DEVELOPMENT OF KNOWLEDGE MANAGEMENT FRAMEWORK FOR HEALTHCARE IN KENYA: A CASE STUDY OF VIHIGA COUNTY

MUTUA, JACKSON MUKETO

Home
→
Masters Theses and Dessertations
→
MST-SCHOOL OF COMPUTING AND INFORMATION TECHNOLOGY
→
View Item

dc.contributor.author	MUTUA, JACKSON MUKETO
dc.date.accessioned	2025-03-14T07:36:48Z
dc.date.available	2025-03-14T07:36:48Z
dc.date.issued	2024-08
dc.identifier.citation	Abbate, S., Centobelli, P., Cerchione, R., Oropallo, E., & Riccio, E. (2023). Investigating Healthcare 4.0 Transition Through a Knowledge Management Perspective. IEEE Transactions on Engineering Management, 70(9), 3297– 3310. https://doi.org/10.1109/TEM.2022.3200889 Abidi, S. S. R. (2001). Knowledge management in healthcare: Towards ‘knowledgedriven’ decision-support services. International Journal of Medical Informatics, 63(1–2), 5–18. https://doi.org/10.1016/S1386-5056(01)00167-8 Adesina, A. O., & Ocholla, D. N. (2019). SECI Model in Knowledge Management Practices: Past, Present and Future. Mousaion: South African Journal of Information Studies, 37(3). https://doi.org/10.25159/2663-659X/6557 Ajanaku, O. J. (2018). Knowledge management infrastructure and processes on effectiveness of nursing care. 2018 12th International Conference on Research Challenges in Information Science (RCIS), 1–6. https://doi.org/10.1109/RCIS.2018.8406664 Alajmi, B. M., Marouf, L. N., & Chaudhry, A. S. (2016). Knowledge Management for Healthcare: Investigating Practices that Drive Performance. Journal of Information & Knowledge Management, 15(02), 1650014. https://doi.org/10.1142/S0219649216500143 Ali, N., Tretiakov, A., Whiddett, D., & Hunter, I. (2017). Knowledge management systems success in healthcare: Leadership matters. International Journal of Medical Informatics, 97, 331–340. https://doi.org/10.1016/j.ijmedinf.2016.11.004 Almansoori, A., AlShamsi, M., Salloum, S. A., & Shaalan, K. (2021). Critical Review of Knowledge Management in Healthcare. In M. Al-Emran, K. Shaalan, & A. E. Hassanien (Eds.), Recent Advances in Intelligent Systems and Smart Applications (Vol. 295, pp. 99–119). Springer International Publishing. https://doi.org/10.1007/978-3-030-47411-9_6 Arshad, A., Bin Noordin, M. F., & Othman, R. B. (2016). A Comprehensive Knowledge Management Process Framework for Healthcare Information Systems in Healthcare Industry of Pakistan. 2016 6th International Conference on Information and Communication Technology for The Muslim World (ICT4M), 30–35. https://doi.org/10.1109/ICT4M.2016.019 Austin, L., Sharp, C. A., Van Der Veer, S. N., Machin, M., Humphreys, J., Mellor, P., McCarthy, J., Ainsworth, J., Sanders, C., & Dixon, W. G. (2020). Providing ‘the bigger picture’: Benefits and feasibility of integrating remote monitoring74 from smartphones into the electronic health record. Rheumatology, 59(2), 367– 378. https://doi.org/10.1093/rheumatology/kez207 Ayatulloh, D., Nursalam, N., & Kurniawati, N. D. (2021). The Effect of Knowledge Management in Healthcare Services: A Systematic Review. JURNAL PENDIDIKAN KEPERAWATAN INDONESIA, 7(1), 84–96. https://doi.org/10.17509/jpki.v7i1.35132 Babič, F., Anderková, V., Bosnić, Z., Volarić, M., & Trtica Majnarić, L. (2022). SECI Model in Data-Based Procedure for the Assessment of the Frailty State in Diabetic Patients. In A. Holzinger, P. Kieseberg, A. M. Tjoa, & E. Weippl (Eds.), Machine Learning and Knowledge Extraction (Vol. 13480, pp. 328– 342). Springer International Publishing. https://doi.org/10.1007/978-3-031- 14463-9_21 Banna, S. (2018). Knowledge Management in Health: An Australian Viewpoint. 