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
"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:
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.
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.
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.
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.
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 |
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 |
Model | NFI Delta1 | RFI rho1 | IFI Delta 2 | TLI rho 2 | CFI |
Default model | .859 | .818 | .874 | .836 | .873 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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. .
If only we knew what we know identification and transfer of internal best practices. California Management Review 1998. 40 (3) p. .
Organizational learning in a hospital. The Journal of Applied Behavioral Science 2000. 36 (3) p. .