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The impact of knowledge management practice on the hospital performance in Abu Dhabi

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The impact of knowledge management practice on the hospital performance in Abu Dhabi

Author: Main Naser Alolayyan,Alalawin, Abdallah Hassan,Alyahya, Mohammad S.,Qamar, Ahmad
Publisher: Abingdon: Taylor & Francis,Abingdon: Taylor & Francis
Year: 2020
DOI: 10.1080/23311975.2020.1827812
Source: https://www.econstor.eu/bitstream/10419/244970/1/10.1080-23311975.2020.1827812.pdf
Main Nase Alolayyan; Alalawin, Abdallah Hassan; Alyahya, Mohammad S.; Qama ,
Ahmad
A icle
The impac o knowledge managemen p ac ice on he
hospi al pe o mance in Abu Dhabi
Cogen Business & Managemen
P o ided in Coope a ion wi h:
Taylo & F ancis G oup
Sugges ed Ci a ion: Main Nase Alolayyan; Alalawin, Abdallah Hassan; Alyahya, Mohammad
S.; Qama , Ahmad (2020) : The impac o knowledge managemen p ac ice on he hospi al
pe o mance in Abu Dhabi, Cogen Business & Managemen , ISSN 2331-1975, Taylo & F ancis,
Abingdon, Vol. 7, Iss. 1, pp. 1-17,
h ps://doi.o g/10.1080/23311975.2020.1827812
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The impac o knowledge managemen p ac ice on
he hospi al pe o mance in Abu Dhabi
Main Nase Alolayyan, Abdallah Hassan Alalawin, Mohammad S. Alyahya &
Ahmad Qama |
To ci e his a icle: Main Nase Alolayyan, Abdallah Hassan Alalawin, Mohammad S.
Alyahya & Ahmad Qama | (2020) The impac o knowledge managemen p ac ice on he
hospi al pe o mance in Abu Dhabi, Cogen Business & Managemen , 7:1, 1827812, DOI:
10.1080/23311975.2020.1827812
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© 2020 The Au ho (s). This open access
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Published online: 15 Oc 2020.
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MANAGEMENT | RESEARCH ARTICLE
The impac o knowledge managemen p ac ice
on he hospi al pe o mance in Abu Dhabi
Main Nase Alolayyan
1
*, Abdallah Hassan Alalawin
2
, Mohammad S. Alyahya
1
and
Ahmad Qama
2
Abs ac : This s udy p oposes a concep ual model ha simul aneously in ol es i e
ac o s o Knowledge Managemen (KM) and six ac o s o Hospi al Pe o mance
(HP), in hei espec i e cons uc s. The signi icance o his model is ha i has
logically linked he cons uc s o bo h KM and HP. Explo a o y ac o analysis,
eliabili y analysis p ocedu e, and cons uc alidi y p ocedu es ha e been used o
e i y and alida e he unde lying dimensions o KM and HP. The ela ionship has
been analyzed h ough S uc u al Equa ion Modeling app oaches, in he las s age
o he da a analysis, he esul s ound ha only h ee a iables o KM cons uc ha e
a signi ican di ec ional impac on he only h ee a iables o HP cons uc e ec s.
Fu he , he in-dep h da a analysis has e ealed ha he h ee a iables o KM
cons uc ha e a s a is ically signi ican in luence on he h ee a iables o HP
cons uc . The s a is ically igo ous and s ong esul s ob ained in his s udy sugges
ha his concep ual model can be used as a managemen ool o assess
ABOUT THE AUTHOR
Main Nase Alolayyan/ Jo dan Uni e si y o
Science and Technology (JUST). An assis an
p o esso a he Heal h Managemen and Policy
Depa men . His a eas o in e es and esea ch
encompass: Heal h Knowledge managemen ,
heal h ope a ions managemen , heal h quali y
managemen , ope a ional lexibili y, se ice
quali y and managemen , supply chain man-
agemen , lean se ice, six sigma, human
esou ce managemen , and Small Medium
En ep eneu ship.
Abdallah Alalawin/ Hashemi e Uni e si y. An
Assis an P o esso a he Depa men o Indus ial
Enginee ing. His a eas o in e es : Supply Chain
managemen and in elligen sys ems.
D . Mohammad Alyahya/ Jo dan Uni e si y o
Science and Technology (JUST). An associa e p o-
esso a he depa men o Heal h Managemen
and Policy/Facul y o Medicine. His esea ch in e -
es s include Heal h policy, heal h sys ems, p og am
and p ojec managemen , change managemen ,
and Heal h in o ma ics.
