Dimensions of Learning Organizations Questionnaire (DLOQ) in a low-resource health care setting in Nepal

Health Research Policy and Systems

Mats Målqvist³  Ashish KC²  Anna Bergström³  Ravi Vitrakoti¹  Mia Leufvén³ 

[1] Foundation for Maternal and Child Health, Maternity Hospital Road, Thapathali, Kathmandu 44600, Nepal;UNICEF, Nepal Country Office, PO Box 1187, UN House, Pulchowk, Lalitpur, Kathmandu, Nepal;International Maternal and Child Health (IMCH), Department of Women’s and Children’s Health, Uppsala University, SE-751 85 Uppsala, Sweden

关键词: Nepal;    Learning organizations;    Health systems;    Dimensions of the learning organization questionnaire;   

Others  :  1133766
DOI  :  10.1186/1478-4505-13-6

 received in 2014-04-17, accepted in 2015-01-02,  发布年份 2015

【 摘 要 】

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.

【 授权许可】

   
2015 Leufvén et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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