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Knowledge sharing and institutionalism in the healthcare industry

Yong-Mi Kim, Donna Newby-Bennett and Hee-Joon Song

Abstract

Purpose – Knowledge sharing is recognized as one of the most important ways to improve

organizational performance. Organizations strive to facilitate knowledge sharing routines, yet these

attempts often fail. Although the successful deployment of knowledge sharing practices has been a

focus of knowledge management and organizational performance studies, little research has

considered the impacts of institutional structures. As such, the purpose of this study is to investigate the

extent to which institutional structures facilitate knowledge sharing practices and their impacts on

organizational performance.

Design/methodology/approach – Based on 220 usable survey responses, the authors applied

structural equation modeling (SEM) to observe the extent to which institutional structures enhance

organizational performance through knowledge sharing, and other important knowledge

sharing-related constructs (i.e. leadership and punitive behavior). The healthcare industry was used

as the research context as it is a knowledge-intensive industry.

Findings – The study finds that knowledge sharing practices were strongly influenced by institutional

structures, and together considerably enhanced patient safety. Furthermore, the institutional structures

had a high impact on leadership roles and the abatement of punitive behaviors, which in turn collectively

considerably enhanced patient safety.

Originality/value – This paper recognizes the power of institutional structures that successfully

facilitate knowledge sharing practices within an environment that is unfriendly to knowledge sharing

behaviors.

Keywords Knowledge sharing, Institutional structure, Leadership, Punitive behaviour, Healthcare industry, Knowledge management

Paper type Research paper

Introduction

Institutional theorists posit that external pressures are the major determinants of

organizational structures (e.g. Baum and Oliver, 1991; Scott, 1995; DiMaggio and Powell,

1983). This is because external pressures force ‘‘one unit in a population to resemble other

units that face the same set of environmental conditions’’ (DiMaggio and Powell, 1983).

Institutional theorists also suggest that new organizational forms will not emerge to fill

possible resource opportunities until organizations acquire legitimacy from the community

(Aldrich and Fiol, 1994). Legitimacy is a cognitive process through which an entity becomes

embedded in taken-for-granted assumptions (Suddaby and Greenwood, 2005). Gaining

legitimacy from the community is important because an organization’s survival and success

are largely contingent upon conformity to the norms of external environments (Meyer and

Rowan, 1977). Legitimacy elevates an organization’s status in the community, facilitates the

acquisition of resources, and endorses an organization’s rights and competencies to

provide specific products or services (Oliver, 1991; Meyer and Rowan, 1977; DiMaggio and

Powell, 1983; Scott, 1995).

PAGE 480 j JOURNAL OF KNOWLEDGE MANAGEMENT j VOL. 16 NO. 3 2012, pp. 480-494, Q Emerald Group Publishing Limited, ISSN 1367-3270 DOI 10.1108/13673271211238788

Yong-Mi Kim is an Assistant

Professor in the School of

Library and Information

Studies, University of

Oklahoma, Tulsa,

Oklahoma, USA.

Donna Newby-Bennett is

the Manager of the Quality

Resource Management

Department, Oklahoma

State University Medical

Center, Tulsa, Oklahoma,

USA. Hee-Joon Song is a

Professor in the Department

of Public Administration,

Ewha Womans University,

Seoul, South Korea.

Received July 2011 Revised December 2011 December 2011 Accepted December 2011

The authors are most grateful for the editing work of research assistant Emrys Moreau.

There are two viewpoints on institutional pressures. According to the first, organizational

structure changes are made in order to gain legitimacy and resources from the community,

but those changes are merely symbolical gestures made to acquire legitimacy. As such,

internal practices are not aligned with the intentions of institutional pressures (e.g. Meyer

and Rowan, 1977). In this case, internal practices and employees’ routinized behaviors are

different from the aims of external forces. The second viewpoint holds that since

organizations that grant legitimacy provide ‘‘guidelines for practical action’’ to other

organizations (Rao et al., 2003), those guidelines cause dramatic shifts in organizational

processes by changing members’ beliefs, logic, and sense-making (Suddaby and

Greenwood, 2005; Friedland and Alford, 1991; Ruef and Scott, 1998; Rao et al., 2000;

Lounsbury, 2001). More specifically, organizations conform to requirements imposed by

external forces on both structural and practical levels (Heugens and Lander, 2009; Chen and

Hambrick, 1995; Deephouse, 1999). As a result, the behaviors of employees are routinized

according to the aims of external organizations. It is not clear, however, why certain

organizations actively conform to external forces and routinize employees’ behaviors

accordingly, while others merely symbolically comply with external forces and do not change

employees’ behaviors. It is important to note that organizational structure and process,

which are observable from the exterior, are used as a formal response to institutional

pressures, while organizational members’ practices and behaviors are represented as an

organization’s internal practices in this paper.

