Influence of organisational culture on knowledge generation and application within Learning Health Systems: a scoping review protocol

BackgroundA learning health system (LHS) is a framework within healthcare that continuously enables improvement by incorporating knowledge generation into practice, leveraging routine data to optimise patient outcomes. Organisational culture, encompassing workplace values and traditions, is crucial for LHSs, allowing for integration of various elements within the system and ensuring cohesive functionality. Without a supportive organisational culture, a LHS may face challenges in achieving positive results, even with well-functioning individual components. Despite its recognised importance in LHS literature, the impact of organisational culture on LHS success remains unclear. This review aims to bridge this research gap. ObjectivesThe scoping review will address the question: How does organisational culture influence the generation and application of knowledge within a LHS? MethodsThis scoping review will follow Joanna Briggs Institute scoping review guidelines. Studies examining organisational culture within LHSs will be included, whilst those examining organisational culture outside a LHS framework not. Screening will be conducted using Rayyan, with title and abstract screening, followed by full-text review. A calibration exercise will be undertaken to ascertain agreement of eligibility criteria, after which the second reviewer will independently screen 10% of the studies during the title and abstract screening. A third reviewer will resolve any disagreements. Data extraction will use a standardised data information sheet, and the selection process and results of chosen studies will be recorded using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) flow diagram. Findings will be presented through a narrative summary using thematic analysis. Ethics and DisseminationThis review does not require an ethics approval. This protocol is registered to Open Science Framework and is publicly available at https://doi.org/10.17605/OSF.IO/K4EC3.