Work

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

Year: 2015
Type: article
Study design: Observational Study
Abstract: 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.
Language: English
Open Access status: gold
Estimated APC paid: $3,590
OpenAlex ID: W2116938649
FWCI: 9.556
Cites: 37
Cited by: 61
Related to: 10