Knowledge Sharing Behavior of Physicians (Dentists) in Hospitals

Table of contents

1.

knowledge sharing within professional groups, like physicians in hospital. Knowledge sharing would be alarming if knowledge sharing is not done in hospitals were we deal with human lives. This study examines the factors affecting physician's knowledge sharing behavior within a hospital department by existing theories, the theory of reasoned action (TRA) and the theory of planned behavior (TPB). Here we have a slight differentiation, we compare TPB model to a model were Attitude is further sub divided depending upon age, gender, departments and hospital ownership status. Their theoretical and practical knowledge is vital to the care of patients, and the quality of specialty-based clinical practices is a major determinant for patients' use of medical services. Knowledge sharing in this sense becomes all the more important for physicians in tertiary hospitals, because they are required to be researchoriented, creative in medical care, and ready to take new medical knowledge opportunities that can be acquired through various organizational learning mechanisms (OLMs) (Lipshitz & Popper, 2000). The ultimate objective of physicians' knowledge sharing is to elevate the quality and efficiency of care in hospitals. We consider Rayen Dental Care Centre. (RDCC) as the platform for

2. II. Introduction a) About Rayen Dental Care Centre (RDCC)

"We speak from our heart and not from our tongue when we explain the problem to the patient because ultimately truth prevails in the long run. We work on the above said principles and all our patients work are preferably appointment based.

Rayen's Dental centre located in the central zone (Heart) of Chennai is well known for its hygienic, outstanding, exceptional quality dental practice providing the latest updated scientific data pertaining to all specialities in dentistry. Apart from providing health service we are ignited with a passionate heart to handle our clients with utmost kindness. We provide a comfortable environment with subtle differences in every aspect of dental practice to provide quality care and that earmarks our difference from others". Here we have taken the social responsibility factor to be present hence there is no bias as we compare with both before and after the survey (i.e. awareness). H1: The after survey (awareness) is higher. H2: The before survey (awareness) is higher.

Here in this study we use theory of planned behaviour of Ajzen, further to which we have applied the concept of Human resources as Subjective Norms can be further classified as:

3. IV. Sample and Data Collection

A total of 500 questionnaires were administered out of which 400 was answered.

The questionnaires had a cover letter briefing about the aim of this study. The same were administered both before and after the surveyconsidered as awareness created.

4. V. Measurement Development

The measures used in the research model were mainly adopted from some of the precedent related studies with minor statement changes, adapting to the college faculty knowledge sharing context. In order to increase the accuracy of measurement, a multi-item method was used and each item was based on a five point Likert scale. Such as, the items were measured on a 5-point Likert scale; ranging from The maximum percent weightage falls on 3 rd question and minimum percent is in the first question. The maximum percent weightage falls on 3 rd question and minimum percent is in the first question. The average shows that the 3 rd and 4 th i.e. 3.5 element has more frequency which means that faculty are ready to share knowledge in the Top Management.

The maximum percent weightage falls on 3 rd question and minimum percent is in the first question. The maximum percent weightage falls on 3 rd question and minimum percent is in the first question.

5. Medical Research

Volume XVIII Issue I Version I The Attitude average shows that the 4 th element has more frequency which means that it is very valuable to share knowledge. The Intention average shows that the 4 th element has more frequency which means that it is very valuable to share knowledge. The path coefficients were tested for significance level of 0.01.

6. VI. Path Coefficients and Conclusions

The path coefficients from attitude to intention and subjective norms to behavioral intention were noteworthy for all the models. After model seems to be more convincing thus the analysis is proved.

