Dimensions of Learning Organizations Questionnaire (DLOQ) in a low-resource health care setting in Nepal
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RESEARCH
Open Access
Dimensions of Learning Organizations Questionnaire (DLOQ) in a low-resource health care setting in Nepal Mia Leufvén1, Ravi Vitrakoti2, Anna Bergström1, Ashish KC1,3 and Mats Målqvist1*
Abstract Background: Knowledge-based organizations, such as health care systems, need to be adaptive to change and able to facilitate uptake of new evidence. To be able to assess organizational capability to learn is therefore an important part of health systems strengthening. The aim of the present study is to assess context using the Dimensions of the Learning Organization Questionnaire (DLOQ) in a low-resource health setting in Nepal. Methods: DLOQ was translated and administered to 230 employees at all levels of the hospital. Data was analyzed using non-parametric tests. Results: The DLOQ was able to detect variations across employee’s perceptions of the organizational context. Nurses scored significantly lower than doctors on the dimension “Empowerment” while doctors scored lower than nurses on “Strategic leadership”. These results suggest that the hospital’s organization carries attributes of a centralized, hierarchical structure that might hinder a progress towards a learning organization. Conclusions: This study demonstrates that, despite the designing and developing of the DLOQ in the USA and its main utilization in company settings, it can be used and applied in hospital settings in low-income countries. The application of DLOQ provides valuable insights and understanding when designing and evaluating efforts for healthcare improvement. Keywords: Dimensions of the learning organization questionnaire, Health systems, Learning organizations, Nepal
Background Many low- and middle-income countries have health systems that are weak and fragile, lacking the capacity to put knowledge into practice and expand the delivery of health services to those in need [1]. At present, research on how to measure and identify health systems weaknesses and strengths is very scant. Without a thoroughly validated and scientifically sound concept or framework to assess the health systems policy-makers have little guidance on what they can and should strengthen [2]. In the field of human relations, research on organizational culture has been ongoing for decades. However, it is only in recent years that health researchers have become aware of the organizational culture as an important * Correspondence: [email protected] 1 International Maternal and Child Health (IMCH), Department of Women’s and Children’s Health, Uppsala University, SE-751 85 Uppsala, Sweden Full list of author information is available at the end of the article
characteristic that may influence the effectiveness and/or success in implementing interventions in different health care settings. The research into knowledge-translation in health systems has increased during the last decade, particularly because of the recognition of its importance for achieving many of the Millennium Development Goals [3]. Today’s health care systems are busy, complex, and o
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