Mutual empathy , ambiguity , and the implementation of electronic knowledge management within the complex health system *
نویسنده
چکیده
Healthcare can be characterized as a complex adaptive system. New Zealand is recognized as having one of the highest rates of enmeshed clinical information and communication technology within this complex system. This paper describes the implementation of an integrated series of electronic clinical health knowledge management systems in a large New Zealand District Health Board. In combination with standard project management, the core implementation team utilized an action research reflective learning approach to enhance their capability to cope with emergent issues, and plan for each subsequent project stage. The emergent focus on “process” issues of connectedness, competency, and control were not the “technical” concerns the principal author was initially expecting, but can be understood through an appreciation of individual and group dynamics, system and complexity theories. In particular, mutual empathy for both self and others was identified as a core capability requirement to cope with the inherent ambiguity within complex systems.
منابع مشابه
The Electronic Health Record System May Destroy the Empathy
Aims: The use of the electronic health record systems has been developed in the health system, but it is still not known whether empathy is created in the visit of the patient despite this system. Therefore, this study was designed with the purpose of comparing patients’ perceptions about physicians’ empathy after the patient viewed standardized and scripted video vignettes of two physicians on...
متن کاملTranslating Evidence into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?
How best to achieve the translation of research evidence into routine policy and practice remains an enduring challenge in health systems across the world. The complexities associated with changing behaviour at an individual, team, organizational and system level have led many academics to conclude that tailored, multifaceted strategies provide the most effective approach to knowledge translati...
متن کاملNational Minimum Data Set for Antimicrobial Resistance Management: Toward Global Surveillance System
Background: Success of infection treatment depends on the availability of accurate, reliable, and comprehensive data, information, and knowledge at the point of therapeutic decision-making. The identification of a national minimum data set will support the development and implementation of an effective surveillance system. The goal of this study was to develop a national antimicrobial resistanc...
متن کاملBarriers to Knowledge Management Implementation at Fasa Health Center: A Qualitative Content Analysis Study
Background & Objective: Knowledge growth has been very rapid in recent years. Health centers can implement knowledge management in their organization to improve service quality, reduce costs and time, strengthen relationships among colleagues, and produce knowledge faster by reviewing barriers to knowledge management implementation at fasa health center. Material & Methodes: In this qualitativ...
متن کاملImplementation of a Health Policy Advisory Committee as a Knowledge Translation Platform: The Nigeria Experience
Background In recent times, there has been a growing demand internationally for health policies to be based on reliable research evidence. Consequently, there is a need to strengthen institutions and mechanisms that can promote interactions among researchers, policy-makers and other stakeholders who can influence the uptake of research findings. The Health Policy Advisory Committee (HPAC) is on...
متن کامل