Ahmad M. Qama / Hashemi e Uni e si y. A ull-
ime lec u e in he Depa men o Indus ial
Enginee ing. Besides eaching, he is in e es ed in
conduc ing esea ch conce ned wi h ope a ions
esea ch, and o he indus ial enginee ing
applica ions.
PUBLIC INTEREST STATEMENT
The Majo i y o he new ends in he o ganiza ion
managemen sys ems conside knowledge as one
o he main asse s hey ha e. How o u ilize his
knowledge o imp o e he o ganiza ion’s pe o -
mance is a esea chable a ea, whe e o ganiza-
ions in es mo e and mo e o ocus on i . The
ocus o his pape is o in es iga e he linkage
be ween Knowledge Managemen and Hospi al
Pe o mance. This esea ch p o ides empi ical
e idence o he di ec impac s o Knowledge
Managemen on he Hospi al Pe o mance. The
sugges ed model can be used as a managemen
ool o assess hospi al pe o mance, which can be
used o imp o e hospi al pe o mance and
e iciency.
Alolayyan e al., Cogen Business & Managemen (2020), 7: 1827812
h ps://doi.o g/10.1080/23311975.2020.1827812
Page 1 o 17
Recei ed: 24 Janua y 2020
Accep ed: 18 Sep embe 2020
*Co esponding au ho : Main Nase
Alolayyan, Facul y o Medicine,
Jo dan Uni e si y o Science and
Technology, Jo dan
E-mail: [email p o ec ed]
Re iewing edi o :
Pan ea Fo oudi, MBT, Middlesex
Uni e si y, London UK
Addi ional in o ma ion is a ailable a
he end o he a icle
© 2020 The Au ho (s). This open access a icle is dis ibu ed unde a C ea i e Commons
A ibu ion (CC-BY) 4.0 license.
pe o mance. The signi ican impac o KM on HP has been a gued o be posi i e.
The alue o he pape is ha i cla i ies he in luence o KM on HP in Abu-Dhabi
hospi als which can be used o imp o e hospi al pe o mance and e iciency.
Subjec s: Heal hca e Adminis a ion and Managemen ; Quali y o Li e; Heal h
Communica ion; Heal h In o ma ics and S a is ics
Keywo ds: Knowledge Managemen (KM); hospi al; pe o mance; Abu-Dhabi; s uc u e
equa ion modeling
1. In oduc ion
The p ac ice o knowledge managemen (KM) has gained much impo ance in he las ew decades.
Knowledge managemen (KM) has become a p ima y ool o o ganiza ions ha seek o ope a e a an
op imal le el and mee he maximum sa is ac ion o all cus ome s. Knowledge managemen (KM) is
la gely conside ed as a na u al p ocess ha p e ails in all p esen -day mode n o ganiza ions. Fu he ,
i is an in eg a ed sys em ha signi ican ly combines human esou ces, p ocesses, and s a e o a
wi hin an o ganiza ion o achie ing long- e m and sus ainable goals h ough imp o ing o ganiza-
ional pe o mance based on lea ning. I is belie ed ha knowledge managemen simul aneously
wo ks as a i al esou ce o he o ganiza ion and allows o ganiza ions o be e compe e in he ma ke
(Tan & Nasu din, 2011). Imp o ing he knowledge managemen o he inancial sec o has become
a main issue o cus ome s, hospi al owne s, go e nmen s, and manage s. Today, knowledge man-
agemen has come o ha e a di ec e ec on o ganiza ional pe o mance. An ample body o p e ious
li e a u e on he cu en a ea o in e es has e ealed ha KM plays a i al ole in signi ican ly
imp o ing o ganiza ional pe o mance, along wi h p o iding a clea answe o he ques ion: “How
can he o ganiza ion enhance i s o ganiza ional capabili ies, esul ing in he enhancemen o in e nal
pe o mance and ex e nal compe i i eness?”
