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Page 1: UNIVERSITI PUTRA MALAYSIA UPMpsasir.upm.edu.my/id/eprint/68715/1/FSKTM 2018 1 IR.pdf · penggunaan media sosial dan faktor teknikal (kecuali persepsi kemudahan penggunaan adalah tidak

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UNIVERSITI PUTRA MALAYSIA

INTEGRATED TACIT KNOWLEDGE SHARING MODEL AMONG

MEDICAL PRACTITIONERS OVER SOCIAL MEDIA WITH MODERATOR AND MEDIATOR INTERACTION EFFECT

ASRA AMIDI

FSKTM 2018 1

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HT UPMINTEGRATED TACIT KNOWLEDGE SHARING MODEL AMONG

MEDICAL PRACTITIONERS OVER SOCIAL MEDIA WITH MODERATOR AND MEDIATOR INTERACTION EFFECT

By

ASRA AMIDI

Thesis Submitted to the School of Graduate Studies, Universiti Putra Malaysia, in Fulfillment of the Requirements for the Degree of Doctor of Philosophy

January 2018

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COPYRIGHT

All material contained within the thesis, including without limitation text, logos, icons,

photographs and all other artwork, is copyright material of Universiti Putra Malaysia

unless otherwise stated. Use may be made of any material contained within the thesis

for non-commercial purposes from the copyright holder. Commercial use of material

may only be made with the express, prior, written permission of Universiti Putra

Malaysia.

Copyright © Universiti Putra Malaysia

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DEDICATION

Dedicated To My Beloved Husband, Mohammad

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Abstract of thesis presented to the Senate of Universiti Putra Malaysia in fulfillment

of the requirement for the degree of Doctor of Philosophy

INTEGRATED TACIT KNOWLEDGE SHARING MODEL AMONG MEDICAL PRACTITIONERS OVER SOCIAL MEDIA WITH MODERATOR AND MEDIATOR INTERACTION EFFECT

By

ASRA AMIDI

January 2018

Chairman : Associate Professor Yusmadi Yah Binti Jusoh, PhD Faculty : Computer Science and Information Technology

Codification of tacit knowledge is significant challenge of knowledge management.

The importance of tacit knowledge has been pointed out in relation to decision-

making, time-management, quality and competitiveness. Tacit knowledge of medical

practitioners is an important source of experiential know-how. However, due to

various operational and technical reasons, such health-care knowledge is not entirely

harnessed and put into professional practice. There are still issues with the socio-

technical factors that influence the success of knowledge management implementation

in the dissemination of tacit knowledge. Many of the traditional methods of knowledge

diffusion like manuals and lectures are unsuitable for tacit knowledge. Hence, with

the advent of social web tools, several studies argued that these new technologies may

provide new opportunities to facilitate tacit knowledge sharing among medical

practitioners. In spite of these arguments, there is still a lack of understanding and an

empirical research on how social media may facilitate tacit knowledge sharing. The

First objectives of this study are to explore the potential contributions of socio-

personal and technical factors which support tacit knowledge sharing among medical

practitioners in social media. The second objective of the study was to propose an integrated tacit knowledge sharing model among medical practitioners via social media. The third objective of this study is to develop and evaluate the prototype of the tacit knowledge sharing model.

Critical review of existing model and synthesizing the component of existing model

was conducted to identify the factors influencing tacit knowledge sharing over social

media. There are two influential dimensions namely socio personal and technical were

identified. Therefore, conceptual model of this study was developed. Next, experts in

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knowledge management and social media review and validate the conceptual model. A pilot study was conducted to have the reliability and validity of the instrument.

The empirical study was conducted to validate tacit knowledge sharing model. There

are 366 medical practitioner in the state of Selangor in Malaysia participated in this

study. The collected data was analysed using Structural Equation Modelling (SEM-

PLS).The empirical results showed that the model properly fit the data and the

structural model demonstrated that the technical factors: perceived ease of use,

perceived usefulness and perceived enjoyment, significantly played a positive role in

tacit knowledge sharing. The analytical results also revealed that the socio-personal

factors which comprise of trust, motivation, self-efficacy, performance expectation

and frequency of use of social media, have positive significant effect on tacit

knowledge sharing whereas commitment influence was not significant. Conclusively,

attitude to use social media has a partial mediating effect on the relation between the

technical factors and tacit knowledge sharing. On the other hand however, the results

were supportive of the moderating effect of work experience on attitude towards using

social media and the technical factors (except for perceived ease of use which was not

significant). Based on the literature review and empirical study results a model named

as “Integrated tacit knowledge sharing model among medical practitioners over social

media” was proposed.

A prototype named as Medical Knowledge Sharing (MEDKSH) was developed based

on the proposed model. Then, an expert validation was conducted to verify the model.

The analysis of the four expert reviewers revealed that the prototype has the potential

to support tacit knowledge sharing. As for the evaluation of acceptance among the

users of MEDKSH, a technology acceptance test was conducted, with 51 participants.

The results from the survey indicated that MEDKSH is an effective, easy, enjoyable

and useful tool that can help medical practitioners to share tacit Therefore MEDKSH

can be used by medical practitioner in performing their work, and sharing their work

experiences and ideas.

The proposed model is unique in terms of contributing and updating the existing

literature in the area of ICT support for tacit knowledge sharing, in particular, by

demonstrating that social media is one of the recent enablers of tacit knowledge

sharing. A major contribution of this study is the provision of new theoretical and

practical insights that help explain how socio personal and -technical factors affect

tacit knowledge sharing in social media. It is hoped that these insights will help

builders and managers of knowledge-based virtual communities better promote online

knowledge sharing behaviors and improve the sustainability of such communities in

the future.