Figure 1.
(Ömer Gider & Saffet Ocak & Mehmet Top) Subjective Norms are subdivided among Peers, Top Management, Subordinates and Clients and PBC depending upon Perceived Ease of use and Perceived usefulness. Technology Acceptance Model (Davis et al, 1989) & will power eg: You must genuinely want to change your behavior and willpower is necessary to do that. Keywords: knowledge sharing, physicians, types of knowledge, theory of planned model. I. Review of Literature haring knowledge of physicians within hospitals can realize potential gains and is critical to survive and prosper in competitive environments (O'Dell & Grayson,1998). Physicians are knowledgeintensive and principal professional group in hospitals.
Figure 2.
b) History of Rayen Dental Care CentreRayen's dental centre which has been in health care services since 1964 in tuticorin and has been doing exceptional eye care services to the people in the southern border of tamilnadu. It has extended it's dental care services in chennai for the past five years. This practice strives and thrives with the sole aim of providing quality and concrete solutions to clients based on their individual needs. It has an enormous referral based practice because of the utmost satisfaction provided to the patient (Roshan Rayen, 2016).
Figure 3. S 1 K
1Now a days, there has been much interest for Knowledge Sharing Behavior of Physicians (Dentists) in Hospitals
Figure 4. Figure 1 :
1Figure 1: TPB Model
Figure 5. Figure 3 :
3Figure 3: Modified Model Proposed Model: Will be focused in further study.
Figure 6. Figure 4 :
4Figure 4: Attitude a) Attitude towards knowledge sharing is good and valuable
Figure 7. Figure 5 :
5Figure 5: Suborditinate
Figure 8. Figure 6 :
6Figure 6: Top Management
Figure 9. Figure 7 :
7Figure 7: Client Average The maximum percent weightage falls on 3 rd question and minimum percent is in the first question.
Figure 10. K
Knowledge Sharing Behavior of Physicians (Dentists) in Hospitals
Figure 11. Table 1 :
1
Before After
AT1 99 88
AT2 49 75
AT3 99 78
AT4 99 88
AT5 44 1
SN1 68 88
SN2 49 1.03
SN3 43 98
SN4 55 97
SN5 44 60
PBC1 37 69
PBC2 93 1.05
PBC3 42 94
PBC4 96 1
INT1 77 1
INT2 71 75
INT3 95 90
INT4 94 79
Figure 12. Table 1 :
1
Top Management
Subordinate
Peer
Client
SUBJECTIVE NORMS
TOP MANAGEMENT SUBORDINATE PEER CLIENT
III. Model Fit Summary
Model NPAR CMIN DF P CMIN/DF
Default model 57 1142.399 132 .000 8.655
Note: KKnowledge Sharing Behavior of Physicians (Dentists) in Hospitals
Figure 13. Table 2 :
2
Model NFI Delta1 RFI rho1 IFI Delta 2 TLI rho 2 CFI
Default model .859 .818 .874 .836 .873
Figure 14. Table 3 :
3
Model PRATIO PNFI PCFI
Default model .772 .663 .674
Table 4: NCP
Model NCP LO 90 HI 90
Default model 1010.399 906.154 1122.091
Table 5: FMIN
Model FMIN F0 LO 90 HI 90
Default model 2.147 1.899 1.703 2.109
Table 6: RMSEA
Model RMSEA LO 90 HI 90 PCLOSE
Default model .120 .114 .126 .000
Note: KKnowledge Sharing Behavior of Physicians (Dentists) in Hospitals
Figure 15. Table 1 :
1
Test Value = 0
t Df Sig. (2-tailed) Mean Difference 95% Confidence Interval of the Difference
Lower Upper
AT1 72.852 399 .000 3.898 3.79 4.00
AT2 79.359 399 .000 4.100 4.00 4.20
AT3 70.286 399 .000 3.992 3.88 4.10
AT4 64.473 399 .000 3.900 3.78 4.02
AT5 39.608 399 .000 2.760 2.62 2.90
S1 44.594 399 .000 3.388 3.24 3.54
S2 39.104 399 .000 2.775 2.64 2.91
S3 42.788 399 .000 3.110 2.97 3.25
S4 91.292 399 .000 3.712 3.63 3.79
S5 102.873 399 .000 3.778 3.71 3.85
T1 53.374 399 .000 3.185 3.07 3.30
T2 58.575 399 .000 3.780 3.65 3.91
T3 64.428 399 .000 3.545 3.44 3.65
T4 55.503 399 .000 3.115 3.00 3.23
T5 124.078 399 .000 4.625 4.55 4.70
C1 63.318 399 .000 3.855 3.74 3.97
C2 57.274 399 .000 3.708 3.58 3.83
C3 30.557 399 .000 1.850 1.73 1.97
C4 44.951 399 .000 2.028 1.94 2.12
C5 91.292 399 .000 3.712 3.63 3.79
P1 52.667 399 .000 3.172 3.05 3.29
P2 52.320 399 .000 3.175 3.06 3.29
P3 94.360 399 .000 3.920 3.84 4.00
P4 92.636 399 .000 3.885 3.80 3.97
P5 91.211 399 .000 3.832 3.75 3.92
PBC1 51.186 399 .000 3.172 3.05 3.29
PBC2 41.646 399 .000 2.668 2.54 2.79
PBC3 96.514 399 .000 4.202 4.12 4.29
PBC4 95.847 399 .000 4.205 4.12 4.29
INT1 68.371 399 .000 3.472 3.37 3.57
INT2 71.904 399 .000 3.480 3.38 3.58
INT3 63.318 399 .000 3.855 3.74 3.97
INT4 57.274 399 .000 3.708 3.58 3.83
Figure 16. Table 3 :
3
Figure 17. Table 2 :
2
Frequency Percent Valid Percent Cumulative Percent
1 1 .2 .2 .2
2 80 20.0 20.0 20.2
Valid 3 4 250 64 62.5 16.0 62.5 16.0 82.8 98.8
5 5 1.2 1.2 100.0
Total 400 100.0 100.0
Note: KKnowledge Sharing Behavior of Physicians (Dentists) in Hospitals
Figure 18. Table 4 :
4
Frequency Percent Valid Percent Cumulative Percent
.00 80 20.0 20.0 20.0
1.40 1 .3 .3 20.3
1.60 1 .3 .3 20.5
1.80 11 2.8 2.8 23.3
2.00 6 1.5 1.5 24.8
2.20 19 4.8 4.8 29.5
2.40 26 6.5 6.5 36.0
2.60 28 7.0 7.0 43.0
2.80 29 7.2 7.2 50.2
Valid 3.00 3.20 46 39 11.5 9.8 11.5 9.8 61.8 71.5
3.40 59 14.8 14.8 86.3
3.60 13 3.3 3.3 89.5
3.80 11 2.8 2.8 92.3
4.00 10 2.5 2.5 94.8
4.20 11 2.8 2.8 97.5
4.40 5 1.3 1.3 98.8
4.60 3 .8 .8 99.5
4.80 2 .5 .5 100.0
Total 400 100.0 100.0
Note: KKnowledge Sharing Behavior of Physicians (Dentists) in Hospitals
Figure 19. Table 5 :
5
Cavg
Frequency Percent Valid Percent Cumulative Percent
.00 80 20.0 20.0 20.0
2.00 1 .3 .3 20.3
2.20 6 1.5 1.5 21.8
2.40 4 1.0 1.0 22.8
2.60 16 4.0 4.0 26.8
2.80 14 3.5 3.5 30.3
3.00 21 5.3 5.3 35.5
3.20 42 10.5 10.5 46.0
Valid 3.40 3.60 33 42 8.3 10.5 8.3 10.5 54.3 64.8
3.80 35 8.8 8.8 73.5
4.00 41 10.3 10.3 83.8
4.20 32 8.0 8.0 91.8
4.40 22 5.5 5.5 97.3
4.60 6 1.5 1.5 98.8
4.80 3 .8 .8 99.5
5.00 2 .5 .5 100.0
Total 400 100.0 100.0
Figure 20. Table 6 :
6
Pbcavg
Frequency Percent Valid Percent Cumulative Percent
.00 80 20.0 20.0 20.0
1.50 2 .5 .5 20.5
1.75 5 1.3 1.3 21.8
2.00 7 1.8 1.8 23.5
2.25 9 2.3 2.3 25.8
2.50 14 3.5 3.5 29.3
2.75 17 4.3 4.3 33.5
3.00 35 8.8 8.8 42.3
Valid 3.25 31 7.8 7.8 50.0
3.50 43 10.8 10.8 60.8
3.75 40 10.0 10.0 70.8
4.00 48 12.0 12.0 82.8
4.25 24 6.0 6.0 88.8
4.50 24 6.0 6.0 94.8
4.75 16 4.0 4.0 98.8
5.00 5 1.3 1.3 100.0
Total 400 100.0 100.0
Figure 21. Table 7 :
7
Frequency Percent Valid Percent Cumulative Percent
1.25 2 .5 .5 .5
1.5 2 .5 .5 1.0
1.75 6 1.5 1.5 2.5
2 8 2.0 2.0 4.5
2.25 16 4.0 4.0 8.5
2.5 21 5.2 5.2 13.8
2.75 27 6.8 6.8 20.5
3 43 10.8 10.8 31.2
Valid 3.25 33 8.2 8.2 39.5
3.5 36 9.0 9.0 48.5
3.75 28 7.0 7.0 55.5
4 46 11.5 11.5 67.0
4.25 41 10.2 10.2 77.2
4.5 33 8.2 8.2 85.5
4.75 29 7.2 7.2 92.8
5 29 7.2 7.2 100.0
Total 400 100.0 100.0
Note: KKnowledge Sharing Behavior of Physicians (Dentists) in Hospitals
Figure 22. Table 5 :
5
Path Coefficient Model 1 (Theory of Planned Behavior) Model 2
AT IN 0.21 0.10
SN IN 0.21 0.70
PBC IN 0.2 0.75

