Abstract
Through organizational learning, health care teams can consistently provide excellent patient care in a complex and changing environment. Nurse managers, educators, and other leaders can facilitate organizational learning within their teams by promoting certain contextual factors in the clinical work environment. This article provides an overview of contextual factors associated with organizational learning, includes practice-based examples of these factors, and offers evidence-based recommendations for creating a learning-focused work environment. [J Contin Educ Nurs. 2021;52(6):281–285.]
- 2012). Promoting employee voice and upward communication in healthcare: The CEO's influence. Journal of Healthcare Management, 57(2), 133–148. > ( Crossref MedlineGoogle Scholar
- 2016). The power of purpose: How organizations are making work more meaningful. Academy of Management Proceedings, 2016(1), 11489
10.5465/ambpp.2016.11489abstract > ( CrossrefGoogle Scholar - 2016). The mediating role of organizational learning in the relationship of organizational intelligence and organizational agility. Osong Public Health and Research Perspectives, 7(3), 190–196.
10.1016/j.phrp.2016.04.007 PMID:27413650 > ( Crossref MedlineGoogle Scholar - 2020). Organizational learning: The missing link to promote nurses' professional self-efficacy. Creative Nursing, 26(1), e40–e47.
10.1891/1078-4535.26.1.e40 PMID:32024747 > ( Crossref MedlineGoogle Scholar - 2018). Increased nursing participation in multidisciplinary rounds to enhance communication, patient safety, and parent satisfaction. Critical Care Nursing Clinics of North America, 30(4), 445–455.e4.
10.1016/j.cnc.2018.07.002 PMID:30447805 > ( Crossref MedlineGoogle Scholar - 2017). Leader influence, the professional practice environment, and nurse engagement in essential nursing practice. The Journal of Nursing Administration, 47(7–8), 367–375.
10.1097/NNA.0000000000000497 PMID:28678050 > ( Crossref MedlineGoogle Scholar - 2019). A cross-lagged analysis of the relationships among workgroup commitment, motivation and proactive work behaviour in nurses. Journal of Nursing Management, 27, 1148–1158.
10.1111/jonm.12786 PMID:31066948 > ( Crossref MedlineGoogle Scholar - 2016). Job-related resources, leader–member exchange and well-being: A longitudinal study. Work and Stress, 30(4), 356–373.
10.1080/02678373.2016.1249440 > ( CrossrefGoogle Scholar - 2020). Teamwork, psychological safety, and patient safety competency among emergency nurses. International Emergency Nursing, 51, 100892
10.1016/j.ienj.2020.100892 PMID:32659674 > ( Crossref MedlineGoogle Scholar - 2020). Frontline nurse managers' visions for their units: A qualitative study. Journal of Nursing Management, 28(5), 1053–1061.
10.1111/jonm.13050 PMID:32441420 > ( Crossref MedlineGoogle Scholar - 2015). The wisdom of teams: Creating the high-performance organization. Harvard Business Review Press. > (Google Scholar
- 2020). The drivers of work engagement: A meta-analytic review of longitudinal evidence. Work and Stress, 34(3), 259–278.
10.1080/02678373.2019.1686440 > ( CrossrefGoogle Scholar - 2020). Nurses' experiences of organisational learning: A qualitative descriptive study. Journal of Nursing Management, 28(5), 1053–1061.
10.1111/jonm.13070 PMID:32564409 > ( Crossref MedlineGoogle Scholar - 2017). Organizational learning in a cardiac intensive care unit: A learning history. Dimensions of Critical Care Nursing, 36(2), 78–86.
10.1097/DCC.0000000000000233 PMID:28151783 > ( Crossref MedlineGoogle Scholar - 2020). New graduate registered nurses' experiences with psychological safety. Journal of Nursing Management, 28(4), 831–839.
10.1111/jonm.13006 PMID:32173958 > ( Crossref MedlineGoogle Scholar - 2019). Organisational learning in hospitals: A concept analysis. Journal of Nursing Management, 27(3), 633–646.
10.1111/jonm.12722 PMID:30294874 > ( Crossref MedlineGoogle Scholar - 2019). Organizational learning in hospitals: A realist review. Journal of Advanced Nursing, 75(11), 2352–2377.
10.1111/jan.14091 PMID:31162704 > ( Crossref MedlineGoogle Scholar - 2017). Organizational learning in a postoperative unit: A learning history. Orthopaedic Nursing, 36(6), 424–431.
10.1097/NOR.0000000000000403 PMID:29189626 > ( Crossref MedlineGoogle Scholar - 2018). To stand back or step in? Exploring the responses of employees who observe workplace bullying. Nursing Inquiry, 25(1), e12207
10.1111/nin.12207 PMID:28631389 > ( Crossref MedlineGoogle Scholar - 2014). Deliberate learning in health care: The effect of importing best practices and creative problem solving on hospital performance improvement. Medical Care Research and Review, 71(5), 450–471.
10.1177/1077558714536619 PMID:24876100 > ( Crossref MedlineGoogle Scholar - 2017). Psychological safety: A systematic review of the literature. Human Resource Management Review, 27(3), 521–535.
10.1016/j.hrmr.2017.01.001 > ( CrossrefGoogle Scholar - 2020a). A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour. BMC Health Services Research, 20(1), 101
10.1186/s12913-020-4931-2 PMID:32041595 > ( Crossref MedlineGoogle Scholar - 2020b). A systematic review of factors that enable psychological safety in health care teams. International Journal for Quality in Health Care, 32(4), 240–250.
10.1093/intqhc/mzaa025 PMID:32232323 > ( Crossref MedlineGoogle Scholar - 2018). Impact of a TeamSTEPPS trauma nurse academy at a level 1 trauma center. Journal of Emergency Nursing, 44(1), 19–25.
10.1016/j.jen.2017.05.007 PMID:28629581 > ( Crossref MedlineGoogle Scholar - 2019). The use of a multidisciplinary team discharge “huddle” to improve patient flow and planning. Age and Ageing, 48(3, Supplement_3), iii1–iii16.
10.1093/ageing/afz102.30 > . ( CrossrefGoogle Scholar - 2016). Debriefing after adverse outcomes: An opportunity to improve quality and patient safety. Contemporary OB/GYN, 61(2), 24–32. > (Google Scholar
- 2020). The effect of leadership behaviours of nurse managers on nurses' work motivation. International Journal of Caring Sciences, 13(1), 381–391. > (Google Scholar
- 2015). Evidence of a shared purpose, critical reflection, innovation and leadership in interprofessional health care teams: A realist synthesis. Journal of Interprofessional Care, 29(3), 209–215.
10.3109/13561820.2014.941459 PMID:25051089 > ( Crossref MedlineGoogle Scholar - 2011). Quality improvement. https://www.hrsa.gov/sites/default/files/quality/toolbox/508pdfs/qualityimprovement.pdf > . (Google Scholar