Nurses' experiences of Organisational learning: A qualitative descriptive study. 2020

Bret Lyman, and Marisa E Biddulph, and V Grace Hopper, and Julie L Brogan
College of Nursing, Brigham Young University, Provo, UT, USA.

OBJECTIVE To explore the validity of and expand upon a model of organisational learning in hospitals. BACKGROUND Organisational learning is a positive change in an organisation's collective knowledge, cognition and/or action, leading to improved hospital performance. A current model offers an evidence-based, theoretical representation of organisational learning in hospitals, yet the intricacies of organisational learning in clinical practice are not fully understood. Additional guidance is needed to effectively foster and study organisational learning. METHODS Semi-structured interviews were used to gather 15 first-hand experiences of organisational learning from 14 nurses. Data were analysed via deductive thematic analysis. RESULTS Organisational learning was more effective when aligned closely with the model and less effective when alignment was poor. The nurses' experiences illustrate relationships among elements of the model and underscore the importance of leadership and psychological safety in organisational learning. CONCLUSIONS This study helps validate the model and offers new insights into organisational learning. Additional research is needed to explore the role of leadership and psychological safety in organisational learning. CONCLUSIONS Nurse managers can use the Organisational Learning in Hospitals model to evaluate organisational learning. Nurse managers have the opportunity to develop effective leadership practices designed to cultivate psychological safety within their teams.

UI MeSH Term Description Entries
D007857 Leadership The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers. Influentials
D009718 Nurse Administrators Nurses professionally qualified in administration. Nurse Executives,Nurse Managers,Administrator, Nurse,Administrators, Nurse,Executive, Nurse,Executives, Nurse,Manager, Nurse,Managers, Nurse,Nurse Administrator,Nurse Executive,Nurse Manager
D009726 Nurses Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health. Nursing Personnel,Personnel, Nursing,Registered Nurses,Nurse,Nurse, Registered,Nurses, Registered,Registered Nurse
D009938 Organizations Groups of people working together in a structured manner to pursue common goals and objectives. Non-Governmental Organizations,Nongovernmental Organizations,Organizations, Nongovernmental,Non Governmental Organizations,Non-Governmental Organization,Nongovernmental Organization,Organization,Organization, Non-Governmental,Organization, Nongovernmental,Organizations, Non-Governmental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D036301 Qualitative Research Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997) Research, Qualitative

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