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