The focus of this paper will be on the routinization of knowledge sharing as employees’

behaviors. Knowledge sharing is selected because it has been noted as one of the most

important practices for organizational performance (e.g. Mathieu et al., 2000; Smith-Jentsch

et al., 2005; Wegner, 1987; Srivastava et al., 2006; Stasser and Titus, 1985). Although the

benefits of knowledge sharing are widely recognized among organizations and in academic

literature, not all organizations utilize it to enhance performance. Thus, it is timely to investigate

whether institutional pressures facilitate a knowledge sharing culture within an organization.

Recognizing the importance of knowledge sharing and externally-imposed institutional

pressures on an organizations’ survival, this study attempts to discover the conditions under

which external pressures and institutional processes can facilitate organizational knowledge

sharing practices. The premise of this paper is that organizational knowledge sharing will be

effectively formed in an organization when external pressures are expected to enhance

performance through a knowledge sharing practice. This argument is based on existing

literature stating that organizations are likely to comply with external pressures when those

forces facilitate performance (Heugens and Lander, 2009; Chen and Hambrick, 1995;

Deephouse, 1999; Westphal et al., 1997; Baum and Oliver, 1991).

This paper further acknowledges the role of leaders because the behaviors of leaders and

employees cannot be understood outside of the larger institutional framework (Krasner,

1988; Scott, 1995). Leaders can create an environment in which employees feel safe to

share knowledge (Kim and Newby-Bennett, n.d.; Edmondson et al., 2001). Additionally,

leaders signal the importance of certain behaviors, such as knowledge sharing, through

reward and encouragement. The role of leadership is further pronounced when conflicting

institutional values compete with each other, or when an organization shifts from a

knowledge sharing threatening culture to a knowledge sharing friendly culture. In such a

case, a leader will choose strategies that can enhance performance (e.g. Heugens and

Lander, 2009), thereby routinizing or destroying institutional practices through their

leadership roles.

Based on the importance of institutional pressures on organizational practice, the role of

leadership in conforming to or resisting institutional pressures, and the importance of

routinizing knowledge sharing practices within an organization, the purposes of this

research are three-fold: first, to what extent do institutional structures, which are formed in

response to external institutional pressures, impact organizational knowledge sharing

practices and the role of leadership?; second, to what extent does the role of leadership

facilitate knowledge sharing practices?; third, to what extent do institutional structure and

employees’ behaviors as a whole impact organizational performance?

VOL. 16 NO. 3 2012 jJOURNAL OF KNOWLEDGE MANAGEMENTj PAGE 481

The organization of this paper is as follows. The subsequent section explicates the research

context. The third section includes a literature review and hypothesis developments. The

fourth section offers research methods that include the treatment of the sample, common

method variance, and data analysis strategies. The fifth section contains the report of the

findings followed by discussion. This paper concludes with the implications for academia

and practitioners.

Healthcare industry as the research context

This paper uses the healthcare industry as a research context for three reasons. First,

legitimacy is critical for acquiring the symbolic resources necessary for a hospital’s survival

and success. This is because patients lack knowledge about services and prices, and thus

they rely on legitimacy (Fennell, 1980). The healthcare accreditation agency, The Joint

Commission (2011), supplies such legitimacy. The Joint Commission’s website states that

‘‘achieving accreditation makes a strong statement to the community about an

organization’s efforts to provide the highest quality services’’ (www.jointcommission.org/

benefits_of_joint_commission_accreditation). Therefore, accreditation signifies and

strengthens community confidence in the quality of patient safety, care, treatment, and

services. Because accreditation is a critical symbolic resource for the healthcare industry,

the industry is expected to conform to the rules and policies required by The Joint

Commission.

Second, the healthcare industry consists of knowledge-intensive organizations that should

constantly learn from mistakes and make improvements (Adler, 2003; Stead and Lin, 2009).

Most medical errors are due to a failure to learn from mistakes (Department of Health, 2000),

which is attributed to a punitive culture. Healthcare employees are blamed for errors,

punished harshly, and possibly subjected to public humiliation, and are therefore hesitant to

report errors or reveal problems (Hohenhaus et al., 2006; Reason, 2000; Department of

Health, 2000; Silen-Lipponen et al., 2005). Because errors are hidden, the industry lacks

sufficient error-related data to improve patient safety. Subsequently, faulty processes are

blamed for the majority of medical errors (IOM, 2000; Reason, 2000; Department of Health,

2000; Silen-Lipponen et al., 2005). Even if error-related data is collected, it is not used for the

improvement of patient safety structure due to a lack of learning mechanisms. For example,

only 10 percent of collected error-related information is used for learning (Tucker and

Edmondson, 2003), and 50 percent of adverse events could have been prevented if there

had been a learning mechanism in place (Chuang et al., 2007). It is clear that the inability to

learn from mistakes and improve patient safety processes has been a root cause for the

majority of recurring errors. Recognizing these problems in the healthcare industry, The Joint

Commission analyzes hospitals’ patient care structures and processes based on whether

they strive to improve patient safety by preventing recurrent errors. Without knowledge

sharing practices and the collection of error-related information, improving patient care

process is not realistic.

