Création de connaissances organisationnelles à la suite d’une intervention de développement professionnel en Centre de santé et de services sociaux (CSSS) : une évaluation des laboratoires de promotion de la santé
This article deals with the Health Promotion Laboratory, a professional development program designed for local public health teams. Building on Nonaka’s model, the study examines organisational knowledge creation in three sites and analyzes the factors involved. The results show significant externalization and noticeable combination in the three sites. The availability of diffusion tools, the transmission of knowledge inherent to the laboratory and the adequacy of resources appear as factors influencing externalization.
Theoretically, evaluation should help decision-makers address contemporary health system challenges. Paradoxically, the use of evaluation results by decision-makers remains poor, despite rapid development in the evaluation field. The level of use depends on the evaluator's ability to account for the complexity of health-care systems. The complex nature of an intervention often compels evaluators to adopt unconventional approaches to account for the roles of the players.
This article presents some theoretical and methodological tools used in conducting an analysis of intervention implementation. Following a definition of this analysis, five analytical models of organizational change are given as examples of theoretical pathways for a contextual study of intervention implementation. Some methodological pathways arc also introduced, More specifically, the examples used in the article present appropriate research strategies for conducting this type of evaluation.