2018 International Conference on Smart Computing and Electronic Enterprise (ICSCEE), 1–4. https://doi.org/10.1109/ICSCEE.2018.8538359 Basile, L. J., Carbonara, N., Pellegrino, R., & Panniello, U. (2023). Business intelligence in the healthcare industry: The utilization of a data-driven approach to support clinical decision making. Technovation, 120, 102482. https://doi.org/10.1016/j.technovation.2022.102482 Berros, N., El Mendili, F., Filaly, Y., & El Bouzekri El Idrissi, Y. (2023). Enhancing Digital Health Services with Big Data Analytics. Big Data and Cognitive Computing, 7(2), 64. https://doi.org/10.3390/bdcc7020064 Berwick, D. M. (2019). Reflections on the Chronic Care Model—23 Years Later. The Milbank Quarterly, 97(3), 665–668. https://doi.org/10.1111/1468-0009.12414 Bonett, D. G., & Wright, T. A. (2015). Cronbach’s alpha reliability: Interval estimation, hypothesis testing, and sample size planning. Journal of Organizational Behavior, 36(1), 3–15. https://doi.org/10.1002/job.1960 Bose, R. (2003). Knowledge management-enabled health care management systems: Capabilities, infrastructure, and decision-support. Expert Systems with Applications, 24(1), 59–71. https://doi.org/10.1016/S0957-4174(02)00083-0 Cato, K. D., McGrow, K., & Rossetti, S. C. (2020). Transforming clinical data into wisdom: Artificial intelligence implications for nurse leaders. Nursing Management, 51(11), 24–30. https://doi.org/10.1097/01.NUMA.0000719396.83518.d6 Centobelli, P., Cerchione, R., Esposito, E., & Riccio, E. (2021). Enabling technological innovation in healthcare: A knowledge creation model perspective. 2021 IEEE75 Technology & Engineering Management Conference - Europe (TEMSCONEUR), 1–6. https://doi.org/10.1109/TEMSCON-EUR52034.2021.9488590 Chand, R. D., Rajnish, R., Chandra, H., & Pradhan, P. K. (2024). Telemedicine 2.0: Redefining Telehealth for Healthcare and Knowledge Management. 2024 11th International Conference on Computing for Sustainable Global Development (INDIACom), 893–898. https://doi.org/10.23919/INDIACom61295.2024.10498763 Chen, Y., Yang, L., Hu, H., Chen, J., & Shen, B. (2017). How to Become a Smart Patient in the Era of Precision Medicine? In B. Shen (Ed.), Healthcare and Big Data Management (Vol. 1028, pp. 1–16). Springer Singapore. https://doi.org/10.1007/978-981-10-6041-0_1 Collins, F. S., & Varmus, H. (2015). A New Initiative on Precision Medicine. New England Journal of Medicine, 372(9), 793–795. https://doi.org/10.1056/NEJMp1500523 Currie, G., & White, L. (2012). Inter-professional Barriers and Knowledge Brokering in an Organizational Context: The Case of Healthcare. Organization Studies, 33(10), 1333–1361. https://doi.org/10.1177/0170840612457617 Das, S., & Sil, J. (2020). Knowledge uncertainty management in remote healthcare based on mutual information. 2020 6th International Conference on Advanced Computing and Communication Systems (ICACCS), 236–241. https://doi.org/10.1109/ICACCS48705.2020.9074480 Dwivedi, A., Bali, R. K., James, A. E., Naguib, R. N. G., & Johnston, D. (2002). Merger of knowledge management and information technology in healthcare: Opportunities and challenges. IEEE CCECE2002. Canadian Conference on Electrical and Computer Engineering. Conference Proceedings (Cat. No.02CH37373), 1194–1199. https://doi.org/10.1109/CCECE.2002.1013118 F. Elharish, S., Denna, I., M. Maatuk, A., & K. Elberkawi, E. (2021). Application of Electronic Health Records in Polyclinics: Barriers & Benefits. International Conference on Data Science, E-Learning and Information Systems 2021, 40– 46. https://doi.org/10.1145/3460620.3460628 Farnese, M. L., Barbieri, B., Chirumbolo, A., & Patriotta, G. (2019). Managing Knowledge in Organizations: A Nonaka’s SECI Model Operationalization. Frontiers in Psychology, 10, 