Third, the organizational leader’s role is critical in the healthcare industry (e.g. Heugens and

Lander, 2009). It is because institutional pressures can be conflicting, and employees are

receptive to the role of leadership. More specifically, hospitals have two conflicting

practices: one is a dominant culture of punitive behavior and the other is a recently emerging

knowledge sharing practice. In a strongly hierarchical culture like the healthcare industry,

the role of leadership is highly influential to employees (Kim and Newby-Bennett, n.d.). A

leader’s behavior signals the importance of certain behaviors (Vera and Crossan, 2004;

Edmondson, 2003). In the healthcare industry, junior doctors or nurses do not effectively

communicate with senior doctors or managers for fear of appearing incompetent (Reader

et al., 2007). To correct this, the leader (usually the senior doctor) can create an environment

wherein junior doctors and nurses feel they may ask questions freely. In this type of

environment, employees tend to learn more effectively about patient care and feel

psychologically safe when following the leader’s directions (Edmondson, 1999; Edmondson

et al., 2001). As such, leadership can facilitate or disrupt the stabilization of the institutional

practices in the healthcare industry.

PAGE 482jJOURNAL OF KNOWLEDGE MANAGEMENTj VOL. 16 NO. 3 2012

Theoretical backgrounds and hypothesis development

Figure 1 shows the proposed research model, which has five constructs from institutional

theory. The patient safety structure construct measures the organizational process reflecting

the accreditation agency requirement. Leadership captures the extent to which the leader

conforms or rejects institutional pressure and influences employees’ behaviors. Punitive

action is the existing, prevalent practice in the healthcare industry, and knowledge sharing is

the new practice that is necessary for the development of patient safety structure. Patient

safety is the performance measurement. The hypotheses of the constructs are organized

based on the flow of the discussions.

Punitive action

Punitive action has long been a dominant institutional practice in the healthcare industry. It is

defined as a set of recognizable behavioral patterns characterized by an unwillingness to

take responsibility in order to avoid blame or punishment for mistakes; and, as a

consequence, staff members are hesitant to report problems or potential dangers (Khatri

et al., 2009). Because knowledge resides in individuals, the success of organizational

knowledge is based on individuals’ willingness to share their knowledge, and is contingent

upon the recognition and acknowledgement of knowledge sharing (Jiacheng et al., 2010;

Srivastava et al., 2006). A punitive practice for knowledge sharing activities could be

detrimental to the development of an organizational knowledge sharing culture.

Punitive action has a negative relationship with patient safety (e.g. Chuang et al., 2007;

Kalisch and Aebersold, 2006). Medical residents often refrain from asking questions in case

their comments are incorrect or cause senior doctors to appraise them as incompetent

(Tangirala and Ramanujam, 2008). Similar behaviors are reported between nurses and

doctors (Tucker et al., 2007). As a result, employees are hesitant to speak up or ask

questions for fear of displaying a lack of knowledge or causing embarrassment (Khatri et al.,

2009; Hellings et al., 2007). Therefore, employees often withhold important patient

information (Tangirala and Ramanujam, 2008; Silen-Lipponen et al., 2005; Hellings et al.,

2007; Khatri et al., 2009). This causes problems regarding knowledge sharing (Detert and

Edmondson, 2007; Khatri et al., 2009). Considering all discussions collectively, one can

propose hypotheses as follows:

H1. Punitive practice will negatively relate to knowledge sharing.

H2. Punitive practice will negatively relate to patient safety.

Figure 1 The proposed model

VOL. 16 NO. 3 2012 jJOURNAL OF KNOWLEDGE MANAGEMENTj PAGE 483

Knowledge sharing

Knowledge sharing is a relatively new practice that hospitals are striving to institutionalize. It

is defined as ‘‘team members sharing task-relevant ideas, information, and suggestions with

each other’’ (Srivastava et al., 2006). This concept of knowledge sharing is based on the

premise that knowledge is not an object that resides outside of context; instead, it is an

individual’s interpretation of an object, and therefore individuals possess knowledge that

must be codified and shared (McInerney, 2002; Nonaka and Takeuchi, 1995; Liebowitz,

1999). Knowledge sharing is a critical team process because if knowledge is not shared,

then the cognitive resources available within individuals remain underutilized (Argote, 1999).