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Abstrak tesis yang dikemukakan kepada Senat Universiti Putra Malaysia sebagai

memenuhi keperluan untuk ijazah Doktor Falsafah

MODEL PERKONGSIAN PENGETAHUAN TACIT BERSEPADU DALAM KALANGAN PENGAMAL PERUBATAN MELALUI MEDIA SOSIAL

DENGAN KESAN INTERAKSI PENYEDERHANA DAN PENGANTARA

Oleh

ASRA AMIDI

Januari 2018

Pengerusi : Profesor Madya Yusmadi Yah Binti Jusoh, PhD Fakulti : Sains Komputer dan Teknologi Maklumat

Kodifikasi pengetahuan tacit merupakan cabaran penting dalam pengurusan

pengetahuan. Kepentingan pengetahuan tacit telah ditunjukkan dalam hubungan

pembuatan keputusan, pengurusan masa, mutu dan keberdayasaingan. Pengetahuan

tacit di kalangan pengamal perubatan merupakan sumber pengetahuan yang penting.

Walau bagaimanapun, disebabkan beberapa isu pengoperasian dan teknikal, maka

pengetahuan mengenai penjagaan kesihatan tidak dapat dimanfaatkan dan dipratikkan

sepenuhnya secara profesional. Terdapat juga isu berhubung dengan faktor sosio-

teknikal yang mempengaruhi kejayaan pelaksanaan pengurusan pengetahuan dalam

menyebarkan pengetahuan tacit. Banyak kaedah-kaedah tradisional penyebaran

pengetahuan seperti manual dan syarahan tidak sesuai untuk pengetahuan tacit. Oleh

itu, dengan adanya alat penjaringan sosial, beberapa kajian mengatakan bahawa

teknologi baru ini mampu mewujudkan peluang baru dalam memudahkan perkongsian

pengetahuan tacit dalam kalangan pengamal perubatan. Meskipun hujah tersebut,

masih terdapat kekurangan dalam memahami konsep dan penyelidikan secara kaji

selidik mengenai bagaimana media sosial boleh membantu memudahkan lagi

perkongsian pengetahuan tacit. Objektif pertama kajian ini adalah untuk menyiasat

potensi faktor sosio-peribadi dan teknikal yang menyokong perkongsian pengetahuan

tacit dalam kalangan pengamal perubatan dalam media sosial. Seterusnya objektif

kedua kajian ini adalah untuk mencadangkan model perkongsian pengetahuan tacit bersepadu dalam kalangan pengamal perubatan melalui media sosial. Objektif ketiga

kajian ini adalah untuk membangunkan dan menilai prototaip bagi model perkongsian

pengetahuan tacit.

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Kritikan sorotan literatur dan mensintesis komponen terhadap model sedia ada telah

dijalankan bagi mengenalpasti faktor yang mempengaruhi perkongsian pengetahuan

tacit melalui media sosial. Sebanyak dua (2) dimensi faktor yang berpengaruh telah

dikenalpasti iaitu sosio-peribadi dan teknikal. Sehubungan dengan itu, model

konseptual kajian ini telah dibangunkan. Seterusnya, pakar dalam bidang pengurusan

pengetahuan dan juga media sosial telah mengesahkan model konseptual tersebut.

Kajian perintis telah dijalankan untuk memastikan kebolehpercayaan dan kesahan

instrumen.

Kajian selidik telah dilaksanakan untuk menentusahkan model perkongsian

pengetahuan tacit. Seramai 336 pengamal perubatan di negeri Selangor, Malaysia

telah menyertai dalam kajian ini. Data yang dikumpulkan telah dianalisa dengan

menggunakan Model Persamaan Struktural (SEM-PLS). Keputusan kaji selidik

menunjukkan bahawa model tersebut sesuai dengan data yang dikutip, dan model

struktural menunjukkan bahawa factor-faktor teknikal: persepsi kemudahan

penggunaan, persepsi penggunaan dan persepsi keseronokan adalah signifikan positif

dalam perkongsian pengetahuan tacit. Hasil analisa juga mendapati bahawa faktor

sosio-peribadi yang terdiri daripada kepercayaan, motivasi, keberkesanan diri,

jangkaan prestasi dan kekerapan penggunaan media sosial mempunyai kesan positif

yang signifikan terhadap perkongsian pengetahuan tacit, manakala pengaruh

komitmen adalah tidak signifikan. Kesimpulannya, tingkah laku menggunakan media

sosial mempunyai kesan pengantaraan separa terhadap hubungan antara faktor

teknikal dan perkongsian pengetahuan tacit. Namun sebaliknya, hasil analisa juga

menyokong kesan moderating bagi pengalaman kerja terhadap tingkah laku dalam

penggunaan media sosial dan faktor teknikal (kecuali persepsi kemudahan

penggunaan adalah tidak signifikan). Berdasarkan sorotan literatur dan dapatan kajian

selidik, satu model yang dinamakan sebagai “Model Perkongsian Pengetahuan Bersepadu Tacit dalam Kalangan Pengamal Perubatan Melalui Media Sosial” telah dicadangkan.

Prototaip yang dikenali sebagai Medical Knowledge Sharing (MEDKSH) telah

dibangunkan berdasarkan model yang dicadangkan. Seterusnya, pengesahan pakar

telah dijalankan untuk mengesahkan model tersebut. Seramai empat (4) orang pakar

telah mengesahkan bahawa prototaip tersebut berpotensi menyokong perkongsian

pengetahuan tacit. Ujian penerimaan teknologi MEDKSH telah dijalankan dan

melibatkan seramai 51 pengguna sistem. Hasil daripada tinjauan kajian menunjukkan

bahawa MEDKSH merupakan sistem aplikasi yang efektif, mudah digunakan,

menyeronokkan dan berguna dalam membantu pengamal perubatan untuk berkongsi

pengetahuan tacit. Justeru itu, MEDKSH juga boleh digunakan untuk melaksanakan

kerja harian, berkongsi pengalaman kerja dan pandangan dalam kalangan pengamal

perubatan.