2. Li e a u e e iew and heo e ical amewo k
The e alua ion o KM pe o mance in o ganiza ions has been a main poin o ocus in he p e ious
li e a u e. On one hand, s udies such as L.-C. Wu e al. (2008) ha e app oached his issue wi h he
concep o using accoun and inance echniques o measu e in ellec ual capi al and/o knowledge
asse s, and ha e adop ed he eal op ions me hodology o p oduce a inancial me hod o e alua ing
knowledge-based o ganiza ions. On he o he hand, o he s udies in he li e a u e ha e explici ly ocused
on he ela ionship be ween KM and o ganiza ional pe o mance using o e all business measu es such
as p o i abili y, p oduc i i y, and ma ke pe o mance (Anan a mula & Kanungo, 2006; Gold e al., 2001;
Iqbal e al., 2019; Kiessling e al., 2009; Payal e al., 2019). Fo example, Gold e al. (2001) ca ied ou
a su ey-based s udy in which hey es ed a model o he ela ionship be ween KM and o ganiza ional
capabili ies, including in as uc u e and p ocesses capabili ies and o ganiza ional e ec i eness, Iqbal
e al. (2019) es ed he di ec ela ion be ween KM p ocesses and Hospi al pe o mance (HP), hei
inding is ha p ocesses in luence di ec ly and indi ec ly h ough inno a ion and in ellec ual capi al,
Payal e al. (2019) in es iga ed he dynamic ela ionships KM cons uc s and hei links o HP using
a holis ic in eg a ed model, a signi ican posi i e ela ionship is ound. Howe e , i is wo h men ioning
ha many o hese s udies ha e ended o o e look he complexi y o he ela ionship be ween KM and
business pe o mance and ha e no p o ided p ac i ione s wi h su icien necessa y ou pu o help hem
de elop and moni o Knowledge Managemen Assessmen s (KMAs).
The e o e, o mo e in-dep h analysis o he phenomenon, o he s udies ha e ins ead ocused on
he ela ionship be ween KM and inno a ion, he la e being conside ed a di ec ou come o he
o me . Resea che s o such s udies belie e ha knowledge and inno a ion a e in e ela ed
(Mu o ec & P odan, 2009) and iew knowledge as a p ima y ac o o inno a ion (Abbas &
Sağsan, 2019; B and, 1998; Elmo shidy, 2018; Hassan & Raziq, 2019; Kuma , 2016; Susan y e al.,
2019). Fo example, Susan y e al. (2019) ound ha inno a ion pe o mance will dec ease by
Alolayyan e al., Cogen Business & Managemen (2020), 7: 1827812
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Page 2 o 17
compensa ing knowledge imp o emen . On he o he side Hassan and Raziq (2019) ound
a posi i e associa ion be ween KM and adical inno a ion.
KM can hus be conside ed an o ganiza ional mechanism o he con inual p omo ion and
de elopmen o inno a ion (Chang & Chen, 2004). In suppo o he ela ionship be ween knowl-
edge and inno a ion, nume ous well-o ganized impe ial s udies ha e e ealed ha knowledge
managemen -d i en o ganiza ions end o exhibi highe le els o inno a ion (A ias (A anda &
Molina-Fe nández, 2002; Da och, 2003, 2005; Hassan & Raziq, 2019; Iqbal e al., 2019; Singh e al.,
2019). Some case-based s udies ha e explo ed his link in inno a ion-d i en business p ocesses
such as esea ch de elopmen and new p oduc de elopmen in knowledge-in ensi e businesses
such as elecommunica ion (Akeke & Olayiwola, 2019; Gyemang & Emeagwali, 2020; Massey e al.,
2002) and IT (Kodama, 2006).
On he o he side o he spec um, o he esea che s hold he iew ha he nexus be ween
inno a ion and pe o mance managemen is a he simple and di ec han complex. In hei wo k,
Jiménez-Jimenez e al. (2008) explici ly s a e ha o many o ganiza ions, being inno a i e is no
enough o success. In hei 2005 s udy, Vijande e al. (2005) shed ligh on he ela ionship
be ween inno a ion, ma ke o ien a ion (MO), and pe o mance and a gued ha pe o mance
needs an o ganiza ional abili y o an icipa e, espond, and signi ican ocus on en i onmen al
issues as such is concep ually bound o local en i onmen al s a egy, and Ud iyah e al. (2019)
a gue he ela ionship be ween ma ke o ien a ion (MO) and inno a ion wi h business pe o -
mance which hey ha e a signi ican di ec and indi ec h ough compe i i e ad an age.
Though i is ag eed ha he ela ionship be ween KM and pe o mance is in e wined wi h he
use o inno a ion and MO as media ing a iables be ween o ganiza ional lea ning and pe o -
mance (Hu ley & Hul , 1998; Jiménez-Jimenez e al., 2008; Ud iyah e al., 2019). MO was no
included in his esea ch model. This is because MO places in ensi e ocus on cus ome needs
whils g ea ly o e looking o he signi ican en i onmen al changes b ough abou by ac o s such
as new echnologies, legal ci cums ances, social de elopmen , me ge s, consolida ions, e c. (Nzewi
& Moneme, 2016; O e by e al., 2005).
