背景:知识管理在医疗机构中发挥着重要作用。它包括4个过程:知识创造,知识捕获,知识共享,和知识应用。医疗机构的成功有赖于医护人员之间有效的知识分享,因此,必须识别和理解知识共享的促进者和障碍。医学影像部门在癌症中心发挥着关键作用。因此,应了解影响医学影像科室知识共享的因素,以提高患者治疗效果并减少医疗差错.
目的:本系统综述的目的是确定影响医学影像科室知识共享行为的促进因素和障碍,并确定综合医院和癌症中心医学影像科室之间的差异。
方法:我们在PubMedCentral进行了系统搜索,EBSCOhost(CINAHL),OvidMEDLINE,OvidEmbase,爱思唯尔(Scopus),ProQuest,和Clarivate(WebofScience)于2021年12月发布。通过审查标题和摘要确定了相关文章。总的来说,2名审稿人根据纳入和排除标准独立筛选相关论文全文。我们包括定性,定量,以及调查影响知识共享的促进者和障碍的混合方法研究。我们使用混合方法评估工具来评估纳入文章的质量,并使用叙事综合来报告结果。
结果:共选取49篇文章进行全面深入的分析,38项(78%)研究纳入最终审查,从其他选定的数据库中添加了1篇文章。有31个促进者和10个障碍,这些障碍影响了医学影像部门的知识共享实践。这些主持人根据他们的特点分为3类:个人,部门,和技术促进者。阻碍知识共享的障碍分为4类:金融,行政,技术,地理障碍。
结论:这篇综述强调了影响癌症中心和综合医院医学影像部门知识共享实践的因素。就知识共享的促进者和障碍而言,这项研究表明,这些在医学影像部门是相同的,无论是在综合医院还是癌症中心。我们的发现可以用作医学成像部门的指南,以支持知识共享框架,并通过了解促进者和障碍来增强知识共享。
BACKGROUND: Knowledge management plays a significant role in health care institutions. It consists of 4 processes: knowledge creation, knowledge capture, knowledge sharing, and knowledge application. The success of health care institutions relies on effective knowledge sharing among health care professionals, so the facilitators and barriers to knowledge sharing must be identified and understood. Medical imaging departments play a key role in cancer centers. Therefore, an understanding of the factors that affect knowledge sharing in medical imaging departments should be sought to increase patient outcomes and reduce medical errors.
OBJECTIVE: The purpose of this systematic review was to identify the facilitators and barriers that affect knowledge-sharing behaviors in medical imaging departments and identify the differences between medical imaging departments in general hospitals and cancer centers.
METHODS: We performed a systematic search in PubMed Central, EBSCOhost (CINAHL), Ovid MEDLINE, Ovid Embase, Elsevier (Scopus), ProQuest, and Clarivate (Web of Science) in December 2021. Relevant articles were identified by examining the titles and abstracts. In total, 2 reviewers independently screened the full texts of relevant papers according to the inclusion and exclusion criteria. We included qualitative, quantitative, and mixed methods studies that investigated the facilitators and barriers that affect knowledge sharing. We used the Mixed Methods Appraisal Tool to assess the quality of the included articles and narrative synthesis to report the results.
RESULTS: A total of 49 articles were selected for the full in-depth analysis, and 38 (78%) studies were included in the final review, with 1 article added from other selected databases. There were 31 facilitators and 10 barriers identified that affected knowledge-sharing practices in medical imaging departments. These facilitators were divided according to their characteristics into 3 categories: individual, departmental, and technological facilitators. The barriers that hindered knowledge sharing were divided into 4 categories: financial, administrative, technological, and geographical barriers.
CONCLUSIONS: This review highlighted the factors that influenced knowledge-sharing practices in medical imaging departments in cancer centers and general hospitals. In terms of the facilitators and barriers to knowledge sharing, this study shows that these are the same in medical imaging departments, whether in general hospitals or cancer centers. Our findings can be used as guidelines for medical imaging departments to support knowledge-sharing frameworks and enhance knowledge sharing by understanding the facilitators and barriers.