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Dimensions of Learning Organizations Questionnaire (DLOQ) in a low-resource health care setting in Nepal
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
Foundation for Maternal and Child Health, Maternity Hospital Road, Thapathali, Kathmandu, Nepal.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). (Internationell barnhälsa och nutrition/Persson)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). (Internationell barnhälsa och nutrition/Persson)
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2015 (English)In: Health Research Policy and Systems, ISSN 1478-4505, E-ISSN 1478-4505, Vol. 13, no 1, 6- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Knowledge-based organizations, such as health care systems, need to be adaptive to change and able to facilitate uptake of new evidence. To be able to assess organizational capability to learn is therefore an important part of health systems strengthening. The aim of the present study is to assess context using the Dimensions of the Learning Organization Questionnaire (DLOQ) in a low-resource health setting in Nepal.

METHODS:

DLOQ was translated and administered to 230 employees at all levels of the hospital. Data was analyzed using non-parametric tests.

RESULTS:

The DLOQ was able to detect variations across employee's perceptions of the organizational context. Nurses scored significantly lower than doctors on the dimension "Empowerment" while doctors scored lower than nurses on "Strategic leadership". These results suggest that the hospital's organization carries attributes of a centralized, hierarchical structure that might hinder a progress towards a learning organization.

CONCLUSIONS:

This study demonstrates that, despite the designing and developing of the DLOQ in the USA and its main utilization in company settings, it can be used and applied in hospital settings in low-income countries. The application of DLOQ provides valuable insights and understanding when designing and evaluating efforts for healthcare improvement.

Place, publisher, year, edition, pages
2015. Vol. 13, no 1, 6- p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-243093DOI: 10.1186/1478-4505-13-6ISI: 000348393100001PubMedID: 25608765OAI: oai:DiVA.org:uu-243093DiVA: diva2:786102
Available from: 2015-02-04 Created: 2015-02-04 Last updated: 2017-12-05Bibliographically approved

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Bergström, AnnaKC, AshishMålqvist, Mats

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