An agili y li e a u e e iew e ealed ha many esea che s iew ha KM has become
a undamen al ac o o business p ospe i y. Mode n o ganiza ions a e o ced o deal wi h an
inc easingly uns able en i onmen b ough by globaliza ion, ad ances in IT, and ise in li ing
s anda ds, inc eased egula ions and co po a e go e nance demands, less cohesion in social
alues, and he ise o pos -mode nism (Cai e al., 2019; Nzewi & Moneme, 2016; O e by e al.,
2005; Sambamu hy e al., 2003; Wo ley & Lawle , 2010). Cai e al. (2019) in es iga ed how o
le e age KM and IT capabili y o build agili y in he con ex o inno a ion.
Agili y is a e m used o e e o a i m’s le el o awa eness o compe i i e oppo uni ies and h ea s
and i s abili y o use his awa eness in aking inno a i e, compe i i e decisions such as in oducing
new p oduc s, making new p ocess imp o emen s, and o ming new alliances (Saha, 2017;
Sambamu hy e al., 2003). This awa eness and he esponse o his awa eness a e wo undamen al
ac o s ha demons a e he in e - ela edness o agili y and inno a ion (Cai e al., 2019). Do e (1999)
de ined “ esponse-abili y” as he physical abili y o ac h ough inno a ions and “sensing abili y” as he
KM abili ies equi ed o ind app op ia e ac o s o ac on. Ma hews and Ha is (2006) a gued ha agile
o ganiza ions a e usually knowledge d i en. Such o ganiza ions h i e on he abili y o eac apidly o
en i onmen al changes by ga he ing necessa y knowledge and asse s and hen making inno a i e
changes (Raschke, 2010). P ac i ione s in he ields o KM, IT, and s a egy (Tallon e al., 2019; Van
Oos e hou e al., 2006) and academics (Do e, 1999; O e by e al., 2005; Saha, 2017) ha e come o
iew agili y as he s a egic pe spec i e ha uly cap u es he signi icance o KM. Thus, in ou cu en
s udy, we ha e aken agili y o be he le el a which he o ganiza ion inally links KM o pe o mance.
Alolayyan e al., Cogen Business & Managemen (2020), 7: 1827812
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Finally, e y ew s udies ocus on he ela ion be ween KM and hospi al pe o mance. Najmi e al.
(2018) ound ha KM has no signi ican e ec on hospi al pe o mance, and his esul was agains
he mos commen esul which indica es ha he e is a signi ican ela ion be ween KM and HP
like Liu e al. (2005), Zheng e al. (2010), and Ud iyah e al. (2019), ano he s udy by Tang (2017)
and I.-L. Wu and Hu (2012) ound ha KM has a signi ican e ec on hospi al pe o mance, and
many o he s udies suppo he same esul in heal hca e sec o . (Achmad & G ace, 2019; J.-L.
Chen, 2017; Ka ama e al., 2019)
3. Me hodology
In his sec ion, he me hodology o he cu en s udy is discussed in de ail. P ocedu es and
p ocesses in ol ed in de eloping and choosing he ins umen used o da a collec ion a e ou -
lined. Finally, he alidi y es and eliabili y es es ima es o he ins umen , he p ocedu e o
da a collec ion, and he comple e da a analysis p ocess a e explained.
3.1. Resea ch se ing
The esea ch se ing e e s o he place ha can be seen as he physical, social, and cul u al si e
whe e he da a a e collec ed. This s udy was conduc ed in i e hospi als (p i e and go e nmen ) in
Abu Dhabi emi a e, he s a which pa icipa ed in he s udy om many a ious depa men s in he
hospi als, he s udy objec i e o de e mine he ela ionship be ween Knowledge managemen
p ac ice and hospi al pe o mance.
3.2. Resea ch design
A esea ch design is explo a o y esea ch ha esea che s use o conduc a scien i ic s udy. I is
he o e all synch oniza ion o iden i ied componen s and da a esul ing in a plausible ou come.
A esea ch design is de ined as he gene al main plan o how a esea che will go abou
answe ing he esea ch ques ions ha she o he has se (Saunde s e al., 2016). Consequen ly,
he esea ch design has wo main unc ions: he i s is o emphasize he impo ance o quali y in
hese p ocedu es o ensu e hei alidi y, objec i i y and accu acy, and he second is he iden i i-
ca ion and de elopmen o p ocedu es and logis ical a angemen s equi ed o unde ake a s udy
(Kuma , 2005).