Model yang dicadangkan adalah unik dari aspek sumbangan dan nilai tambah kepada

kajian-kajian lepas dalam bidang sokongan ICT khususnya perkongsian pengetahuan

tacit, secara umumnya, media sosial merupakan salah satu faktor pembolehdaya

terkini dalam perkongsian pengetahuan tacit. Sumbangan utama kajian ini adalah

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memperkenalkan teori baharu dan gambaran praktikal yang dapat membantu

menerangkan bagaimana faktor sosio-peribadi dan faktor teknikal mempengaruhi

perkongsian pengetahuan tacit melalui media sosial. Pemahaman daripada kajian ini

diharap dapat membantu pengasas dan pengurus komuniti maya yang berpengetahuan

supaya mengalakkan tingkah laku perkongsian pengetahuan secara dalam talian serta

meningkatkan kemampanan komuniti maya pada masa akan datang.

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ACKNOWLEDGEMENTS

I would like to thank all these people without whose support this accomplishment

would not have been possible. First and foremost, I would like to thank my supervisor

Assoc. Prof. Dr.Yusmadi Yah Jusoh, a mentor with a big heart who embraces and

supports me in this academic and life journey. Thank you for your encouragement,

guidance, and patience through this wonderful yet challenging journey. Second, I

would like to thank and acknowledge my dissertation committee members, Assoc.

Prof. Dr. Marzana A. Jabar and Prof. Dr. Rusli Haji Abdullah, you both were so

wonderful to work with. I valued your feedback and was truly blessed to have you

serve on my committee.

I am grateful to my family, my parents for their encouragement, support, and prayers,

To my sibling for cheering me on and believing in me and helping whenever I needed

extra hands Last, but not least, I would like to express my special thanks to my

husband, Mohammad, who has despite my many long days and nights spent writing,

and countless mood swings, has supported, pushed and loved me through the very end.

Thank you for listening when I needed. You’re my rock and I could not have gotten through this without your support.

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This thesis was submitted to the Senate of Universiti Putra Malaysia and has been

accepted as fulfillment of the requirement for the degree of Doctor of Philosophy. The

members of the supervisory committee were as follows:

Yusmadi Yah Binti Jusoh, PhD Associate Professor

Faculty of Computer Science and Information Technology

Universiti Putra Malaysia

(Chairman)

Marzanah A. Jabar, PhD Associate Professor

Faculty of Computer Science and Information Technology

Universiti Putra Malaysia

(Member)

Rusli Haji Abdullah, PhD Professor

Faculty of Computer Science and Information Technology

Universiti Putra Malaysia

(Member)

ROBIAH BINTI YUNUS, PhD Professor and Dean

School of Graduate Studies

Universiti Putra Malaysia

Date:

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Declaration by graduate student

I hereby confirm that:

� this thesis is my original work;

� quotations, illustrations and citations have been duly referenced;

� this thesis has not been submitted previously or concurrently for any other degree

at any other institutions;

� intellectual property from the thesis and copyright of thesis are fully-owned by

Universiti Putra Malaysia, as according to the Universiti Putra Malaysia

(Research) Rules 2012;

� written permission must be obtained from supervisor and the office of Deputy

Vice-Chancellor (Research and Innovation) before thesis is published (in the form

of written, printed or in electronic form) including books, journals, modules,

proceedings, popular writings, seminar papers, manuscripts, posters, reports,

lecture notes, learning modules or any other materials as stated in the Universiti

Putra Malaysia (Research) Rules 2012;

� there is no plagiarism or data fascination/ falsification in the thesis, and scholarly

integrity is upheld as according to the Universiti Putra Malaysia (Graduate

Studies) Rules 2003 (Revision 2012-2013) and the Univeisiti Putra Malaysia

(Research) Rules 2012. The thesis has undergone plagiarism detection software.

Signature: Date:

Name and Matric No.: Asra Amidi, GS35248

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Declaration by Members of Supervisory Committee

This is to confirm that:

� the research conducted and the writing of this thesis was under our supervision;

� supervision responsibilities as stated in the Universiti Putra Malaysia (Graduate

Studies) Rules 2003 (Revision 2012-2013) are adhered to.

Signature :

Name of

Chairman of

Supervisory

Committee : Associate Professor Dr. Yusmadi Yah binti Jusoh

Signature :

Name of

Member of

Supervisory

Committee : Associate Professor Dr. Marzanah A. Jabar

Signature :

Name of

Member of

Supervisory

Committee : Professor Dr. Rusli Haji Abdullah

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TABLE OF CONTENTS

Page

ABSTRACT i

ABSTRAK iii

ACKNOWLEDGEMENTS vi

APPROVAL vii

DECLARATION ix

LIST OF TABLES xvi

LIST OF FIGURES xix

LIST OF ABBREVIATIONS xxi

CHAPTER

1 INTRODUCTION 1 1.1 Background 1 1.2 Background to the Research Problem 2 1.3 Problem Statement 3 1.4 Research Questions 5 1.5 Research objectives 5 1.6 Delimitation and Research Scope 6 1.7 Thesis Outline 7

2 LITERATURE REVIEW 8 2.1 Introduction 8 2.2 Knowledge 8

2.2.1 A taxonomy of knowledge 9 2.2.2 Tacit knowledge 9

2.3 Knowledge sharing frameworks 18 2.3.1 Hendriks (1999) – classical view of knowledge sharing 18 2.3.2 Nonaka et al. (1995) – dynamic theory of knowledge

creation 19 2.3.3 Szulanski (2000) – framework of knowledge sharing

stickiness 19 2.4 The impact of Web 2.0 on knowledge sharing 21

2.4.1 Sharing tacit knowledge 22 2.4.2 Information technology and tacit knowledge sharing 23

2.5 The role of social media in healthcare context 24 2.6 Difficulties of tacit knowledge sharing using information

technology 26 2.6.1 Sharing mechanisms 27 2.6.2 Media richness 27 2.6.3 Degree of tacitness 28 2.6.4 Lack of trust 29 2.6.5 Privacy 29

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2.7 Social media 30 2.7.1 Social networking 31 2.7.2 Blog 32 2.7.3 Wikis 32 2.7.4 Content communities 33

