Evidence map›Paper›PMID 34277942›Full record

ArticleLearning health systems2021

Relational interventions for organizational learning: An experience report.

N Marcus Thygeson, Caroline Logan, Curt Lindberg, Jennifer Potts, Anthony Suchman, Robert Merchant, Randy Thompson

Abstract read
In one paragraph

Article in Learning health systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

N Marcus ThygesonAdaptive Health San Rafael CA USA.ORCID https://orcid.org/0000-0003-3708-938X
Caroline LoganABT Associates Inc Cambridge MA USA.
Curt LindbergPartners in Complexity Waitsfield VT USA.
Jennifer PottsBillings Clinic USA.
Anthony SuchmanRelationship Centered Health Care University of Rochester School of Medicine and Dentistry Rochester New York USA.
Robert MerchantBillings Clinic USA.
Randy ThompsonBillings Clinic USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionQuality improvement and implementation science practitioners identify relational issues as important obstacles to success. Relational interventions may be important for successful performance improvement and fostering Learning Health Systems.

methodsThis case report describes the experience and lessons learned from implementing a relational approach to organizational change, informed by Relational Coordination Theory, in a health system. Structured interviews were used to obtain qualitative participant feedback. Relational Coordination was measured serially using a validated seven-item survey.

resultsAn initial, relational intervention on one unit promoted increased participant engagement, self-efficacy, and motivation that led to the spontaneous, emergent dissemination of relational change, and learning into other parts of the health system. Staff involved in the intervention reported increased systems thinking, enhanced focus on communication and relationships as key drivers for improvement and learning, and greater awareness of organizational change as something co-created by staff and executives.

conclusionsThis experience supports the hypothesis that relational interventions are important for fostering the development of Learning Health Systems.

Indexed as

learning organizationsprocess improvementquality improvementrelational coordinationself‐determination theories

Identifiers

PMID34277942
PMCPMC8278441

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.