2730. https://doi.org/10.3389/fpsyg.2019.02730 Fitriyani, N. L., Syafrudin, M., Alfian, G., & Rhee, J. (2020). HDPM: An Effective Heart Disease Prediction Model for a Clinical Decision Support System. IEEE Access, 8, 133034–133050. https://doi.org/10.1109/ACCESS.2020.301051176 Fitzgerald, J. D., Andrade, J. M., Curl, S. L., Smith, E. B., Torna, E., & Nelson, D. S. (2021). Development of nutrition counselling resources for family medicine using the knowledge to action framework. Family Practice, 38(1), 32–37. https://doi.org/10.1093/fampra/cmaa020 Gee, P. M., Greenwood, D. A., Kim, K. K., Perez, S. L., Staggers, N., & DeVon, H. A. (2012). Exploration of the e-patient phenomenon in nursing informatics. Nursing Outlook, 60(4), e9–e16. https://doi.org/10.1016/j.outlook.2011.11.005 Gyrard, A., Gaur, M., Shekarpour, S., Thirunarayan, K., & Sheth, A. (2018). Personalized Health Knowledge Graph. CEUR Workshop Proceedings, 2317, 5. Halim, E., Halim, P. P., & Hebrard, M. (2017). Indonesia medical knowledge management system: A proposal of medical KMS. 2017 International Conference on Information Management and Technology (ICIMTech), 322– 327. https://doi.org/10.1109/ICIMTech.2017.8273559 Hammoda, B., & Durst, S. (2022). A taxonomy of knowledge risks for healthcare organizations. VINE Journal of Information and Knowledge Management Systems. https://doi.org/10.1108/VJIKMS-07-2021-0114 Hussien, H. M., Yasin, S. M., Udzir, S. N. I., Zaidan, A. A., & Zaidan, B. B. (2019). A Systematic Review for Enabling of Develop a Blockchain Technology in Healthcare Application: Taxonomy, Substantially Analysis, Motivations, Challenges, Recommendations and Future Direction. Journal of Medical Systems, 43(10), 320. https://doi.org/10.1007/s10916-019-1445-8 Johan, Kurniawan, Y., Sudiana, & Cabezas Tapia, D. F. (2018). The Influence of Knowledge Management Capabilities on Hospital Services Performance. 2018 International Conference on Information Management and Technology (ICIMTech), 554–559. https://doi.org/10.1109/ICIMTech.2018.8528152 Karamat, J., Shurong, T., Ahmad, N., Afridi, S., Khan, S., & Khan, N. (2019). Developing Sustainable Healthcare Systems in Developing Countries: Examining the Role of Barriers, Enablers and Drivers on Knowledge Management Adoption. Sustainability, 11(4), 954. https://doi.org/10.3390/su11040954 Kostic, P., Vasiljevic, Z., Pavlovic, S., Milosavljevic, I., Milanovic, J. G., Blesic, S., & Milanovic, S. (2011). Knowledge management system for clinical decision support — Application in cardiology. 2011 19thTelecommunications Forum (TELFOR) Proceedings of Papers, 1261–1264. https://doi.org/10.1109/TELFOR.2011.614378177 Lee, C., & Ho, K. (2019). Knowledge to action framework for home health monitoring. Healthcare Management Forum, 32(4), 183–187. https://doi.org/10.1177/0840470419855364 Lluch, M. (2011). Healthcare professionals’ organisational barriers to health information technologies—A literature review. International Journal of Medical Informatics, 80(12), 849–862. https://doi.org/10.1016/j.ijmedinf.2011.09.005 Loutfy, M., Tharao, W., Kazemi, M., Logie, C. H., Underhill, A., O’Brien, N., Pick, N., Kestler, M., H.Yudin, M., Rana, J., MacGillivray, J., Kennedy, V. L., Jaworsky, D., Carvalhal, A., Conway, T., Webster, K., Lee, M., Islam, S., Nicholson, V., … on behalf of the CHIWOS Research Team. (2021). Development of the Canadian Women-Centred HIV Care Model Using the Knowledge-to-Action Framework. Journal of the International Association of Providers of AIDS Care (JIAPAC), 20, 232595822199561. https://doi.org/10.1177/2325958221995612 Mantas, J. (2020). The Importance of Health Informatics in Public Health During the