Subsequently, knowledge sharing is a core element for the enhancement of performance

(Mathieu et al., 2000; Smith-Jentsch et al., 2005; Wegner, 1987; Srivastava et al., 2006;

Stasser and Titus, 1985).

Knowledge sharing is especially critical in hospitals because individuals in a team have

different backgrounds, perspectives, and observations (Dougherty, 1992). Identifying the

importance of knowledge sharing, the Institute for Healthcare Improvement urged hospitals

to create ‘‘an atmosphere of mutual trust in which all staff members can talk freely about

safety problems and how to solve them, without fear of blame or punishment’’ (Institute for

Healthcare Improvement, 2005). Facilitation of knowledge sharing activities is expected to

enhance patient safety because the majority of medical errors are derived from a lack of

learning combined with punitive behavior. Therefore, H3 is as follows:

H3. Knowledge sharing practice will positively impact patient safety.

Leadership

The role of the leader is believed to be instrumental for disrupting or strengthening

institutional practices. In a highly hierarchical culture such as a hospital, a leader can

significantly impact employees’ behaviors (Kim and Newby-Bennett, n.d.). Hospital

employees are highly receptive to the signals and behaviors of those in a position of

authority or power (Tyler and Lind, 1992), and employees depend on them for recognition

(Depret and Fiske, 1993). A leader can create a knowledge sharing practice by establishing

environments where employees feel safe asking questions and discussing concerns

(Edmondson, 1999). Leaders can further coach employees in providing clarification and

feedback, seeking the input of team members, listening to concerns, and being accessible

and receptive to the ideas and questions of others (Edmondson, 2003). The willingness of a

leader to discuss suggestions about patient safety can signal to employees the importance

of communication as well as enhance information sharing (Flin and Yule, 2004; Reader et al.,

2007; Manser, 2009). Leadership in the hospital setting has been found to significantly

influence employees’ learning behaviors because employees interpret the leader’s signals

and respond to those signals (Edmondson et al., 2001; Edmondson, 1999; Tucker et al.,

2007).

Different staff members in a hospital team have very distinctive backgrounds, training, and

special knowledge that enable them to observe different problems concerning patient care

(Dougherty, 1992). In this context, leaders view themselves as knowledge sharing facilitators

and partners in decision making. Leaders who facilitate knowledge sharing also enhance

patient safety (Edmondson et al., 2001), and therefore it is logical to propose that a leader is

likely to advocate knowledge sharing practices (e.g. Tucker and Edmondson, 2003; IOM,

2000):

H4. Good leadership will negatively relate to punitive action.

H5. Good leadership will positively relate to knowledge sharing.

H6. Good leadership will positively relate to patient safety.

Learning structure for patient safety

A learning structure for patient safety consists of the hospital rules, policies, and processes

for patient safety that are observable to external evaluators, such as the accreditation

PAGE 484jJOURNAL OF KNOWLEDGE MANAGEMENTj VOL. 16 NO. 3 2012

agency. The accreditation agency analyzes the learning structure because serious adverse

events do not have a single and isolated cause; rather, faulty processes are the root causes

for recurring similar errors (Department of Health, 2000). According to the Department of

Health, as many as 70 percent of adverse incidents are preventable if hospitals have sound

patient care structures, and the majority of medical errors are attributed to faulty structures

(Hohenhaus et al., 2006; Reason, 2000; Department of Health, 2000; Frankel et al., 2009).

In order to establish a learning structure, a hospital needs accurate error-related data. The

accreditation agency examines the errors and then analyzes whether patient safety

structures are designed to prevent the errors. Error-related data can only be effectively

collected in a knowledge sharing culture, therefore establishing a learning structure for

patient safety is dependent upon the knowledge sharing behaviors of leaders and

employees. Institutional pressures from the accreditation agency are expected to be

accepted because hospitals can enhance patient safety by complying with the agency’s

requirements, and an empirical study based on the hospital setting supports this argument.

At the time of the introduction of the electronic patient record (EPR) system, treating patients

was considered the role of doctors and entering patient information was considered the role

of support staff (Jensen et al., 2009). However, when doctors learned that the EPR would

enhance patient safety by directly transmitting accurate information to other caregivers and

pharmacies, they integrated entering patient information in to their tasks (Jensen et al.,

2009). This finding shows that leaders are likely to practice knowledge sharing in order to

enhance patient safety. Furthermore, the adoption of a new knowledge sharing practice is

likely to be further enhanced by pressures from the accreditation agency, which emphasizes

organizational learning at the structure level. As a consequence, H4, H5, H6, and H7 are as

follows:

H7. A learning structure for patient safety is likely to improve patient safety.

H8. A learning structure for patient safety is likely to influence leader’s behavior.

H9. A learning structure for patient safety is likely to improve knowledge sharing

activities.