2.8 Characteristics of social media 33 2.8.1 User-generated content 34 2.8.2 Peer-to-peer interaction 34 2.8.3 Networking 35 2.8.4 Multimedia oriented 35

2.9 Managing and sharing tacit knowledge through social media 36 2.10 Tacit knowledge capture strategies 38 2.11 Existing knowledge sharing model and components 39 2.12 Gap analysis 47 2.13 Conceptual Model 48 2.14 Supporting theories for conceptual model 50

2.14.1 TAM theory 51 2.14.2 Social capital theory 52 2.14.3 Social cognitive theory 52 2.14.4 UTAUT theory 53 2.14.5 Self-determination theory 53

2.15 Summary 54

3 RESEARCH METHODOLOGY 55 3.1 Introduction 55 3.2 Phase I - Literature review 57

3.2.1 Selection criteria 57 3.3 Phase – Analysis of the existing knowledge sharing model 59

3.3.1 Hypotheses development 60 3.4 Phase - Pilot study 61

3.4.1 Step 1 – Background 62 3.4.2 Step 2 – Questionnaire conceptualization 63 3.4.3 Step 3 – Format 63 3.4.4 Step 4 – Establishing validity 64

3.4.4.1 Kappa analysis 65 3.4.5 Step 5 – Establishing Reliability (Pilot Test) 68

3.5 Phase – Empirical study 74 3.5.1 Sample size 75 3.5.2 Sampling method 76 3.5.3 Data collection 76 3.5.4 Data analysis 77

3.6 Phase - Model implementation 80 3.6.1 Prototype development 80 3.6.2 Model validation 82 3.6.3 Technology acceptance test 82

3.7 Summary 83

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4 MODEL DEVELOPMENT 84 4.1 Introduction 84 4.2 Theoretical background 84 4.3 Hypotheses for main effect model 87

4.3.1 Socio personal factor hypotheses 87 4.3.1.1 Trust 87 4.3.1.2 Motivation 88 4.3.1.3 Performance expectation 88 4.3.1.4 Commitment 89 4.3.1.5 Knowledge sharing self-efficacy 90 4.3.1.6 Frequency use of social media 91

4.3.2 Technical factor hypotheses 91 4.4 Hypothesis for interaction effect model 95

4.4.1 Moderator effect of experience 95 4.4.2 Mediation effect of attitude to use social media 96

4.5 Summary 100

5 PROTOTYPE DEVELOPMENT 101 5.1 Introduction 101 5.2 Communities of practice as enablers for tacit knowledge sharing 101 5.3 Medical knowledge sharing in online community 104 5.4 The MEDKSH system 105 5.5 Platform design and functionality 106 5.6 System development 109

5.6.1 Architecture description 109 5.6.2 User interface design 110

5.7 Prototype implementation 111 5.7.1 Prototype Feature 112

5.7.1.1 Trust: 112 5.7.1.2 Performance expectation 114 5.7.1.3 Knowledge sharing self-efficacy 114 5.7.1.4 Frequency of social media use 116 5.7.1.5 Sharing tacit knowledge 116 5.7.1.6 Motivation 117 5.7.1.7 Attitude 118 5.7.1.8 Technology acceptance model in MEDKSH

online community 119 5.8 Model validation 120 5.9 Summary 120

6 RESULTS AND DISCUSSION 121 6.1 Introduction 121 6.2 Demographic characteristics of the respondents 121

6.2.1 Age 122 6.2.2 Gender 123 6.2.3 Discipline 123 6.2.4 Work experience 124

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6.3 Descriptive statistic of construct in model evaluation 124 6.3.1 Descriptive result of current use of social media 125 6.3.2 Frequency of using social media 126 6.3.3 Sharing tacit knowledge 127 6.3.4 Commitment 127 6.3.5 Trust 128 6.3.6 Knowledge sharing self-efficacy 129 6.3.7 Motivation 129 6.3.8 Performance expectation 130 6.3.9 Perceived enjoyment 131 6.3.10 Perceived usefulness 131 6.3.11 Perceived ease of use 132 6.3.12 Attitude toward social media usage 133

6.4 Missing data analysis 133 6.4.1 Outlier 134 6.4.2 Normality test 134 6.4.3 Assessment of common method variance 135 6.4.4 Multi Collinearity 136

6.5 PLS based structural equation modelling (SEM) approach 137 6.5.1 Measurement model 138 6.5.2 Convergent validity 138 6.5.3 Discriminant validity 141

6.6 Path analysis 149 6.6.1 Assessing structural model (Inner Model) 153 6.6.2 Predictive relevance Q² 154 6.6.3 Effect size f2 and Q² 155

6.7 Mediator effect of attitude toward social media usage 156 6.7.1 Analysis mediation 156 6.7.2 Test of mediation 158

6.8 Moderating effect of work experience 161 6.9 Importance -Performance matrix analysis 163 6.10 Hypotheses testing 165 6.11 Discussion of hypotheses for main effect model 166 6.12 Discussions of hypothesis for interaction model 169

6.12.1 Discussions of mediating effect of attitude toward social

media usage 169 6.12.2 Discussion of moderation effect of work experience 171

6.13 Prototype validation 174 6.13.1 Expert validation 174 6.13.2 Technology acceptance test 176 6.13.3 Data collection and analysis 176 6.13.4 Demographic information of the participant 176 6.13.5 Descriptive analysis of technology acceptance test 178

6.14 Measurement of scales 183 6.15 Summary 184

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7 CONCLUSION AND FUTURE WORK 186 7.1 Introduction 186 7.2 Answer to research questions 186 7.3 Theoretical contribution 189 7.4 Practical contribution 191 7.5 Research limitations 191 7.6 Future work 192

