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Trust and knowledge sharing among hospitals during COVID-19: the compound effect of four barriers to organisational trust for knowledge sharing

Carl-Magnus von Behr (Department of Engineering, Institute for Manufacturing, University of Cambridge, Cambridge, UK)
Imogen Cleaver (Department of Engineering, Institute for Manufacturing, University of Cambridge, Cambridge, UK)
Tim Minshall (Department of Engineering, Institute for Manufacturing, University of Cambridge, Cambridge, UK)
P. John Clarkson (Department of Engineering, Engineering Design Centre, University of Cambridge, Cambridge, UK)

VINE Journal of Information and Knowledge Management Systems

ISSN: 2059-5891

Article publication date: 23 August 2022

Issue publication date: 7 March 2023

419

Abstract

Purpose

COVID-19 highlighted the potential value of improving knowledge sharing (KS) processes among hospital estates and facilities management (HEFM) departments. Organisational trust (OT) is a recognised predictor of KS interactions, but the interplay of impersonal and interpersonal OT components is yet to be investigated fully. In response to recent calls, this study aims to explore the effect of organisational features on personal trust and OT components required for KS episodes, in the context of the English National Health Service (NHS).

Design/methodology/approach

A qualitative, exploratory grounded theory approach was selected, using primary data from 22 semi-structured interviews and secondary data from grey literature. A model of trust for KS among employees from geographically distributed units with pooled interdependence was synthesised from a review of the literature and used to connect the organisational features to different trust mechanisms.

Findings

This study identifies four organisational features with a compound barrier-effect on impersonal-based OT, interpersonal-based OT and personal trust for KS interactions: lack of professional development, inappropriate reward and incentive systems, reorganisations/organisational change and benchmarking.

Research limitations/implications

This study sought to generate theory about the interplay of organisational barriers and trust components required for KS, not to describe HEFM KS across the entire NHS. Future studies with more comprehensive data collections can build on this exploratory study by quantitatively testing the compound barrier effect of the organisational features.

Practical implications

Practitioners can benefit from the insights into the barriers inhibiting trust mechanisms required for effective KS processes. These can inform policymakers in English and potentially other health-care systems in designing enhanced collaborative arrangements, which are required as future crises, e.g. pandemics and climate change hazards, will require increasingly complex solutions.

Originality/value

This study addresses the interplay between personal trust, impersonal OT and interpersonal OT for KS by identifying the compound barrier effects of underlying organisational barriers common to personal trust and OT.

Keywords

Acknowledgements

The authors sincerely thank the guest editor and the anonymous referees for their valuable comments that enabled to improve the quality of this paper.

C.-M. von Behr gratefully acknowledges financial support from the German Academic Scholarship Foundation (Studienstiftung des Deutschen Volkes).

Citation

von Behr, C.-M., Cleaver, I., Minshall, T. and Clarkson, P.J. (2023), "Trust and knowledge sharing among hospitals during COVID-19: the compound effect of four barriers to organisational trust for knowledge sharing", VINE Journal of Information and Knowledge Management Systems, Vol. 53 No. 2, pp. 315-334. https://doi.org/10.1108/VJIKMS-05-2022-0170

Publisher

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Emerald Publishing Limited

Copyright © 2022, Emerald Publishing Limited

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