In ou esea ch, quan i a i e esea ch was used by implemen ing expe imen al design esea ch; o
his esea ch o allow o es ing o he ela ionship and es ablishing cause and e ec s on he
esea ch ques ion (Saunde s e al., 2016). The s udy u ilized his design o iden i y and desc ibe he
e ec s o knowledge managemen p ac ice on hospi al pe o mance in Abu Dhabi emi a e hospi als.
3.3. S udy popula ion
The popula ion is desc ibed as all membe s o he s udy communi y, as well as any well-de ined
ca ego y o people, e en s o hings ha a e allo ed and gene alized abou i , on he o he hand,
a sample is de ined as a pa o he popula ion o a small g oup ha is obse ed and iden i ied in
a esea ch s udy (Manoha an, 2010). The a ge popula ion in s a is ics is he speci ic popula ion
abou which in o ma ion is desi ed. Popula ion s udies also called census a e mo e ep esen a i e
because e e yone has an equal chance o be included in he inal sample ha is d awn acco ding
o Mugenda (2003), he a ge popula ion o his s udy consis ed o hospi als medical s a and
s a om many a ious depa men s.
3.4. Sample and sampling echniques
Sampling is de ined as a delica e p ocess o selec ing speci ic membe s o a subse o he o al
popula ion o make in e ences and s a is ical s udies om hem and o es ima e gene al cha -
ac e is ics o he en i e communi y. Resea che s use all sampling ypes on a social science and
ma ke esea ch, so ha hey do no need o s udy all membe s o he popula ion o each gene al
judgmen s. I is also a me hod ha has he quali ies o being bo h ime and cos -e ec i e and
hus o ms an impo an basis o any esea ch design.
Alolayyan e al., Cogen Business & Managemen (2020), 7: 1827812
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Gy (1992) a gues ha he comp ehensi eness o a s udy sample is undamen al o i s eliabili y, as
i allows o he gene aliza ion o he s udy indings. Though sample sizes may di e depending on he
ype o esea ch in ques ion, he ideal sample size, i e obse a ions o each independen a iable 5:1
is usually he a io used o de e mine s a is ical powe (sample size) (Hai , 2009). In acco dance wi h
he abo e condi ion, he esea che selec ed a mode a e ye app op ia e sample size o 200 espon-
den s om he i e hospi als; howe e , only 200 esponses we e e u ned back o analysis.
Pa icipan s we e chosen om a lis o he a ge ed popula ion o he s udy using a s a i ied andom
sampling echnique (s a i ied andom sampling is a me hod whe e he popula ion can be di ided in o
smalle g oups, ha don’ o e lap bu ep esen he en i e popula ion oge he . While sampling, hese
g oups can be o ganized and hen d aw a sample om each g oup sepa a ely).
The sampling echniques ocused mainly on ce ain demog aphic cha ac e is ics o he esea ch
popula ion, namely Gende [Male—122 (61%), Female—78 (39%)]; Age [20–35 y s—170 (85%),
36–50 y s—27 (13.5 %), 51–65 y s—3 (1.5%)]; Le el o Educa ion [Diploma—11 (5.5%), G adua e—
85 (42.5%), Pos g adua e—104 (52)]; P o ession [Manage —2 (1 %), Senio O ice —26 (13 %),
Head o Depa men —33 (16.5 %), Supe iso —25 (12.5 %), adminis a o s—83 (41.5 %), Heal h
Managemen S a —31 (15.5%)]; and Yea s o Expe ience [2 y s o less han 2 y s—56 (28%),
3–5 y s—66 (33 %), 6–10 y s—63 (31.5 %), and 11–25 y s—15 (7.5 %)]. Table 1 p esen s de ails on
he esea ch sample selec ed o his s udy.
The s udy sample consis ed o 200 esponden s, 27 (13.5 %) om Al Co niche Hospi al, 85
(42.5%) om Sheikh Khali a Medical Ci y, 33 (16.5 %) om Li eline Hospi al, 30 om (15 %) Al
Salam Hospi al, and he emaining 25 (12.5%) om Ma a aq Hospi al. Table 2 p esen s a summa y
o he s udy sample size.
The olun ee s in ol ed in he esea ch we e s a om he i e hospi als which was selec ed. The
i e hospi als we e s ic ly which con o med o he key c i e ia used o sample selec ion in his s udy.
