Implementing telemedicine technologies through an unlearning context in a homecare setting

Despite the opportunities the health sector will offer as a result of the design and development of a technology infrastructure, the fact is that hospitals have been slow to adopt telemedicine technologies, largely because very few organisations are prepared to face this challenge. A possible explanation for the efficiency and effectiveness gaps of services provided by Hospital-in-the-Home Units (HHUs) may relate to the advantages and disadvantages of the knowledge processes that these units exhibit as a result of their different structural properties. This paper investigates the approaches that HHUs have used to update the knowledge of physicians and their members' knowledge of technology, and relates them to an unlearning context (UC) and improvement in the quality of health services. These relationships are examined through an empirical investigation of 55 doctors and 62 nurses belonging to 44 HHUs. The research findings suggest that the key benefits of a UC in HHUs are clear. It enables them to identify and replace poor practices and also avoids the reinvention of the wheel; it enables cost reduction by minimising unnecessary work caused by the use of poor methods and it enables improvements adopting new telemedicine technologies.Ministerio de Educación CO2008-0641-C02-02Junta de Andalucía SEJ-608

Why Open-mindedness Needs Time to Explore and Exploit Knowledge

It is clear from the literature that in situations where organizations and their members face changing environments, it is necessary that mechanisms (learning) exist to capture the new knowledge which enables the firms to address those changes. This article examines the relative importance and significance of the existence of an `open-mindedness context' to the existence and nature of `organizational learning'. We include time as a variable in the analysis and focus on the need to unlearn at a moment (T) in order to learn more efficiently at a moment after (T+1). These relationships are examined through an empirical investigation of 107 Spanish small to medium-sized enterprises (SMEs) within the telecommunications industry. The results indicate that the effects of exploration and exploitation of knowledge at moment T+1 is conditioned by the existence of an `open-mindedness culture' at moment T

Linking knowledge corridors to customer value through knowledge processes

Purpose – Spanish banks which took rescue packages are trying to find innovative ways to improve customer value. The main purpose of this paper is to investigate the extent to which banks combine external knowledge with internal knowledge to build customer value. Design/methodology/approach – A firm’s knowledge corridor is an organizational capacity, referring to the ability to absorb external knowledge and utilize it in generating innovative outputs. This paper examines the relative importance and significance of knowledge transfer and knowledge storage/retrieval processes as bridges between ‘‘potential absorptive capacity’’ and ‘‘realized absorptive capacity’’ and its effects on the application of knowledge through an empirical investigation of 76 banks. Findings – The results are calculated using structural equation modelling. This leads to the main conclusion that a ‘‘realized absorptive capacity’’ is unlikely without being fostered by the transference and storage of new knowledge and it therefore requires empowerment by its facilitating factors. Practical implications – The key managerial implication of this paper is that the survival and success of banks requires that administrators and the organizations they manage meet the challenge of combining external knowledge with internal knowledge. Originality/value – This paper provides empirical support for the argument that the impacts of external knowledge move up from the individuals to groups and then the entire organization. This interaction represents a single-loop learning processMinisterio de Educación ECO2011-28 641-C02-0

The effect of organizational memory on organizational agility: Testing the role of counter-knowledge and knowledge application

Purpose: Intellectual capital includes what employees know, and the agility to search and retrieve knowledge (organizational agility). Organizational agility could be seen as the result of using validated routines and protocols (knowledge application), but also as the result of using unproven theories, rumours, colloquial expressions or sayings (counterknowledge), which means that organizational memory may enable both the application of good knowledge and the mitigation of counter-knowledge. This study examines the links between a firm’s organizational memory, counter-knowledge, knowledge application, and organizational agility. Design/ Methodology/ Approach: Using SmartPLS 3.2.8 in a sample of 112 companies the following questions were addressed: Does the improvement of organizational memory result in the growth of organizational agility? Does the growth of counter-knowledge and knowledge application at the same time hinder the enhancement of organizational agility? Findings: The results support that organizational memory not only enhances the application of gained knowledge, but also allows the spreading of rumours, gossip, and inappropriate or false beliefs (counter-knowledge). Furthermore, results support that the knowledge that emerges from the development in parallel or simultaneous of counterknowledge and knowledge application provides bad references, which will lead to a degradation of organizational agility. Practical implications: When supporting organizational agility, managers should be conscious of the urgency of counteracting the misuse of counter-knowledge. Originality/ Value: These findings make an important contribution to what is potentially a barrier to innovation and creativity, helping managers overcome the problems associated with misunderstandings or wrong assumptions derived from counterknowledge

Improving the absorptive capacity through unlearning context: an empirical investigation in hospital-in-the-home units

The Spanish healthcare system has undergone important changes, particularly in the development of new homecare services. In practice, however, results have been mixed. Some homecare services have been successful, but implementation failures are common and the intended patients are frequently reluctant to use the homecare services. A possible explanation for efficiency and effectiveness gaps of services provided by hospital-in-the-home units (HHUs) may relate to the advantages and disadvantages of the knowledge processes that these units highlight as a result of their different structural properties. This study examines the impact of an unlearning (forgetting) context on the HHU's ability to challenge basic beliefs and to implement processes that are explicitly or tacitly helpful in the reception of new ideas (absorptive capacity). These relationships are examined through an empirical investigation of 54 doctors and 62 nurses belonging to 44 HHUs. The results show that the unlearning context plays a key role in managing the tension between potential absorptive capacity and realized absorptive capacity.Ministerio de Educación ECO2008-0641-C02-0

