The Enactment of Learning and Knowledge Creation: A Study of Hospital Leadership Group Interaction

TL;DRAbstract

The ability of hospital leadership groups to collectively learn and build knowledge is critical to the competent and safe delivery of healthcare in the United States today. This study sought to contribute to the development of process theory on hospital leadership group learning by examining the dynamic interactive processes that enact learning and knowledge creation. A qualitative multicase study approach was used, relying on semistructured interviews and observations to collect the data and utilizing content analysis and conversation analysis to study the data. The study of hospital leadership groups was based on an application of structuration theory (Giddens, 1984), which suggested that learning and knowledge creation could be studied by identifying the recursive patterning being enacted through the medium of language in the mutual shaping of group interactions and structures. The organizational learning systems model (OLSM) (Schwandt, 1997) provided another way to understand the c

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