Study Of Medical Staff's Tacit Knowledge Delivery Network And Affecting Factors

Tacit knowledge is obtained through specific manner by organization, group and individual, and is knowledge impossible to express clearly, difficult to duplicate and with internal tacit characteristic. The Medical personnel's tacit knowledge is attained through individual's long-term clinical practice, learning and experience gained from personal life, is the skills, experience and thinking, observation, analysis, decision-making skills and their value systems combined in the treatment and caring process of perception applied in clinical work, which is invisible numeralized knowledge existing in the work procedure and certain sense.The medical personnel's tacit knowledge ultimately impacts the medical staff to judge treatment of disease, affect their ability to make choices and work execution of clinical affairs. How to effectively manage the hospital medical staff's tacit knowledge, to build a strong hospital tacit knowledge management system, so the use of tacit knowledge would been greatly improved, so as to improve the hospital's core competencies, is the ultimate goal for each medical institutions'object.This paper seeks to research qualitatively and quantitatively the transfer network and impact factors of medical personnel's tacit knowledge, based on the methods of literature survey, expert visit, positive research, and theory of knowledge management, information transfer, organize study, describes the formation of tacit knowledge, content, delivery rules, effect and trace. The research, introducing the relationship and structure factors of social network theory to the the medical personnel's tacit knowledge management, extended includes the formation background, characteristics, effects, sharing, multi hierarchy and network management, to provide relevant references for tacit knowledge delivery network research. It also studies the delivery effectivity and effect factors of tacit knowledge delivery network research, and treat the organization culture as the key point for solving the external adaptability and internal consistency, supplying the new field of vision on the medical personnel's tacit knowledge studying. The medical personnel's tacit knowledge delivery network and effect factors study model is established based on the previous qualitative study and combined with the practical conditions of domestic hospital by SPSS18.0. It is applied for the statistical quantitative research for the both procedures of tacit knowledge transfer and dominance. We adopt the five effect factors of medical knowledge' silence complexity, transmitting desire, contradiction of receiving, ignoring of manager, distance on knowledge, three delivery networks of external communication, organization communication and interpersonal communication to propose the research assumption based on medical knowledge features, transmit leg, receive leg and delivery sense. We design the interview syllabus and questionnaire. The5effect factors utilize the15options, and the3delivery networks utilize the9options. The questionnaires are put out in large-scale before the documentary reading, expert discussion, options generation, questionnaire pre survey, questionnaire modification and redesign. The Cronbach's alpha parameters check inter-scores reliability to guarantee the qualities. The efficiency analysis uses the Kaiser-Meyer-Olkin measure of sampling adequacy and Bartlett test of sphericity. The factor analysis uses the main component method, and revolution error uses the maximum variance method. The practical study is operated by plurality linear regression after dealing with multiple colinearity, serial correlation and heteroscedasticity,for the subject investigated of210medical staff in Zhuzhou, Chenzhou city, Hunan province.The result indicated that the silent complexity had an negative effect on both transmission network and results in the process of medical staff's tacit knowledge transfer and domination.However, delivery trend is on the contrary. The conflicting receiving had an negative effect on both transmission network and results in the process of medical staff's tacit knowledge transfer and domination.The managers' neglect mostly had an negative effect on both transmission network and results in the process of medical staff's tacit knowledge transfer and domination. While it effects the interpersonal communication way unobviously in the process of transfer.In the process of tacit knowledge transfer, knowledge gap has a positive effect on the external communication way, the negative effect on the interpersonal communication way and no effect on the organization communication. In the process of domination, it has no effect on the external communication way, the negative effect on both the interpersonal communication way and the organization communication. In the two stages, it had negative effect on transmission result. The effected level of the delivery network can be concluded:the external communication is effected maximally by the interfered receive negative direction, and the organization communication is effected maximally by the organizer ignored negative direction, and the interpersonal communication is effected maximally by the delivery desire positive direction.The external communication had no effect on transmission results in the process of medical staff's tacit knowledge transfer and domination. The interpersonal and organization communication ways both had a positive effect on transmission results in the process of medical staff's tacit knowledge transfer and domination.