Table 1. Sample s a is ics o he esponden s
F equency (N) Pe cen age %
Gende Male 122 61
Female 78 39
Age (yea s) 20–35 170 85
36–50 27 13.5
51–65 3 1.5
Educa ion le el Diploma 11 5.5
G adua e 85 42.5
Pos g adua e 104 52
P o ession Manage s 2 1
Senio O ice s 26 13
Head o Depa men s 33 16.5
Supe iso s 25 12.5
Adminis a o 83 41.5
Heal h Managemen S a 31 15.5
Expe iences 2 yea s o Less han
2 yea s
56 28
3–5 yea s 66 33
6–10 yea s 63 31.5
11–25 yea s 15 7.5
To al 200 100%
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3.5. S udy a iables
I was ini ially en isaged ha he only dependen a iable in he s udy was hospi al pe o mance
and he independen a iable was knowledge managemen p ac ice. Li e a u e, as well as indings,
con i med ha all a iables i.e. knowledge managemen p ac ices and heal h in o ma ion man-
agemen a e posi i e in luence on he o ganiza ion pe o mance as gene al, and hospi al pe o -
mance as special case. Independen a iables we e con i med o ela e well wi h dependen
a iables o p oduce meaning ul esul s.
The su ey ool is a ool o he con inuous implemen a ion o a igo ous scien i ic p o ocol o
ob ain da a om esponden s in an e icien manne ; he ool includes a ques ionnai e ha
p o ides clea and unde s andable ex o p esen a s anda d se o ques ions ela ed o he
s udy p oblem as well as answe op ions. The su ey ool con ains ques ions ha add ess speci ic
s udy objec i es. The Su ey Tool can also be used o collec demog aphic da a. Ou ques ionnai e
was de eloped based on he objec i e se o cla i y he ela ionship be ween knowledge manage-
men and hospi al pe o mance in Abu Dhabi emi a e hospi als.
A h ee-pa ques ionnai e was used o he collec ion o da a in his s udy. Pa A consis ed o
ques ions on he demog aphic cha ac e is ics o he esponden s, pa B on knowledge manage-
men p ac ices (KM cons uc s), and pa C on o ganiza ional pe o mance (Hospi al) (HP con-
s uc s). The i ems in he h ee pa s we e based on p e ious au hen ic esea ch ela ed o he
cu en a ea o in e es . The ollowing pa ag aphs p esen de ails on he numbe s and sou ces o
hese i ems. “Pa A” ocused on ce ain demog aphic cha ac e is ics o he esponden s, namely
Gende (Male o Female), Age (20–35 y s; 36–50 y s; and 51–65 y s), Le el o Educa ion (Diploma;
Bachelo Deg ee; and Pos g adua e), P o ession (Manage ; Senio O ice ; Head o Depa men ;
Supe iso ; Adminis a o ; and Heal h Managemen S a ), and Yea s o Expe ience (2 y s o less
han 2 y s; 3–5 y s; 6–10 y s; 11–25 y s; and 26 y s and o e ). “Pa B” included 43 i ems [adap ed,
modi ied, and used] o measu e KM p ac ices. I ems in pa B we e based on he s udies o
Ga cía-Fe nández (2015); Chen and Huang (2009), Kao e al. (2011), and Fuga e e al. (2009).
A 7-poin Like ype scale, anging om s ongly disag ee (1) o s ongly ag ee (7), was used o
measu emen o he da a. A high numbe o “S ongly Ag ee” sco es indica ed a s ong belie
amongs many esponden s in he exis ence o KM p ac ices, whils a high numbe o “S ongly
Disag ee” sco es indica ed he opposi e. Table 3 shows in de ail he composi ion o his cons uc .
“Pa C” consis ed o 23 s uc u ed i ems adap ed o he hi d pa o he ques ionnai e (Hospi al
Pe o mance) and aken om he s udies o Chen and Liang (2011), Chen and Huang (2009),
Alolayyan e al. (2013), and Liao and Wu (2009). This sec ion aimed o measu e he pa icipan s’
opinions on he o e all pe o mance and cus ome se ice o hei hospi als. Simila o pa B,
answe s o he ques ions in his sec ion we e measu ed on a 7-poin Like scale, anging om
s ongly disag ee (1) o s ongly ag ee (7). A high sco e o “S ongly Ag ee” esponses indica ed
posi i e pa icipan iews on hospi al pe o mance (speci ically wi h ega d o cus ome se ice),
whils a high sco e o “S ongly Disag ee” esponses indica ed he opposi e. Table 4 shows in de ail
he make-up o pa C.
