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Organizational Learning and Continuous Quality Improvement: Examining the Impact on Nursing Home Performance
Institution:1. Nursing Department, Universitat Autònoma de Barcelona, Can Domènech, Edifici M, Campus de la Universitat Autònoma de Barcelona, 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, Spain;2. Public Health, Mental Health and Maternal Department, Universitat de Barcelona, Feixa Llarga s/n, Campus Ciències de la Salut de Bellvitge, 08907 L''Hospitalet de Llobregat, Barcelona, Spain;2. Associate Professor and Chairperson, Department of Undergraduate Studies, Lienhard School of Nursing, Pace University.;3. Professor Emerita, Lienhard School of Nursing, Pace University.;4. Assistant Dean for Grants and Strategic Initiatives, College of Health Professions, Pace University.
Abstract:Interest is growing in learning more about the ability of total quality management and continuous quality improvement (TQM/CQI) initiatives to contribute to the performance of healthcare organizations. A major factor in the successful implementation of TQM/CQI is the seminal contribution of an organization's culture. Many implementation efforts have not succeeded because of a corporate culture that failed to stress broader organizational learning. This may help to explain why some TQM/CQI programs have been unsuccessful in improving healthcare organization performance. Organizational performance variables and organizational learning orientation were assessed in a sample of 181 Canadian long-term care organizations that had implemented a formal TQM/CQI program. Categorical regression analysis shows that, in the absence of a strong corporate culture that stresses organizational learning and employee development, few performance enhancements are reported. The results of the assessment suggest that a TQM/CQI program without the backing of a strong organizational learning culture may be insufficient to achieve augmented organizational performance.
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