H10. A learning structure for patient safety is likely to reduce punitive behaviors.

Research methods

This study used an existing instrument developed by the Agency for Healthcare Research

and Quality (AHRQ), which this organization has utilized in patient care-related research and

which has been adopted by other researchers (e.g. Schutz et al., 2007; Kalisch and

Aebersold, 2006; Hellings et al., 2007). The items in the questionnaire were not pre-tested

and pilot tested as it is common practice to elect not to go through such practice if items

were already validated (Kim, 2009). This section includes the sample, the treatment of

common method variance (a main concern for psychometric research), the treatment of

missing variables, and confirmatory factor analysis.

The sample

Patient safety can be best measured through staff members’ perspectives (Pinkerton, 2005).

Following this recommendation, we surveyed hospital staff members who had direct contact

with patients. The finalized questionnaire was distributed in a metropolitan hospital located

in the Midwest United States in 2008. A total of 317 questionnaires were distributed and 249

responses were collected (a 78.6 percent response rate), of which 220 were usable for

analysis. Responses are representative of the various hospital units. Approximately 50

percent of the staff members had worked in the hospital for one to five years, and 17 percent

had worked in the hospital for six to ten years, statistics indicating that respondents

understand existing routines and serve as good informants for this research.

VOL. 16 NO. 3 2012 jJOURNAL OF KNOWLEDGE MANAGEMENTj PAGE 485

Addressing common method variance

Common method variance is a major concern for social science research as it could lead to

false conclusions because researchers could incorrectly conclude that there is a genuine

relationship when there actually is not. The original instrument has a quality combination of

formative and reflective items, a method commonly used to treat this problem.

Subsequently, formative and reflective items were identified and analyzed accordingly.

The reflective measure is that a construct influences the items and, therefore, the items are

claimed to be reflective of the construct. For example, employees in a punitive culture fear

that their mistakes are held against them, that records of mistakes are kept in their file, and/or

they are afraid to ask questions for fear of punishment. Because punitive action makes

employees fearful, items within the punitive culture should have a high common variance,

inter-correlations, and internal consistency (Diamantopoulos and Siguaw, 2006), which is

commonly measured as Cronbach’s a. Formative measures, on the other hand, represent

those items of a construct that are hypothesized to cause changes in the construct;

therefore, the direction of causality is from the items to the construct (Jarvis et al., 2003). As

an example, if a team constantly discusses ways to improve patient safety, and staff

members are informed about errors, those are two independent activities that improve

knowledge sharing; however, both together enhance knowledge sharing. Since these two

activities are distinctive behaviors, one cannot anticipate a high correlation among the items

within the construct. As a consequence, nomonological validity and confirmatory factor

analysis (CFA) (changes in validity) are used as ways to assess validity (Diamantopoulos

and Siguaw, 2006).

Identifying reflective and formative measures is extremely challenging because the

measures are not always straightforward (Diamantopoulos and Siguaw, 2006; Jarvis et al.,

2003). Consequently, scholars have proposed using a theoretical argument (or

nomonological validity) for the determination of formative measures (Jarvis et al., 2003).

Another method used for determination recognizes that because reliability estimates (e.g.

Cronbach’s alpha) among the formative items are assumed to be low, the construct validity

should not be significantly changed when a single indicator is removed (Diamantopoulos

and Siguaw, 2006). The finalized items in the appendix went through all these steps.

The treatment of missing variables

As noted, 220 out of 249 responses were usable. Missing variables for reflective measures

were treated in a conservative way by substituting the mean of the variables within the same

construct of the respondent (Miranda and Kim, 2004). This treatment is more valid than other

methods, such as the mean from all responses, because the same respondent is likely to

answer items within the same construct similarly. If a respondent answered less than half of a

construct, the construct was treated as missing. Because formative items are deemed to

have a low reliability among items, missing variables are not treated for formative items.

Confirmatory factor analysis

Confirmatory factor analysis (CFA) rigorously tests convergent and discriminant validity

(Diamantopoulos and Siguaw, 2006). Convergent validity is achieved when indicators are

loaded according to the purported constructs and are significant. Discriminant validity is

assessed by constraining the estimated correlation parameters (e.g. learning culture and

punitive culture) to 1.0, and then performing a chi-square difference test on the values

obtained for the constrained (i.e. set to 1) and unconstrained models (Kim, 2010).

Discriminant validity is claimed to be achieved when the chi-square value between the

constrained and unconstrained models is significantly different (Kim, 2010). The entire

constructs in the proposed model demonstrated convergent validity for all constructs at

p , 0.001 and achieved discriminant validity at p , 0.001.