REFERENCES 194 APPENDICES 223 BIODATA OF STUDENT 283 LIST OF PUBLICATIONS 284

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LIST OF TABLES

Table Page

2.1 Description and characteristic of explicit and tacit knowledge 12

2.2 Overview of social media 31

2.3 Five common knowledge practices mediated by social media 36

2.4 Studies of tacit knowledge capture strategies 39

2.5 Summarized findings of existing knowledge sharing models 45

2.6 Items considered for the research model and their sources 50

3.1 Hypotheses list 60

3.2 List of model constructs and supporting references 63

3.3 Computation of a CVI and Kappa for items scale with experts 66

3.4 Analysis of the reliability for the pilot study 69

3.5 Summary of Cronbach’s Alpha for the measures in the pilot study 74

3.6 Rules of thumb for selecting PLS-SEM or CB-SEM 78

3.7 The Criteria of assessment on measurement model using PLS-SEM 79

3.8 The criteria of assessment on structural model using PLS-SEM 80

5.1 MEDKSH web page topics 106

5.2 Demographic information of prototype 107

6.1 Demographic profiles of respondents 122

6.2 Descriptive statistic related to the respondents' social media usage 125

6.3 Frequency of social media usage 127

6.4 Descriptive statistic related to tacit knowledge sharing 127

6.5 Descriptive statistic related items to commitment 128

6.6 Descriptive statistic for related items to trust 128

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6.7 Descriptive statistic related items to knowledge-sharing self-efficacy 129

6.8 Descriptive statistic related items to motivation 130

6.9 Descriptive statistic related to performance expectation 130

6.10 Descriptive statistic related to perceived enjoyment (PE) 131

6.11 Descriptive statistic related to perceived usefulness (PU) 132

6.12 Descriptive statistic related to perceived ease of use 132

6.13 Descriptive statistic related to attitude toward social media usage 133

6.14 Outlier test 134

6.15 Normality test 135

6.16 Common-method variance result (CMV) 136

6.17 Collinearity assessment based on VIF for all three models 137

6.18 PLS-SEM 137

6.19 The result of convergent validity 140

6.20 Loading and cross loading of constructs for discriminant validity

assessment 142

6.21 Correlation of latent variables and discriminant Validity (Fornell-

Larcker) 146

6.22 Correlation of latent constructs and discriminant validity (HTMT

method) 148

6.23 List of hypotheses and relative paths 150

6.24 Test of the total effects of IVs on DV without mediator using

bootstrapping 153

6.25 Results of R² and Q² Values in the model 154

6.26 Results of effect size f2 and Q² for all exogenous constructs for STK 155

6.27 Test of the total effects using bootstrapping 158

6.28 Test of the mediation effects using bootstrapping (indirect effect, ab) 161

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6.29 Test of the total effects using bootstrapping 163

6.30 Index values and total effects for the IPMA 164

6.31 List of hypotheses and relative paths 165

6.32 Demographic profiles of respondents for technology acceptance test 177

6.33 Level of acceptance of MEDKSH among users 179

6.34 Result of reliability test for technology acceptance test 183

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LIST OF FIGURES

Figure Page

2.1 SECI model 14

2.2 SECI model - the concept in practice 15

2.3 Tacit knowledge example in Nonaka’s two dimension 17

2.4 Stickiness and the process of knowledge transfer 20

2.5 Chain of data, information, and knowledge 20

2.6 Degree of tacitness 29

2.7 Conceptual model of tacit knowledge sharing in social media 49

3.1 Research methodology 56

3.2 Details of literature review sources and screening process 59

3.3 Systematic development of questionnaires 62

3.4 Process of Knowledge Sharing in online communities 81

4.1 Theoretical integrated model for tacit knowledge sharing (main

effect model) 94

4.2 Theoretical integrated model for tacit knowledge sharing (interaction

model) 99

5.1 Model implementation phases 101

5.2 Use case diagram for MEDKSH 105

5.3 Community of practice life cycle 109

5.4 Architecture of prototype system 110

5.5 Graphical user interface (GUI) map 111

5.6 Registration page of MEDKSH 113

5.7 Registration requirements of MEDKSH 113

5.8 New updates in MEDKSH 114

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5.9 An example thread from the discussion forum 115

5.10 An example of total thread and last visit in MEDKSH 116

5.11 Thread, post number and reputation of members in MEDKSH 118

5.12 Number of rating for posts in MEDKSH 119

6.1 The result of frequency distribution for age profile of respondents 122

6.2 The result of frequency distribution for gender of respondents 123

6.3 The result of frequency distribution for discipline of respondents 123

6.4 Years of work experience of the respondents 124

6.5 Mean score for the respondents’ current use of social media 126

6.6 Initial path model without moderators and mediators 152

6.7 Path model including attitude as a mediator 157

6.8 Path diagram for mediation model 159

6.9 Path model including work experience as moderator 162

6.10 IPMA (Priority Map) 164

6.11 Results of SEM analysis model 173

6.12 Mean score of construct in prototype evaluation 175

6.13 Demographic information of the participants 178

6.14 Mean score for perceived usefulness 180

6.15 Mean score of perceived ease of use 181

6.16 Mean scores for perceived enjoyment 181

6.17 Mean score for attitude 182

6.18 Mean score for intention to use 183

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LIST OF ABBREVIATIONS

AT Attitude

AVE Average Variance Extracted

COM Commitment

COP Community of Practice

CR Composite Reliability

FAQ Frequency Asked Question

FSMU Frequency Use of Social Media

GUI Graphical User Interface

HTMT Heterotrait Monotrait

ICT Information and Communication Technology

IPMA Importance-Performance Matrix Analysis

IS Information System

IT Information Technology

KSSE Knowledge Sharing Self-Efficacy

KM Knowledge Management

KMS Knowledge Management System

KS Knowledge Sharing

MEDKSH Medical Knowledge Sharing

MOT Motivation

OCOP Online Community of Practice

PE Perceived Enjoyment

PER Performance Exception

PEOU Perceived Ease of Use

PLS Partial Least Square

PLS-SEM Partial Least Square Structural Equation Modeling

PU Perceived Usefulness

SCT Social Cognitive Theory

SD Standard Deviation

SDT Self Determination Theory

SEM Structural Equation Modeling

STK Sharing Tacit Knowledge

TAM Technology Acceptance Technology

UGC User Generated Content

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UTAUT Unified Theory of Acceptance And Use Of Technology