COVID-19 Pandemic. Studies in Health Technology and Informatics, 272, 487–488. https://doi.org/10.3233/SHTI200602 Martins, V. W. B., Rampasso, I. S., Anholon, R., Quelhas, O. L. G., & Leal Filho, W. (2019). Knowledge management in the context of sustainability: Literature review and opportunities for future research. Journal of Cleaner Production, 229, 489–500. https://doi.org/10.1016/j.jclepro.2019.04.354 Myllärniemi, J., Laihonen, H., Karppinen, H., & Seppänen, K. (2012). Knowledge management practices in healthcare services. Measuring Business Excellence, 16(4), 54–65. https://doi.org/10.1108/13683041211276447 Pereira De Souza, V., Baroni, R., Choo, C. W., Castro, J. M. D., & Barbosa, R. R. (2021). Knowledge management in health care: An integrative and resultdriven clinical staff management model. Journal of Knowledge Management, 25(5), 1241–1262. https://doi.org/10.1108/JKM-05-2020-0392 Putri, N. K. S., Hudiarto, & Argogalih. (2017). Knowledge management model for telemedicine. 2017 International Conference on Information Management and Technology (ICIMTech), 133–138. https://doi.org/10.1109/ICIMTech.2017.8273525 Ramli, R., & Ali, N. (2018). Teleconsultation as Knowledge Management System: Recognizing the Issues Contributing to its Underutilization in Hospitals. 2018 International Conference on Advanced Computer Science and Information Systems (ICACSIS), 277–282. https://doi.org/10.1109/ICACSIS.2018.861820378 Ramos‐Morcillo, A. J., Harillo‐Acevedo, D., & Ruzafa‐Martinez, M. (2020). Using the Knowledge‐to‐Action Framework to understand experiences of breastfeeding guideline implementation: A qualitative study. Journal of Nursing Management, 28(7), 1670–1685. https://doi.org/10.1111/jonm.13123 Rocha, E. S. B., Nagliate, P., Furlan, C. E. B., Rocha Jr, K., Trevizan, M. A., & Mendes, I. A. C. (2012). Knowledge management in health: A systematic literature review. Revista Latino-Americana de Enfermagem, 20(2), 392–400. https://doi.org/10.1590/S0104-11692012000200024 Ronquillo, C., Currie, L. M., & Rodney, P. (2016). The Evolution of Data-InformationKnowledge-Wisdom in Nursing Informatics. Advances in Nursing Science, 39(1), E1–E18. https://doi.org/10.1097/ANS.0000000000000107 Rueangsirarak, W., Chakpitak, N., Meksamoot, K., & Pothongsunun, P. (2014). Knowledge management system in falling risk for physiotherapy care of elderly. Signal and Information Processing Association Annual Summit and Conference (APSIPA), 2014 Asia-Pacific, 1–7. https://doi.org/10.1109/APSIPA.2014.7041812 Shahmoradi, L., Safadari, R., & Jimma, W. (2017a). Knowledge management implementation and the tools utilized in healthcare for evidence-based decision making: A systematic review. Ethiopian Journal of Health Sciences, 27(5), 541. https://doi.org/10.4314/ejhs.v27i5.13 Shahmoradi, L., Safadari, R., & Jimma, W. (2017b). Knowledge management implementation and the tools utilized in healthcare for evidence-based decision making: A systematic review. Ethiopian Journal of Health Sciences, 27(5), 541. https://doi.org/10.4314/ejhs.v27i5.13 Solomon, L., Gudi, R. B., Asfandiyar, H., Sneha, S., & Shahria, H. (2022). Knowledge Management in a Healthcare Enterprise: Creation of a Digital Knowledge Repository. 2022 IEEE International Conference on Digital Health (ICDH), 215–217. https://doi.org/10.1109/ICDH55609.2022.00041 Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for success. Npj Digital Medicine, 3(1), 17. https://doi.org/10.1038/s41746-020-0221-y Walsh, J. N., & O’Brien, J. (2021). The role of information systems and knowledge codification for service provision strategies. Journal of Service Theory and Practice, 31(3), 318–350. https://doi.org/10.1108/JSTP-06-2020-0138 Wang, D., Wang, L., Zhang, Z., Wang, D., Zhu, H., Gao, Y., Fan, X., & Tian, F. (2021). “Brilliant AI Doctor” in Rural Clinics: Challenges in AI-Powered Clinical79 Decision Support System Deployment. Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems, 1–18. https://doi.org/10.1145/3411764.3445432 Ward, V. (2017). Why, whose, what and how? A framework for knowledge mobilisers. Evidence and Policy, 13(3), 477–497. https://doi.org/10.1332/174426416X14634763278725 Wyatt, H. J., & Day, N. W. (1976). Specific effects of neurotransmitter antagonists on ganglion cells in rabbit retina. Science (New York, N.Y.), 191(4223), 204–205. https://doi.org/10.1126/science.1857 Yamazaki, T., & Umemoto, K. (2010). Knowledge Management of Healthcare by Clinical-Pathways. Journal of Information & Knowledge Management, 09(02), 119–125. https://doi.org/10.1142/S0219649210002577 Yockey, R. D. (2023). SPSS demystified: A simple guide and reference (Fourth edition). Routledge. Zhuang, Y., Sheets, L. R., Chen, Y.-W., Shae, Z.-Y., Tsai, J. J. P., & Shyu, C.-R. (2020). A Patient-Centric Health Information Exchange Framework Using Blockchain Technology. IEEE Journal of Biomedical and Health Informatics, 24(8), 2169– 2176. https://doi.org	en_US
dc.identifier.uri	http://erepository.kafuco.ac.ke/123456789/259
dc.description.abstract	Knowledge is an essential and a central intangible asset in an organization and has been seen as power for groups who possess it. Knowledge management deals with the generation, use, reuse, and transmission of knowledge. In the healthcare sector, effective knowledge management increases efficiency, reduces the likelihood of errors, and improves communication among teams and organizations. However, among the many challenges facing the healthcare industry in Vihiga County are the growing complexity of the healthcare sector, inadequate information and resource access, and ineffective coordination and communication among healthcare professionals. This study aimed at developing a knowledge management framework for healthcare in Kenya where the scope was further narrowed down to Vihiga county. The research was anchored on the following specific objectives: To investigate the status of knowledge management practices in healthcare facilities, to determine the factors that affect knowledge management in healthcare and to develop a knowledge management framework for healthcare. The research adopted a mixed methods approach where both quantitative and qualitative data were used. Quantitative data collected was analyzed using descriptive statistics tools like multiple regression, inferential statistics and presented using charts and tables while using ATLAS.ti9 tool thematic analysis was conducted for qualitative data analysis and presented using themes. This study revealed that healthcare professionals in Vihiga County rarely contribute to knowledge management practices at a response rate of 84.9% which is an indicator of a negative knowledge sharing culture in the healthcare sector in Vihiga county. Again, the research found that: limited leadership support, frail technological infrastructure and difficulty in information accessibility are some of the challenges which affect knowledge management in healthcare. The knowledge management framework developed can not only be used in healthcare of Vihiga county but also in the other Counties in Kenya and even on a global scale.	en_US
dc.description.sponsorship	KAIMOSI FRIEND'S UNIVERSITY	en_US
dc.language.iso	en_US	en_US
dc.title	DEVELOPMENT OF KNOWLEDGE MANAGEMENT FRAMEWORK FOR HEALTHCARE IN KENYA: A CASE STUDY OF VIHIGA COUNTY	en_US
dc.type	Thesis	en_US