Goodness of a model is assessed using various indices. The most commonly used indices

are x 2, Normed x 2, comparative fit index (CFI), and root mean square error of approximation

(RMSEA) (Hair et al., 2010). Insignificant values of x 2 value indicate a good fit between the

data in the analysis and the proposed theoretical model, prompting researchers to look for

PAGE 486jJOURNAL OF KNOWLEDGE MANAGEMENTj VOL. 16 NO. 3 2012

insignificant values. Its p-value is 0.076, which is significant. However, it is recommended to

consider the value with Normed x 2 because x 2 is more sensitive to the number of

observations than Normed x 2. Normed x 2 is a measure of a ratio of x 2 to the degrees of

freedom (df) for a model. Generally, x 2: df ratios on the order 3:1 or less are associated with

better-fitting models. Normed x 2 value is 1.332, which is considerably lower than the cutoff

value. CFI is an improved version of the Normed Fit Index and is insensitive to model

complexity; consequently, it is the most widely used model index (Hair et al., 2010). Its cutoff

value is 0.90, and the CFI value is 0.982. RMSEA is another widely used model fit for how well

a model fits the population. A low value represents a good model fit, and the recommended

cutoff value is between 0.03 and 0.08 (Hair et al., 2010). The value of RMSEA is 0.039, which

is considerably lower than the proposed cutoff value. Considering all these model fit indices,

the fit of the proposed model is satisfactory.

Reports of findings and discussion

The finding of data analysis is graphically presented in Figure 2. Notably, the learning

structure for patient safety has high impacts on knowledge sharing, leadership roles, and

punitive behaviors. In order to facilitate the discussions of the finding, Table I provides the

results of the hypotheses.

Figure 2 Report of findings

Note: *p < 0.1; **p < 0.05; ***p < 0.001

R2 = 0.411

-0.471** -0.293***

0.513*

-0.339*

-0.482***

-0.325*0.0060.640***

0.864***

R2 = 0.616

R2 = 0.327 R2 = 0.405

Significant path Insignificant path

-0.260**

Table I Summary of findings

Hypothesis Finding

H1. Punitive practice will negatively relate to patient safety Supported H2. Punitive practice will negatively relate to knowledge sharing Supported H3. Knowledge sharing practice will positively impact patient safety Supported H4. Good leadership will negatively relate to punitive action Supported H5. Good leadership will positively relate to knowledge sharing Not supported H6. Good leadership will positively relate to patient safety Reversed H7. A learning structure for patient safety is likely to improve patient safety Supported H8. A learning structure for patient safety is likely to influence leader’s behavior

Supported

H9. A learning structure for patient safety is likely to improve knowledge sharing activities

Supported

H10. A learning structure for patient safety is likely to reduce punitive behaviors

Supported

VOL. 16 NO. 3 2012 jJOURNAL OF KNOWLEDGE MANAGEMENTj PAGE 487

The first set of the hypotheses deals with punitive behavior, which is an existing

institutionalized practice that has been noted as a root cause for medical errors. The findings

show that punitive behaviors are highly and negatively related to patient safety and

knowledge sharing. The relationship between knowledge sharing and punitive behaviors are

in a direct inverse relationship and significant at 99.99 percent, and thus H1 and H2 are

supported.

The second set of the hypotheses concerns how the new institutional behavior, which is a

knowledge sharing practice, impacts patient safety. The newly formed institutionalized

practice has a positive impact on patient safety, and its statistical strength is strong enough

to support this conclusion, and therefore H3 is supported.

The third set of the hypotheses deals with the role of leadership in institutional pressures. The

role of the leader is found to be very important in terms of reducing punitive behaviors. It was

significant at 99.99 percent, and thus H4 is supported. The role of leadership is highly and

significantly related to patient safety, but not in the expected direction as the role of

leadership is negatively related to patient safety, and thus H6 is reversed. Also, leadership is

not found to have positive impacts on knowledge sharing practices, and H5 is not supported

in this dataset. The last set of the hypotheses relates to how the hospital safety structures

impact leadership, knowledge sharing, punitive behaviors, and patient safety. The

structures highly impacted the role of the leader and explained 33 percent of the

leadership roles in hospitals. It is significant at 99.99 percent, and thus H8 is supported.

The hospital structure for patient safety also had high impacts on punitive behaviors and

knowledge sharing. More specifically, the patient safety structures directly and significantly

enhanced a knowledge sharing practice while considerably abating punitive behaviors.

Their significant levels are very high, and thus H9 and H10 are supported. The hospital

structures for patient safety also had very strong impacts on patient safety. Its statistical

significant level is very high, and thus this dataset strongly supported H7.

Interpretation of the findings

This study revealed the significant roles of institutional structure that has high impacts on

leadership, employees’ behaviors, and patient safety. The findings show that knowledge

sharing practices can be effectively practiced and impact organizational performance with

the aid of institutional structure. We further interpret that the hospital structures and

processes, which are congruent with the intention of external institutional pressures,

successfully impact leadership and knowledge sharing practices. This may be because

the intents of the external organization and the objectives of the healthcare industry

complement each other. More specific discussions based on the research questions are

provided below.