VIF Variance Inflator Factor

WE Work Experience

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CHAPTER 1

1 INTRODUCTION

1.1 Background

Knowledge management is centralized on knowledge sharing. An organization thrives

on its knowledge and knowledge sharing activities which serve as its most strategic

asset in ensuring its success and competitive advantage. According to Nonaka (1994),

there are two dimensions of knowledge namely tacit and explicit. Tacit knowledge

constitutes internal individual processes mostly stored exclusively in human beings

including experiences, reflections, internalizations or individual talents which cannot

be achieved and imparted in the same manner as explicit knowledge. In contrast,

explicit knowledge can be achieved, stored and imparted mechanically or

technologically, using mediums such as information systems (IS) or handbooks.

Tacit knowledge, being technical or cognitive, is manifested as mental models, values,

principles, observations, insights and assumptions derived from certain trainings,

habits, and personal experiences (Elizabeth A, 2001). For employees of an

organization, tacit organizational knowledge is manifested as their abilities, talents,

and skills and their most valuable assets. Specific knowledge can only be kept,

recovered and initiated by human intellect, and in cases of retirees, such knowledge is

taken with them when they leave the organization.

In the medical field, knowledge sharing among medical practitioners is pertinent in

the quest to improve patient care. Medical practitioner who share information about

their respective clinical experiences, skills, know-how, or know-who, could bring

about noteworthy impacts on the quality of their medical diagnosis and decision-

making (Abidi et al., 2005; Steininger et al., 2010). Such tacit knowledge sharing in

the healthcare setting, according to the Knowledge Management (KM) perspective,

need to be harnessed and facilitated as the practitioners are usually not co-located but

need to exchange critical information nevertheless (Abidi et al., 2005).

In this vein, Abidi et al. (2009) indicated that tacit knowledge sharing among medical

practitioner is not well facilitated by traditional information technologies (IT) because

instead of assisting in the interaction among the knowledge owners, traditional IT is

more focused on information management. More viable forms of technologies for tacit

knowledge sharing are those that run on free-form, real-time, and interactive

communication and collaboration platforms (Marwick, 2001; Panahi et al., 2013).

Several studies have suggested for experts to take advantage of the advent of social

media tools including blogs, online social networks and wikis to facilitate the sharing

of tacit and experiential knowledge amongst them (Tsai et al., 2010). That being said,

further empirical research is still needed to fully understand the mechanisms of social

media in facilitating tacit knowledge sharing and the ways to maximize its benefits in

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the healthcare context. This study therefore aims to investigate the potentials of social

media in facilitating tacit knowledge sharing among medical practitioners by

presenting findings from a review of relevant literature and a survey on medical

practitioners.

1.2 Background to the Research Problem

Knowledge sharing has been defined from various perspectives and levels in an

attempt to understand it better. According to Lee et al. (2002), knowledge sharing

constitutes the deliberate act whereby knowledge is made reusable via its transmission

from one individual to another. However, Alajmi (2011) cautioned that knowledge

sharing in practice is actually a complex phenomenon to study and understand. This

complexity is attributed to two reasons which are related to the two types of

knowledge: explicit and tacit. Explicit knowledge is easy to capture, codify and written

as technical or academic data which in turn can be presented in the form of journals,

manuals, documents and patents (Nonaka et al., 1995; Nonaka et al., 2009). Tacit

knowledge, on the other hand, is much more personalized i.e. experience-based, job

specific and contextualized which makes it difficult to be articulated completely

despite the fact that it is transferrable via conversations and narratives, and capable of

being shifted into explicit knowledge and vice versa (Gourlay, 2004). Although tacit

knowledge holds a central role in leveraging the general effectiveness of knowledge

in organizations (Wah, 2000), it is often difficult for employees to communicate and

share tacit knowledge such as ideas, skills, values and mental models with others

(Holste et al., 2010; Nonaka et al., 1995) because this type of knowledge is not easily

converted into explicit knowledge which is easier to be stored and transferred (Smoyer

(2009). Due to its impersonal and non-exclusive nature, explicit knowledge is

considered to be relatively cheaper to acquire as compared to tacit knowledge which

is dubbed expensive and highly valuable as it involves complex methods of

transmission and acquisition such as shared activities, observation of behavior, and

direct contact with co-workers. As such, employees may feel disinclined to share this

prized commodity without getting anything in return.

Recent advancements in IT has made it possible for knowledge to be captured, stored,

processed, retrieved, and communicated in a much easier and more affordable manner,

but this only mainly relates to individual explicit knowledge (Reychav et al., 2010)

when in fact the most valuable and important human knowledge exists in tacit forms

(Abidi et al., 2005; Zhong Hao et al., 2016). The sharing and managing of tacit

knowledge is considered to be very demanding (Long, 2005). Whereby storytelling,

conversations, one-on-one discussions and discussion groups, deemed to be the

traditional methods for doing so (Alavi et al., 2001; Panahi et al., 2013; Parker, 2011;

Venkitachalam et al., 2012).

Tacit knowledge particularly is highly regarded as an organization’s most strategically-crucial resource (Grant, 1996), which makes up an estimated 80% of the

overall vital knowledge (Callahan, 2006), and is asserted to be the only renewable and

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sustainable base for ensuring the organization’s viable position and competitiveness

(Nonaka et al. (2009).