Appendix A

Appendix A.1

Most physicians who are important to me SN2: ...think that I should share knowledge with other physicians. SN3: ...share their knowledge with others physicians whose opinions I value SN4: ...would approve of my behavior to share knowledge with other physicians. SN5: ...share their knowledge with others Perceived behavioral control (PBC: 4 items) PBC1: For me to share my knowledge is possible always PBC2: If I want, I always could share knowledge PBC3: It is mostly up to me whether or not I share knowledge PBC4: I believe that there are much control I have to share my knowledge with other physicians. Most physicians who are important to me SN2: ...think that I should share knowledge with other physicians. SN3: ...share their knowledge with others physicians whose opinions I value. SN4: ...would approve of my behavior to share knowledge with other physicians. SN5: ...share their knowledge with others-this is further as

Perceived behavioral control (PBC: 4 items) PBC1: For me to share my knowledge is possible always. PBC2: If I want, I always could share knowledge. PBC3: It is mostly up to me whether or not I share knowledge. PBC4: I believe that there are much control I have to share my knowledge with other physicians. .

Appendix B

  1. If only we knew what we know identification and transfer of internal best practices. C O' Dell , C J Grayson . California Management Review 1998. 40 (3) p. .
  2. Knowledge sharing behavior of physicians in hospitals Seewon Ryua,*, Seung Hee Hob, (Ingoo Hanb)
  3. Perceptions of Physicians about Knowledge Sharing Barriers in Turkish Health Care System, http://www.willpowered.co/learn/factors-of-behavior-influence
  4. Organizational learning in a hospital. R Lipshitz , M Popper . The Journal of Applied Behavioral Science 2000. 36 (3) p. .
Date: 2018 2018-01-15