Organizational Learning[42, 44]
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Loop Learning and the "4i"
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Individual to Organization
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Applying a Work Strategy or Process
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Individuals as Agents for Organizational Inquiry
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Evidence as External Strategy To Consider
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Decision-Execution Cycles[45]
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Testing Knowledge Gaps During Work
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Individual to Organization
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Knowledge Claims Tested Through Decisions
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Knowledge Formed in Minds & Information Systems
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External Knowledge Claim To Be Tested
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Organizational Knowledge Creation[46]
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Team Discourse: Making Tacit Knowledge Explicit
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Individual and Team; then to Organization
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Negotiated Understanding of Decisions in Action
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Social Network of Relating Teams
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External Knowledge To Be Justified by Working Teams
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Organizational Culture[52–56]
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Cultural Change Processes & Assimilation
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Organization & Organizational Subcultures
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Negotiated, Shared Beliefs of Organizations & Subcultures
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Vocational Society and Subcultures
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Evidence as Data to Confirm/Disconfirm Beliefs
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Complex Adaptive Systems[57–61]
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Decentralized Decision-making with Rules & Policies
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Not Stated or Implied
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Not Stated or Implied
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Complex System (of Providers & Patients)
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Evidence as New Policy or Practice
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Diffusion & Dissemination of Innovation[37, 62]
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Diffusion or Active Dissemination Strategies
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Not Stated or Implied
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Adoption of Practice Innovations
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System of Adopters with Variable Readiness for Change
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Innovative Concept or Practice to be Adopted
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Total Quality Management (TQM)[24, 33]
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Redesign of Individual Work Processes
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Leaders & Practitioners
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Practice Standard or Benchmark Attainment
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Mechanical System (of Linear Processes)
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External Benchmark or Standard Practice
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