McDermott (2000) asserts that the sharing of tacit knowledge is the “real gold” in KM activities. Penciuc et al. (2010) further reiterate that the loss of tacit knowledge is

equivalent to the loss of its main asset for example its “collective memory” to a certain degree. Although the exploitation of tacit knowledge is considered challenging, the

success in doing so could intensify the organizational knowledge capital and make the

decision-making process more effective (Chen Le et al., 2010; Harlow, 2008; Jabar et

al., 2010; Purkis et al., 2006). Apart from organizational performance, tacit knowledge

is also well recognized to contribute to the aspects of competitive advantage, problem

solving, and organizational learning (Abidi et al., 2005; Chen et al., 2010; Pathirage

et al., 2007). Despite being an undercapitalized resource, tacit healthcare knowledge

can be of central significance in improving healthcare quality and delivery (Abidi et

al., 2005; Panahi et al., 2014; Sim et al., 2001; Steininger et al., 2010). From the

perspective of healthcare KM, tacit knowledge is the inherent knowledge of medical

experts (Stewart et al., 2012) which is more noteworthy than explicit knowledge due

to the complexity of finding the right treatment for patients (Steininger et al., 2010).

There are another two further categories of tacit knowledge namely: 1) basic tacit

knowledge or routine experiential knowledge, which consists of theoretical

knowledge, evidence-based interpretations as well as experiences acquired from

routine clinical problems that could be easily transferred during casual peer

conversations or when replying to queries; and 2) complex tacit knowledge or intuitive

experiential knowledge, which consists of progressively accumulating knowledge

acquired by the expert as he responds to uncommon and high acuity clinical problems.

This type of tacit knowledge is deeply entrenched and therefore not easily expressed,

but demonstrates the expert’s natural capabilities in clinical situations that are

challenging. Abidi et al. (2009) suggest that one of the main issues in healthcare

knowledge management today involves the capturing, formalizing, measuring,

addressing, and operationalizing of healthcare tacit knowledge.

1.3 Problem Statement

A review of current published literature shows a gap in research concerning the use of

social media for the effective and efficient sharing of tacit knowledge. The numerous

discussions about the transferability of tacit knowledge and the methods involved have

still failed to lead to the establishment of a valid transfer model. Although

theoretically, the transfer of tacit knowledge has been modeled fairly well, practical

issues still exist due to the fact that tacit knowledge is significantly linked to its owner

and his personality. Thus, the nurturing of tacit knowledge sharing and the codifying

of tacit knowledge is presented as the main challenge in this respect (Kirchner et al.,

2009). Codification, or formalization of tacit knowledge into explicit and available

resources, is the vital factor of successful KM. it was acknowledged that it would be

difficult to codify highly tacit knowledge to explicit knowledge (McIver et al., 2012)

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Although researchers like Yoshida et al., (2011) and Grant (2013) have focused on the

use of technology to enable this conversion. Agbim et al., (2013) asserted that the

exchange of tacit knowledge to new tacit knowledge should happen through

socialization processes. This was supported by Venkitachalam et al., (2012) position

that ICT could support the flow of tacit knowledge between individuals and aid in its

codification.

Although it has been established previously that tacit knowledge is the fundamental

base of the healthcare sector (Panahi et al., 2015), makes up approximately 80% of the

total vital knowledge (Callahan, 2006) and is greatly necessary for higher performance

(Podgórski, 2010), such healthcare knowledge has not been fully harnessed or

practiced professionally due to various operational and technical disadvantages (Abidi

et al., 2005).

Tacit healthcare knowledge in tandem with explicit healthcare knowledge could

significantly improve the quality and delivery of healthcare. Readily available ICT

tools such as the email and databases do not provide the appropriate setting needed for

transferring tacit knowledge; hence, Luoma et al. (2009) suggested the use of more

open and unstructured solutions. The growing popularity of social media has prompted

health educators to discover new ways of communicating information (Antheunis et

al., 2013). However, considering that the use of social media in healthcare is still in

its initial stages, its full capabilities and advantages remain uncovered (Sarringhaus,

2011).

There are six main elements to the use of social media for information sharing as

identified by Panahi et al. (2015), namely: 1) focus on a larger audience, 2) more rapid

dissemination, 3) tailored and filtered information feed, 4) broadcasting of current

information, 5) documentation of knowledge and experiences, and 6) retrievability.

These elements facilitate the accessibility of existing knowledge and information to

the clinical communities, which in turn creates a higher possibility of tacit knowledge

sharing. Despite the suggestion of several authors (Hsia et al., 2006; Panahi et al.,

2016; Steininger et al., 2010; Stewart et al., 2012; Zheng et al., 2010b) that social web

tools enable tacit knowledge sharing, there is yet sufficient empirical evidence to

support this notion. In the healthcare context specifically, very few studies have

explored the potentials of social media for tacit knowledge sharing among medical

practitioners (Panahi et al., 2016).

Several studies such as those by Alajmi (2011); Li (2010); Ma et al. (2011);

Tamjidyamcholo et al. (2014); Zhao (2010), Papadopoulos et al. (2013); Razmerita,

Phillips-Wren, et al. (2016); Tamjidyamcholo et al. (2013) have investigated the

individual and human factors that encourage knowledge sharing via social media, but

have neglected to put specific focus on tacit knowledge. Other researches such as those

by Matschke et al. (2014); Nielsen et al. (2014); Vuori et al. (2012); Yuan et al. (2016)

have discovered several technological factors that influence knowledge sharing via the

social media platform, and while these studies have offered insight into the

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affordances of these factors, none of it have specifically addressed them when it

involves tacit knowledge.

As such, there is currently very little insight on the effectiveness of these human or

technical factors in encouraging tacit knowledge sharing via social media. Luoma et

al. (2009) and Panahi et al. (2015) however argue that successful tacit knowledge

sharing is not dependent on ICT factors alone because of the highly personalized

nature of tacit knowledge. Therefore, this study takes on a more comprehensive

approach by including technical and human related factors into the investigation. This

research also tackles the ongoing debate among researchers concerning the practicality

of ICT for tacit knowledge sharing (Levy, 2013; Panahi et al., 2015; Steininger et al.,

2010) particularly among medical practitioner. There is a need to re-conceptualize

tacit knowledge sharing via social media by investigating the experiences of medical

practitioner in using social media for that purpose; hence, the proposed integrated

model combines both human and technological factors in investigating tacit

knowledge sharing in the healthcare sector.

