Knowledge Management and Creativity Among Employees at Educational and Therapeutic Centers Affiliated to Iranshahr University of Medical Sciences

Document Type : Original Article

Authors

1 Tropical and Communicable Diseases Research Center, Iranshahr University of Medical Sciences Iranshahr, Iran

2 Department of Anesthesiology, School of Allied Medical Sciences, Zahedan University of Medical Sciences, Zahedan, Iran

3 Department of Occupational Health and Safety Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Background: In healthcare and educational environments, effective KM is essential for fostering creativity and innovation, ultimately improving service delivery, educational outcomes, and patient care. This study examined the relationship between KM, creativity, and innovation among employees at educational and therapeutic centers affiliated to Iranshahr University of Medical Sciences.
Methods: A descriptive-analytical cross-sectional study was conducted among 120 employees using a census method. Data were collected using two validated instruments: Karamitri et al.’s Knowledge Management Questionnaire (2020), and Sajjadi et al.’s Organizational Creativity Questionnaire (2025). Statistical analyses comprised descriptive statistics, Pearson correlation, independent t-tests, and one-way ANOVA.
Results: Employees reported moderate levels of KM (mean = 2.73 ± 0.57), creativity (mean = 2.99 ± 0.80), and innovation (mean = 3.20 ± 0.62). Knowledge sharing (2.97 ± 0.69) and knowledge identification (2.95 ± 0.72) were the highest-scoring KM dimensions, whereas knowledge utilization scored the lowest (2.36 ± 0.95). KM demonstrated a strong positive correlation with creativity (r = 0.661, p < 0.001), explaining 43.7% of its variance, and a moderate correlation with innovation (r = 0.325, p < 0.001). Creativity showed a weaker but significant association with innovation (r = 0.201, p = 0.02). Subgroup analyses indicated higher KM and creativity scores among male employees and those with fewer than five years of experience.
Conclusion: Structured KM practices, especially knowledge sharing and acquisition, play a central role in enhancing employee creativity.