Table 2. Hospi als names and sample size o each hospi al
Hospi al name Sample numbe Pe cen age %
Al Co niche Hospi al 27 13.5
Sheikh Khali a Medical Ci y 85 42.5
Li eline Hospi al 33 16.5
Al Salam Hospi al 30 15
Ma aq Hospi al 25 12.5
To al 200 100%
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3.6. Me hod o Da a Collec ion
Da a collec ion is a p ocess o collec ing in o ma ion om all he ele an sou ces o ind answe s
o he esea ch p oblem o achie e esea ch objec i e, es he hypo hesis and e alua e he
ou comes. Da a collec ion me hods can be di ided in o wo ca ego ies: seconda y me hods o
da a collec ion and p ima y me hods o da a collec ion.
In his s udy used p ima y da a, p ima y da a we e ob ained h ough a s uc u ed ques ionnai e.
The ques ionnai e, ha d copies we e u ilized as he da a collec ion ool. The ha d copies we e
p in ed; a ques ionnai e is a w i en lis o ques ions, he answe s o which a e eco ded by he
esponden s (Kuma , 2019), his da a collec ion me hod was u ilized because i was accu a e,
con enien o use, inexpensi e and p o ided anonymi y o he esponden s.
A well-designed and p e- es ed ques ionnai e was used o ga he da a om pa icipan s on he
speci ied a iables. One ad an age o ques ionnai es is ha hey can be used o ga he da a om
a la ge numbe o people whils equi ing li le ime, e o , and cos . Fu he , ques ionnai es a e
lexible in ha esponden s ha e he eedom o ill hem in hei own ime and o emain anon-
ymous, which encou ages hones answe s. Howe e , one disad an age o using w i en ques ion-
nai es o da a collec ion is ha he esea che may be equi ed o ake u he s eps o ensu e
a sa is ac o y u n-in a e o ques ionnai es by pa icipan s. In he case o ou cu en s udy, he
Table 3. Lis o i ems o KM cons uc
(KM1: Knowledge Acquisi ion)
NA1: Knowledge is ob ained om a cus ome du ing wo k- ela ed in e ac ion.
NA2: Knowledge is ob ained om pa ne s du ing wo k- ela ed in e ac ion.
NA3: Knowledge is ob ained om an employee du ing wo k- ela ed in e ac ion.
KM2: (Knowledge S o age)
NS1: Employees end o monopolize knowledge as a sou ce o powe and a e eluc an o sha e i
wi h o he employees.
NS2: S a u no e does no imply a loss o impo an knowledge o skills o he hospi al.
NS3: The i m has p ocedu es o he collec ion o p oposals om employees, which a e hen
inco po a ed as knowledge by he i m.
NS4: The i m has da abases s o ing expe iences and knowledge o la e use.
KM3: (Knowledge C ea ion)
KC1: A e ou hospi al has se i s inno a i e goals, hese goals become ixed.
KC2: Se ing he hospi al’s inno a i e plans is conside ed impo an and mus mee many people’s
iews.
KC3: When se ing ou hospi al’s plans, he manage does no limi he ways o discussion.
KC4: A e se ing an inno a i e plan, he e can be lexible adjus men s du ing i s execu ion.
KC5: A e execu ing ou company’s plans, we do no ca e abou de i ing o he esul s.
KM4: (Knowledge Sha ing)
KSH1: Du ing wo k, knowledge is sha ed be ween supe iso s and subo dina es.
KSH2: Du ing wo k, knowledge is sha ed among colleagues.
KSH3: Du ing wo k, knowledge is sha ed be ween uni s.
Knowledge Implemen a ion and Gene a ion
KIG1 Is isi ing cus ome s’ si es o be e unde s and hei needs encou aged?
KIG2 Is ge ing o in ol e in sales ac i i ies encou aged?
KIG3 Is ge ing o in ol e in helping o esol e cus ome p oblems encou aged?
KIG1 Is isi ing cus ome s’ si es o be e unde s and hei needs encou aged?
Alolayyan e al., Cogen Business & Managemen (2020), 7: 1827812
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The pa ame e loadings o he model all p o ed logical and s a is ically signi ican . The yielded
loading coe icien s anged was be ween 0.76 and 0.95, all abo e he accep able h eshold o 0.7
(By ne, 2016; Kline, 2015). Fu he analysis also e ealed he s a is ical and signi ican in e ela ed-
ness o he cons uc s, pa icula ly he KM and HP cons uc s, which we e highly s a is ically in e -
ela ed gi en ha he C i ical Ra io (CR) alues o each o he in e - a iable ela ionships (By ne, 2016;
Kline, 2015) exceeded 1.96 (6.601) ( he absolu e alue), a 0.05% le el o signi icance.