Linking unlearning with innovation through organizational memory and technology

While the information technologies provide organizational members with explicit concepts, such as writing instruction manuals, the ‘organizational memory’ provides individuals with tacit knowledge, such as systematic sets, routines and shared visions. This means that individuals within an organization learn by using both the organizational memory and the information technologies. They interact to reduce organizational information needs contributing to improve organizational innovativeness. However, the utilization of the organization memory or the technology infrastructure does not guarantee that appropriate information is used in appropriate circumstances or that information is appropriately updated. In other words, previous memories reflect a world that is only partially understood and assimilated, which might lead individuals to doing the wrong things right or the right things wrong. This paper examines the relative importance and significance of the existence of unlearning to the presence and nature of ‘organizational memory and technology’. We further examine the effect of the existence of organizational memory and information technology on conditions that promote organizational innovativeness. These relationships are examined through an empirical investigation of 291 large Spanish companies. Our analysis found that if the organization considers the establishment of an unlearning culture as a prior step in the utilization of organization memory or the technology infrastructure through organizational innovativeness, then organization memory and technology have a positive influence on the conditions that stimulate organizational innovativeness

An application of the performance-evaluation model for e-learning quality in higher education

The demand for e-learning in higher education is rising, competition is increasing, and universities are investing significant resources towards improving the quality of their e-learning offerings. Thus, effective quality measures for e-learning are urgently required. With the aim of following the total quality management practices of raising students' satisfaction and continuous improvement, a performance-evaluation model was applied in a sample of business students. The application of this model was useful for selecting the quality items that most urgently require improvement to achieve student satisfaction and for identifying the items of surplus resource investment, thereby helping to provide the means to minimise resource wastage. This way, an effective and efficient improvement plan to enhance the efficient use of resources in e-learning and to meet an adequate level of quality was established

Analyzing an absorptive capacity : unlearning context and information system capabilities as catalysts for innovativeness

This study examines the impact of a company’s unlearning context and information system (IS) capabilities on the company’s ability to challenge of basic beliefs and to implement processes that are explicitly or tacitly helpful in the reception of new ideas (absorptive capacity). We also examine the relationship between absorptive capacity and the existence and enhancement of innovativeness. These relationships are examined through an empirical investigation of 286 large Spanish companies. Our results show that absorptive capacity is an important dynamic determinant for developing a company’s innovativeness. Moreover, this relationship is best explained with two related constructs. Firstly, the company’s unlearning context plays a key role in managing the tension between potential absorptive capacity and realised absorptive capacity. Secondly, the results also shed light on a tangible means for managers to enhance their company’s innovativeness through IS capabilities

Analyzing an absorptive capacity: unlearning context and information sistem capabilities as catalysts for innovativeness

This study examines the impact of a company’s unlearning context and information system (IS) capabilities on the company’s ability to challenge of basic beliefs and to implement processes that are explicitly or tacitly helpful in the reception of new ideas (absorptive capacity). We also examine the relationship between absorptive capacity and the existence and enhancement of innovativeness. These relationships are examined through an empirical investigation of 286 large Spanish companies. Our results show that absorptive capacity is an important dynamic determinant for developing a company’s innovativeness. Moreover, this relationship is best explained with two related constructs. Firstly, the company’s unlearning context plays a key role in managing the tension between potential absorptive capacity and realised absorptive capacity. Secondly, the results also shed light on a tangible means for managers to enhance their company’s innovativeness through IS capabilities

Spatial spillovers in public expenditure on a municipal level in Spain

A key function of local governments is to provide a wide array of public services. The supply of these services has been found to create spatial spillovers among neighbouring municipalities. Although it is generally agreed that spillovers are present in models that explain government expenditures, their type—whether endogenous, exogenous or residual—and sign—whether positive or negative—remain ambiguous. In most cases, a subjective process is used to select the type of spatial regression model used in analysis, with mixed results. Per capita expenditures of ten subprogrammes (Security, Housing, Welfare, Environment, Social services, Employment promotion, Health, Education, Culture and Sport) are analysed for all Spanish municipalities with more than 5000 inhabitants in the 2010–2012 period. A Spatial Seemingly Unrelated Regression methodology in a panel framework is used to incorporate correlation between different subprogrammes and spatial dependence. Our results show that the three types of spatial effects are present. Furthermore, substantive dependence is positive in most cases, while negative residual dependence is observed in some.We gratefully acknowledge the contribution of three anonymous reviewers in helping us improve the quality of this paper. Prof. Fernando A. López , grateful for the financial support offered by the projects from Programa de Ayudas a Grupos de Excelencia de la Región de Murcia, Fundación Seneca (#19884-GERM-15) and Ministry of Economy and Competiveness (ECO2015-651758)