The first research question was: to what extent do institutional structures, which are formed in

response to external institutional pressures, impact organizational knowledge sharing

practices and the role of leadership? Patient safety structure highly impacted the

routinization of knowledge sharing practices in the healthcare industry, perhaps due to the

accreditation agency. In order to improve patient safety process, the hospital must have a

learning system in place, which in turn is achieved through collecting error-related data and

knowledge sharing. The opposite side of knowledge sharing is punitive behavior as

knowledge sharing cannot thrive in a punitive environment. This research finding empirically

supports the theoretical argument that they are in a direct inverse relationship, and the

structure can play an important role. Knowledge sharing cannot flourish without addressing

punitive behavior first, and this finding clearly shows that a good hospital structure has the

capability to combat punitive behaviors. Although these findings are expected based on

existing literature, this study adds value by empirically reporting the power of institutional

structures on knowledge sharing and punitive behaviors.

The institutional structure is the single most important factor for facilitating knowledge

sharing while diminishing punitive practices in the healthcare industry, which is interpreted in

two ways. First, while hospitals may have known the harmfulness of punitive behaviors, it

PAGE 488jJOURNAL OF KNOWLEDGE MANAGEMENTj VOL. 16 NO. 3 2012

may not be feasible to reverse the dominant institutional practice without the aid of

institutional structure and the external pressures. Second, hospitals have suffered from a

poor reputation regarding the mismanagement of patient care since 2000, when the Institute

of Medicine (IOM) reported that 44,000 Americans die each year as a result of medical

errors, making it the eighth leading cause of death (IOM, 2000). A majority of these errors

have been blamed on faulty processes. This has caused the healthcare industry to seek

ways to improve patient safety process, which in turn allows the accreditation agency to

serve its purpose as an external pressure.

The second part of the first research question concerns the relationship between the

institutional structure and the role of leadership, which is found to have a high correlation due

to three main reasons. The first reason is that, consistent with existing studies (e.g. Scott,

1995), the role of a leader is enabled or constrained by institutional contexts. This influence is

especially strong when the pressure is from an authoritative organization, such as the

accreditation agency. Hospital leaders may need to conform to guidelines for legitimacy,

even if conformation is symbolic. The second reason could be signaling a new view of

patient safety. It is widely acknowledged that hospitals’ faulty processes are responsible for

the majority of medical errors and that deaths result from those errors. Thus, hospitals have

suffered from bad reputations regarding patient care. The symbolic meaning of complying

with improving patient safety processes through knowledge sharing may shift the old view of

error-prone management to a new image of patient safety improvement. The third reason

that leaders may comply with the patient safety system is based on the perspective of

performance scholars (Deephouse, 1999; Westphal et al., 1997). This perspective indicates

that hospital leaders may be highly motivated to comply with knowledge sharing practices

because such practices grant them legitimacy and allow for enhancing patient safety. As

such, the new institutional structures allow hospital leaders to enjoy both symbolic resources

and practical benefits.

The second research question was: to what extent does the role of leadership facilitate

knowledge sharing practices? As noted, a leader can choose to conform to or abate the

adoption of an institutional force. The research finding showed that leaders have the

capabilities to disrupt established institutional punitive behaviors, and leaders are in fact

responsible for the culture in this study context. By refraining from punitive practices,

leaders can create non-threatening environments that promote communication. However,

the role of a leader has an unexpectedly weak impact on knowledge sharing. This is

surprising given that leaders had already eased punitive behaviors, yet employees are still

hesitant to speak up. We speculate that knowledge sharing cultures are not quite stabilized

in the healthcare industry, and thus employees are still afraid of their mistakes being

recorded in their personnel file. This is an important finding in that punitive behavior is so

deeply ingrained in the hospital safety culture that it continues to interfere with knowledge

sharing and patient safety, despite the fact that leaders had already shifted their leadership

styles.

Unexpectedly, leadership had a negative impact on patient safety. This may be because

good leadership allows employees to report errors and mistakes more freely, thereby

causing positive relationships between good leadership and reported error rates

(Edmondson, 2003). A leader who creates a knowledge sharing environment may

encourage employees to report errors and mistakes for the purpose of learning and the

improvement of patient safety structures. Employees are likely to know more about the

number of the mistakes under this type of leadership as compared to punitive

environments.

