Purpose – The purpose of this research is to present the empirical findings from a case study in knowledge sharing with the aim of understanding knowledge sharing in a strategic context through a socio‐technical approach. Design/methodology/approach – Knowledge sharing facilitators and barriers were examined in a UK owned multinational engineering organisation. A total of 20 semi‐structured interviews were conducted and analysed using a combination of matrix and template analysis. Findings – The paper highlights leadership, organisational, and individual factors that are perceived to impact knowledge sharing. Furthermore, three sub‐factors: trust, individual motivation and geographical location, are discussed as double‐edged factors, i.e. their impact on knowledge sharing is complex in that they may act as both barriers and enablers. Research limitations/implications – The main limitation of this study is that it is conducted in a single organisational context. A second case study is currently being analysed to explore knowledge sharing in a different context within the same organisation. Practical implications – A balanced approach to knowledge management practices is emphasised where both technical and social aspects are taken into account. Originality/value – This paper provides important contributions. First, it emphasises the impact of strategic change on knowledge sharing as one aspect of the organisational knowledge management. Second, it frames knowledge sharing within a socio‐technical approach. Third, it provides us with empirical evidence through our use of case study in an organisational setting.

Aim and Objective: To identify, examine, and map literature on the experiences of single-room hospital accommodation, exploring what is known about how single-room accommodation in hospitals is viewed by patients and nurses. Background: Worldwide, hospital design is changing to mainly single-room accommodation. However, there is little literature exploring patients’ and nurses’ experiences of single-room designs. Design: Scoping review following the Joanna Briggs Institute guidance on scoping reviews. Methods: We conducted the search in medical databases for scientific and gray literature. The four authors independently used a data extraction tool to include sources from the searches. The sources were discussed during the process, and in case of a disagreement between two reviewers, the third and fourth reviewer would be invited to participate in the discussion until consensus was achieved. Results: We included 22 sources published during the period 2002–2020, with a majority ( n = 16) during the period 2013–2020. The sources were distributed on 10 different countries; however, England dominated with 14 publications. We found three main maps for reporting on patients’ experiences: (1) personal control, (2) dignity, and (3) by myself. For the nurses’ experiences, we found four main maps: (1) the working environment, (2) changes of nursing practice, (3) privacy and dignity, and (4) patient safety. Conclusion: We suggested that patients’ and nurses’ experiences are predominantly interdependent and that the implications of single-room accommodation is a large and complex issue which goes beyond hospital design.

Our review demonstrates that a focus on the documentation traditions of perioperative nurses combined with training, structure and improved technical tools may facilitate the documentation and thereby improve patient safety.

Researchers have described the documentation practices of perioperative nurses as flawed and characterized by subjectivity and poor quality, which is often related to both the documentation tool and the nurses' level of commitment. Studies suggest that documentation of nursing care in the OR places special demands on electronic health records (EHRs). The purpose of this study was to explore how the use of an EHR tailored to perioperative practice affects Danish perioperative nurses' documentation practices. This study was a follow-up to a baseline study from 2014. For three months in the winter of 2015 to 2016, six participants tested an EHR containing a Danish edition of a selected section of the Perioperative Nursing Data Set. This study relied on realistic evaluation and participant observations to generate data. We found that nursing leadership was essential for improving perioperative nurses' documentation practices and that a tailored EHR may improve documentation practices.

Evidenz entschieden und von der Krankenhausleitung ein personenorientierter Ansatz im Klinikalltag gefördert werden. In diesem Beitrag stellen wir den theoretischen Rahmen des Forschungsprogramms zur perioperativen Pflege vor, basierend auf der Beantwortung personenorientierter Fragen zu den Grundlagen pflegerischen Handelns (Fundamental of Care, FoC) und, als methodische Herausforderung, der Einbeziehung von Nutzern (Patienten) als einem festen Bestandteil pflegerischer Tätigkeit. An dieser theoretischen und methodischen Entscheidung richtet sich die kontinuierliche Fortentwicklung des Forschungsprogramms aus. Perioperative Pflege beginnt mit dem ersten Kontakt zwischen Patient und Pflegekraft zum Zeitpunkt der stationären Aufnahme bis zum Zeitpunkt der Entlassung nach Abschluss der elektiven chirurgischen Behandlung. Unseres Wissens wurden bislang keine Studien durchgeführt, in denen das FoC-Outcome im Hinblick auf den perioperativen Patienten untersucht wurde. Gegenstand der Untersuchung sind die Tätigkeiten von Gesundheitsfachkräften, angefangen bei der Aufnahme des Patienten durch die Pflegekraft bis zum Tag seiner Entlassung nach abgeschlossener Behandlung, sowie die pflegerische Versorgung im Zusammenhang mit elektiven chirurgischen Eingriffen in norwegischen und dänischen außeruniversitären Krankenhäusern. Mit diesem Forschungsprogramm sollen Erkenntnisse über die Erfahrungen gegenwärtiger und früherer Patienten und ihrer Angehörigen sowie der Gesundheitsfachkräfte gewonnen werden, welche in norwegischen und dänischen außeruniversitären Krankenhäusern Behandlungsleistungen erbringen. Wir gehen davon aus, dass uns die Ergebnisse des Forschungsprogramms in die Lage versetzen werden, die Kompetenzen von Gesundheitsfachkräften in den Grundlagen der pflegerischen Versorgung (FoC) zu verbessern und ihre Offenheit gegenüber Nutzerbeteiligung, Entscheidungsfreiheit und Menschenrechten zum Wohle der chirurgischen Patienten zu steigern.

Nursing care documentation is an important aspect of clinical decision-making processes and affects patient safety. Documentation in the perioperative setting has been described as poor and incomplete and varies among nurses. The purpose of this qualitative study was to examine perioperative nurses' documentation practices using a realistic evaluation framework that focuses on relationships between context, mechanisms, and outcomes. Through participant observations using multiple qualitative data-generation methods, the study found that perioperative nurses' documentation practices are driven by a mix of educational, cultural, and organizational factors, including competing demands, local values and traditions, and everyday circumstances. Understanding the cultures of different subgroups in the perioperative setting may help improve nurses' documentation practices.

No abstract

No abstract