This model also p o ed he in e ela edness o he cons uc s. Analysis o he model
sugges ed ha KM has a a o able and s a is ically signi ican ela ionship wi h hospi al
pe o mance (HP) = 0.92. The e ec es ima es showed o be s a is ically signi ican and
logically a ional and me he ypical s anda ds o e idence o di ec (0.2) (By ne, 2016;
Kline, 2015). Table 8 p esen s accu a e measu es o he e ec s and ela ionships o he
s udied cons uc s.
The esul s we e in line wi h p e ious esea ch in he heal hca e sec o which ound ha KM
has a posi i e e ec on hospi al pe o mance (Achmad & G ace, 2019; Chen, 2017; Ka ama
e al., 2019; Wu & Hu, 2012). Fu he mo e, he esul s we e in line wi h p e ious esea ch which
a e ocus on he ela ion be ween KM and HP in gene al (Cai e al., 2019; Nzewi & Moneme, 2016;
O e by e al., 2005; Sambamu hy e al., 2003; Wo ley & Lawle , 2010). The esul s we e also
suppo ing he new end in he quali y sys em s anda ds and he quali y awa ds o include he
KM in hei c i e ia and equi emen s.
6. Conclusion
In ou cu en s udy, a se ies o ex ensi e analyses all e ealed he i al ole o KM in imp o ing
hospi al pe o mance and cus ome sa is ac ion and encou aging hospi al success. The model
employed in ou cu en s udy may be o e icacious use o all hospi als, and Abu Dhabi
hospi als, which seek o assess pe o mance in a way ha mee s in e na ional acc edi a ion
s anda ds. None heless, he esul s o his s udy lack gene alizabili y, and his is a esul o he
small sample size and geog aphical a ea co e ed, he p esence o desi abili y biases in he
esponden s answe s, he lack o su icien wo k and hospi al expe ience o he esponden s,
and he p esence o common me hod a iance/biases. Ou cu en s udy has been e ec i e in
ecognizing he signi icance o KM in imp o ing hospi al pe o mance and cus ome sa is ac ion
and has pa ed he way o any u u e wo ks ha wish o u he explo e he complex ye
essen ial ole o KM.
These days heal hca e sec o in de eloping coun ies is acing many p oblems ela ed o quali y
and cos o hei se ices, knowledge managemen as a le e age o imp o e he se ice quali y
le el and o educe he se ice cos is he main message which can be concluded om his pape .
Fu he mo e, knowledge managemen becomes a e y impo an pa in mos o he quali y
managemen sys ems o example, KM is added o ISO9001 and i is one o he main c i e ia o
mos o he excellence quali y Awa ds, ha is because he impo ance o i s ule on he o ganiza-
ion pe o mance. Hospi als and heal hca e sec o s in de eloping coun ies a e encou aged o
de elop hei knowledge managemen ools by ocusing on he ac o s which a e conside ed in his
pape o imp o e hei pe o mance.
Table 8. Analysis o causal e ec s among he cons uc s
De e minan Ou come Di ec Resea ch/
Ques ion
Resul
KM (HP) .92 Main Resea ch Suppo ed
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Page 14 o 17

Funding
The au ho s ecei ed no di ec unding o his esea ch.
Au ho de ails
Main Nase Alolayyan
1
E-mail: [email p o ec ed]
Abdallah Hassan Alalawin
2
E-mail: [email p o ec ed]
Mohammad S. Alyahya
1
E-mail: [email p o ec ed]
Ahmad Qama
2
E-mail: [email p o ec ed]
1
Depa men o heal h managemen and policy, Facul y
o Medicine, Jo dan Uni e si y o Science and
Technology, I bid, Jo dan.
2
Facul y o Enginee ing, The Hashemi e Uni e si y,
Jo dan-Al-za qa.
Ci a ion in o ma ion
Ci e his a icle as: The impac o knowledge managemen
p ac ice on he hospi al pe o mance in Abu Dhabi, Main
Nase Alolayyan, Abdallah Hassan Alalawin, Mohammad
S. Alyahya & Ahmad Qama , Cogen Business &
Managemen (2020), 7: 1827812.
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