obtained by Zabol University of Medical Sciences, and the lowest score (2.20) belonged to Iran University of Medical Sciences. 

The quality of information services based on the knowledge management model in Selected medical libraries in Iran is at a relatively moderate level. There is a need for fundamental changes in this field to promote information services in medical libraries. The medical universities in Iran need to improve the quality of information and communication technology infrastructure of libraries and develop knowledge maps to improve the ranking of the libraries.

Considering the importance of knowledge management in the current era and the emphasis on the implementation of knowledge management in the health system in the knowledge management system of the Ministry of Health, Treatment and Medical Education, and since it is one of the first steps in the implementation of knowledge management, Drawing the knowledge tree of the organization, the purpose of the current research is to review the process of publishing the knowledge tree and examine it in the field of health.

The current research is a type of applied and descriptive review study that was carried out with the method of scientometrics and co-occurrence analysis of keywords. For this purpose, the term “Knowledge tree” OR “knowledge trees” was searched in Scopus reference database. For data analysis, the analyzes provided by the database itself were used, and VOSviewer software was used to visualize the data.

The growth of scientific productions related to the field of the tree of knowledge in general in the mentioned base has started since 1979 and has had a growing trend until 2023. In the field of knowledge tree, among the authors Yang, Y, among the organizations, machine intelligence institute, iona college, and among the countries, China, America, and England have been at the top of the most productive in this field. Among the subjects, the most related articles are primarily related to the field of computer science (32.2 percent) and then to the field of engineering (22.1 percent) and mathematics (10.1 percent), which is significant. that medicine is in the sixth place and this is a sign of the weakness of producing resources in this field and the clustering resulting from the co-occurrence of keywords led to the identification of five clusters respectively with the titles of data mining and information processing, artificial intelligence and expert systems. , knowledge structure and decision support systems, semantics and knowledge representation, and finally learning and teaching systems.

The study of the thematic structure of scientific productions in the field of Knowledge Tree showed that the field of health has a weakness in the production of resources in this field. Therefore, it is necessary for future researches to pay special attention to the development and explanation of this concept and modeling its drawing, especially in the health system, in order to identify and prevent diseases.