1.4 Research Questions

Generally, this study aims to investigate and ascertain the prospective contributions of

social media in enabling tacit knowledge sharing among medical practitioner. The

main research questions are framed as below:

1. What are the constructs (technical-socio personal) that influence sharing tacit

knowledge over social media?

2. What is the relationship between technical and socio personal constructs in tacit

knowledge sharing over social media?

3. How to examine the relationship between the Constructs (technical-socio

personal) and sharing tacit knowledge in social media?

1.5 Research objectives

Several specific objectives were considered to achieve the main research goal and to

answer the research questions. Below are the set objectives:

1. To identify the constructs that influence tacit knowledge sharing over social

media (Chapter 2).

2. To propose an integrated tacit knowledge sharing model among medical

practitioners over social media (Chapters 4, 6).

3. To evaluate integrated tacit knowledge sharing model effect for medical

practitioner through prototype development (Chapters 5, 6).

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1.6 Delimitation and Research Scope

The purpose and scope of this research is to recognize the contribution of social media

in tacit knowledge sharing among medical practitioner in healthcare sector. To achieve

this, an organizational rather than a philosophical definition of tacit knowledge is

adopted in this research. The question of whether tacit knowledge can be researched,

observed, and operationalized have long been a subject of debate. Polanyi (1967)

indicated that tacit knowledge is inexpressible and inconvertible into explicit

knowledge.

Face-to-face conversation has been argued to be the best method in transmitting tacit

knowledge because it can include the use of a wider variety of metaphors - an aspect

that IT is incapable of doing (Haldin-Herrgard, 2000; Johannessen et al., 2001;

Tsuchiya, 1993). Nonaka et al. (1995) have, to some extent, changed the philosophical

view of tacit knowledge as previously introduced by Polanyi. In their SECI

(Socialization, Externalization, Combination, and Internalization) model, the

researchers suggested that new knowledge is created through iterative social

interaction, where tacit knowledge is made explicit. Knowledge that can be articulated

and expressed in certain situations is categorized into several types of tacit knowledge

according to the degree of its tastiness and impressibility (Oguz et al., 2011). The

desirability of transferring knowledge is influenced by its tastiness. For the purpose of

this study, the organizational definition of “tacit knowledge” is used in view of its applicability and adoptability (Oguz et al., 2011; Panahi et al., 2014). The

phenomenon of tacit knowledge sharing via IT can be better understood through the

use of this definition rather than Polanyi’s, which is more inclined to exclude IT in the study of the subject.

The target population in this research included medical practitioners in public and

private hospitals and clinics. A medical practitioner is a skilled individual in the

field of science of medicine (Marriam-Webster, 2017). The term ‘medical practitioner’ is used differently worldwide. In the United States, the term is used to

refer to all physicians. Meanwhile, in the United Kingdom, it is used to refer to a

general practitioner or specialist in internal or general medicine to differentiate it from

a surgeon (Martin, 2015). For the purpose of this study, the general definition of

medical practitioner is used to refer to all groups of doctors including general

practitioners, specialists, and surgeons involved in clinical practice.

The participants in this study were limited to the state of Selangor in Malaysia. The

size of the population is sufficient enough to reflect the entire Malaysian medical

practitioner. Considering that the study has no intention of exploring the nature or

application of medical tacit knowledge by any specific groups of medical practitioner,

the participants were therefore not limited to any specific categories of medical

practitioner, at least not in the early stages. The aim was on the mechanisms of tacit

knowledge sharing, and on examining the potential of social media in enabling this

process amongst medical practitioner.

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There are several reasons for choosing the healthcare sector in Malaysia. medical

practitioner from all specialties were originally targeted for data collection because it

was impossible for the researcher to enlist a sufficient number of specific groups of

medical practitioner who used social media regularly due to the inaccessibility of such

groups to the researcher at the time. The study also initially investigated social media

as a whole rather than focusing on one specific group of social web sites such as social

networks, wikis, or blogs.

Since the study aimed to achieve a holistic view of the contributions of social media

to tacit knowledge sharing, examining only specific types of social media tools will

not help in achieving that goal. Moreover, studying a single tool is difficult because

most social media platforms today use a combination of different tools which render

it essential to study their relationship with each other.

1.7 Thesis Outline

This thesis is organized into seven chapters. Chapter 1 introduces the phenomenon

under investigation, discusses the research problems, highlights the research

objectives and research questions, and summarizes the importance of this study to both

research and practice. In order to clarify the relevant concepts and demarcate the topic

and perspective of this study, a literature review is presented in Chapter 2 which

touched on prior studies on knowledge sharing and social media, the challenges of

sharing tacit knowledge through information technology, the factors that could

possibly impact tacit knowledge sharing, as well as existing knowledge sharing

models. Chapter 3 explains the research methodology which consists of six phases

namely: Phase I, literature review; Phase II, synthesize existing knowledge sharing

model, analyze model components, propose model, hypothesis development; Phase

III, expert validation, questionnaire design, and pilot study and; Phase IV, evaluate

research model; and Phase V, prototype development, model implementation and

model validation. Phase VI reporting research result and discussing the finding.

Chapter 4 proposes a research model, which comprises a main effects model and an

interaction model, to frame the research investigation. Chapter 5 explicates the model

implementation covering prototype design and development which involves

requirements gathering and analysis, flowchart, and architecture design. This chapter

also represents prototype implementation and preparation of model validation.

Chapter 6 provides a thorough description of the data analysis and research results.

The chapter begins with a description of the field research setting, the data collection

process and the participants, followed by a preliminary analysis of the data.

Subsequently, both the main effects model and interaction model are estimated with

the data collected from the field setting. Issues such as common method covariance is

also discussed. Chapter 7 summarizes and concludes this dissertation. First, it provides

a discussion on the study’s findings in relation to research questions outlined previously. Next, the theoretical and practical contributions are outlined and the

limitations of study described. Lastly, future research opportunities are suggested,

followed by some concluding remarks.

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