The third research question was: to what extent do institutional structure and employees’

behaviors (i.e. knowledge sharing and punitive behaviors) as a whole impact organizational

performance? This research question investigated the collective impacts of the

institutionalized structure, leadership, and employees’ behaviors on patient safety. The

explanatory power of the model was very high as over 40 percent of patient safety was

explained by the constructs in the proposed model, and all constructs in the model

significantly contributed to patient safety. Among them, the institutional structure has the

VOL. 16 NO. 3 2012 jJOURNAL OF KNOWLEDGE MANAGEMENTj PAGE 489

strongest impact on patient safety. Similar impacts of knowledge sharing and punitive

behaviors were observed in this finding. Although the healthcare industry has successfully

formed a knowledge sharing practice, punitive practice is still deeply rooted in the culture.

As noted, a leader is in a position to influence employees’ behaviors and to leverage

knowledge sharing practices to further improve patient safety.

Conclusion and managerial implication

This study’s finding answered important issues in the healthcare industry. Knowledge

sharing practices can be effectively institutionalized within an organization with the aid of

institutional structures. This finding further implies that a leader serves as a champion who

institutionalizes new practices if those practices enhance their performance. Furthermore,

this dataset found that the role of leadership was critical for a successful transition of

behavioral actions.

This study has multiple implications for practitioners and academia. For academia,

knowledge management scholars are encouraged to consider institutional logics when

they deal with organizational knowledge management successes or failures.

Organizations often fail to form a knowledge sharing practice because institutional

structures are incongruent with the practices for knowledge sharing (e.g. punishment for

errors, individual-based recognition and award systems, etc.). It is also recommended

that the organizational type be considered with regards to the success of a knowledge

sharing practice. For example, the healthcare industry is a knowledge-intensive industry

that could potentially greatly benefit from a knowledge sharing practice. External

institutional pressures also need to be considered for the success of organizational

knowledge sharing practices. If the logics of the external pressures and the benefits of

knowledge sharing in an organization are congruent, it is highly likely that the organization

will comply with the external pressures and thus knowledge sharing practices are likely to

be successful. For hospital leaders and managers, it is proposed that individuals’ errors

that are derived from faulty processes should be protected in order to create an

environment where employees safely discuss and report problems. It is further

recommended that individual employees be recognized for contributing insightful

knowledge that results in increased patient safety.

This study is slightly limited as the measure of the institutional structure is based on the spirit

of the accreditation agency. Therefore, for the future studies it is recommended that

respondents be directly asked whether the structures were designed to meet the

requirements of the accreditation agency. In this way, one can further ascertain the influence

of the accreditation agency on the healthcare industry.

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Appendix

About the authors

Yong-Mi Kim is an Assistant Professor in the School of Library and Information Studies at the University of Oklahoma. Her research includes web site utilization, IT outsourcing, knowledge management, and research methods. Her work appears in MIS Quarterly, Information Systems Research, Journal of the American Society for Information Science and Technology (JASIST), Journal of Information Science, Library & Information Science Research, Journal of Academic Librarianship, International Journal of Electronic Customer Relationship Management, International Journal of Organization Theory and Behavior, and Journal of Advances in Information Technology, among other journals. Yong-Mi Kim is the corresponding author and can be contacted at: yongmi@ou.edu

Donna Newby-Bennett is the Manager of the Quality Resource Department at the Oklahoma State University Medical Center. She has responsibilities for improvement of performance and patient safety at the Medical Center. She has been leading an improvement team to address team, leadership and communication functions to reduce errors and improve patient safety.

Hee-Joon Song is a Professor in the Department of Public Administration at Ewha Womans University, Seoul, South Korea.

Table AI Operationalization

Constructs Items Reliability

Patient safety Please give your work area/unit in this hospital an overall grade on patient safetya

NA

Leadership (formative measures) My supervisor/manager says a good word when he/she sees a job done according to established patient safety procedures

NA

My supervisor/manager seriously considers staff suggestions for improving patient safety

Knowledge sharing (formative measures) We are given feedback about changes put into place based on event reports (formative) We discuss ways to prevent errors from happening again (formative) We are informed about errors that happen in this unit (formative) Staff will freely speak up if they see something that may negatively affect patient care (reflective)

a¼0.73

Staff feel free to question the decisions or actions of those with more authority (reflective)

Punitive practice (reflective measures) Staff feel like their mistakes are held against them (reflective) a ¼ 0.78 Staff worry that mistakes they make are kept in their personal file (reflective) Staff are afraid to ask questions when something does not seem right (reflective)

Learning structure for patient safety After we make changes to improve patient safety, we evaluate their effectiveness (formative)

NA

Our procedures and systems are good at preventing errors from happening (formative)

Note: aFailing, poor, acceptable, very good, excellent; The remaining items were measured with the five-point Likert scale ranging from strongly agree to strongly disagree Source: Agency for Healthcare Research and Quality (2007)

PAGE 494jJOURNAL OF KNOWLEDGE MANAGEMENTj VOL. 16 NO. 3 2012

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