为了更全面地了解组织对实施的影响:实施的组织理论科学框架
Sarah A Birken1, Cheyenne R Wagi1, Alexandra G Peluso1
1Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, United States.
Frontiers in health services
|September 18, 2023
概括
本研究介绍了实施科学组织理论 (OTIS) 框架,将70个组织结构分成六个领域,以更好地了解实施的影响. OTIS框架旨在改善实施研究和实践.
科学领域:
- 实施科学 实施科学
- 组织理论组织理论.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 实施研究往往忽略了由于有限的框架的组织影响.
- 现有的框架不足以捕捉影响实施的组织因素的复杂性.
- 组织理论提供了有价值的见解,但在实施科学中未得到充分利用.
研究的目的:
- 开发一个全面的框架,以了解组织对实施的影响.
- 从组织理论中提炼关键构造到可供实施科学家使用的格式.
- 为了引入组织理论实施科学 (OTIS) 框架.
主要方法:
- 从九个组织理论中提炼了70个构造.
- 采用概念映射和与专家进行代的共识建设.
- 利用多维缩放和等级集群分析来构建分组.
主要成果:
- 开发了六个领域的OTIS框架:组织特征,治理和运营,任务和流程,知识和学习,组织人口和组织间关系.
- 该框架整合了多样化的组织影响,以前没有被现有模型所捕捉到.
- 确定了与实施科学相关的关键理论领域.
结论:
- OTIS 框架增强了对组织对实施的影响的理解.
- 它为开发理论驱动的实施策略提供了基础.
- 未来的工作包括测试和调整OTIS框架以更广泛的应用.
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