Clinical governance and the learning organization.
J Nurs Manag
; 12(2): 105-13, 2004 Mar.
Article
en En
| MEDLINE
| ID: mdl-15009626
AIM: This paper compares and contrasts clinical governance and organizational learning. BACKGROUND: Clinical governance represents one of the most significant policy developments in recent years. It places on all health care delivery organizations a statutory duty to develop the systems, standards and processes necessary to improve health care quality and manage risk. At the same time, many health care organizations are seeking new ways in which learning can be retained and deployed more widely within the organization (organizational learning). KEY ISSUES: Both approaches emphasize cultural changes as essential underpinnings to quality improvement. However, the two approaches also differ fundamentally in their logic of action. Clinical governance is essentially 'top down', being built around formal standards, established procedures, and regular monitoring and reporting. In contrast, organizational learning emphasizes 'bottom up' changes in values, beliefs and motivations in such a way that learning and change are prioritized. The challenge for managers and practitioners lies in seeking a creative tension between these two contrasting styles of organizational change.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Toma de Decisiones en la Organización
/
Gestión de la Calidad Total
/
Aprendizaje
Tipo de estudio:
Etiology_studies
/
Guideline
/
Prognostic_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Nurs Manag
Asunto de la revista:
ENFERMAGEM
Año:
2004
Tipo del documento:
Article
Pais de publicación:
Reino Unido