Keywords

Main Subjects


  1. Wang W-T, Wu S-Y. Knowledge management based on information technology in response to COVID-19 crisis. Knowledge Management Research & Practice. 2021;19(4):468-74.
  2. Yeboah A. Knowledge sharing in organization: A systematic review. Cogent Business & Management. 2023;10(1):2195027.
  3. Santhose SS, Lawrence LN. Understanding the implementations and limitations in knowledge management and knowledge sharing using a systematic literature review. Current Psychology. 2023;42(36):32427-42.
  4. Mahdi OR, Nassar IA. The Business Model of Sustainable Competitive Advantage through Strategic Leadership Capabilities and Knowledge Management Processes to Overcome COVID-19 Pandemic. 2021;13(17):9891.
  5. Alrahbi DA, Khan M, Gupta S, Modgil S, Chiappetta Jabbour CJ. Health-care information technologies for dispersed knowledge management. Journal of Knowledge Management. 2021;26(6):1589-614.
  6. Iqbal A. Innovation speed and quality in higher education institutions: the role of knowledge management enablers and knowledge sharing process. Journal of Knowledge Management. 2021;25(9):2334-60.
  7. Pereira N, Fernandes C. Knowledge Management in Health Organizations: A Systematic Literature Review. Journal of the Knowledge Economy. 2025.
  8. Santos E, Carvalho M, Martins S. Sustainable Enablers of Knowledge Management Strategies in a Higher Education Institution. 2024;16(12):5078.
  9. Garousi Mokhtarzadedeh N, Jafarpanah I, Zamani Babgohari A. Knowledge management capability, entrepreneurial creativity, entrepreneurial intensity and firm performance: the mediating role of ambidexterity. British Food Journal. 2022;124(7):2179-208.
  10. Kosiol J, Silvester T, Cooper H, Alford S, Fraser L. Revolutionising health and social care: innovative solutions for a brighter tomorrow – a systematic review of the literature. BMC Health Services Research. 2024;24(1):809.
  11. Sudi DM, Jusman IA, Heriyanto. Performance Optimisation through Education and Knowledge Management Synergy: An Innovative Business Organisation Strategy. Journal of Contemporary Administration and Management (ADMAN). 2023;1(3):215-21.
  12. Azeem M, Ahmed M, Haider S, Sajjad M. Expanding competitive advantage through organizational culture, knowledge sharing and organizational innovation. Technology in Society. 2021;66:101635.
  13. Patwary AK, Alwi MK, Rehman SU, Rabiul MK, Babatunde AY, Alam MMD. Knowledge management practices on innovation performance in the hotel industry: mediated by organizational learning and organizational creativity. Global Knowledge, Memory and Communication. 2022;73(4-5):662-81.
  14. Skrbinjek V, Vičič Krabonja M, Aberšek B, Flogie A. Enhancing Teachers’ Creativity with an Innovative Training Model and Knowledge Management. 2024;14(12):1381.
  15. Ni G, Zhang Z, Yuan Z, Huang H, Xu N, Deng Y. Transformation paths and influencing factors of tacit knowledge into explicit knowledge in real estate companies: a qualitative study. Engineering, Construction and Architectural Management. 2021;29(3):1319-42.
  16. Restuputri DP, Masudin I, Septira AP, Govindan K, Widayat W. The role of knowledge management to improve organizational performance through organizational ambidexterity within the uncertainties. Business Process Management Journal. 2024;30(7):2237-82.
  17. Obeng HA, Arhinful R, Mensah L, Owusu-Sarfo JS. Assessing the Influence of the Knowledge Management Cycle on Job Satisfaction and Organizational Culture Considering the Interplay of Employee Engagement. 2024;16(20):8728.
  18. Kuznetsova-Bogdanovitsh K, Ranczakowska AM. Knowledge co-creation in arts universities: the role of entrepreneurial mindset and communities of practice. 2025;Volume 14 - 2024.
  19. Yuen SSM, Lam HY. Enhancing Competitiveness through Strategic Knowledge Sharing as a Driver of Innovation Capability and Performance. 2024;16(6):2460.
  20. Gemmete JJ. Learning from medical errors. CVIR Endovascular. 2024;7(1):8.
  21. Abdulmuhsin AA, Owain HO, Alkhwaldi AF. Understanding the academic use of KM-driven Metaverse technology: insights from medical colleges. Journal of Science and Technology Policy Management. 2024.
  22. Lam L, Nguyen P, Le N, Tran K. The Relation among Organizational Culture, Knowledge Management, and Innovation Capability: Its Implication for Open Innovation. Journal of Open Innovation: Technology, Market, and Complexity. 2021;7(1):66.
  23. Omidi N, Omidi MR. Surveying the Relationship between Knowledge Management and Creativity among Nurses Working In Hospitals of Ilam University of Medical Sciences %J Development Strategies in Medical Education. 2017;4(2):27-38.
  24. dargahi h, Asadi S, ahmadi b, Mahmoudi M. Survey of the Relationship of Knowledge Management and Organizational Creativity and Innovation among the Employees of Tehran University of Medical Sciences %J Hospital. 2018;17(1):97-108.
  25. Karamitri I, Kitsios F, Talias MA. Development and Validation of a Knowledge Management Questionnaire for Hospitals and Other Healthcare Organizations. 2020;12(7):2730.
  26. Sajjadi MJIJoOp. The Predictive Role of Organizational Creativity Components in Job Burnout and Organizational Health of Secondary School Teachers. 2025;1(4):32-9.
  27. Khammarnia M, Shahsavani F, Shahrakipour M, Barfar E. Relationship Between Knowledge Management and Quality of Working Life in Nursing Staff of Zahedan Teaching Hospitals, 2014. Health Scope. 2015;4.
  28. Vali L, Izadi A, Jahani Y, Okhovati M. Investigating Knowledge Management Status among Faculty Members of Kerman University of Medical Sciences based on the Nonaka Model in 2015. Electronic physician. 2016;8(8):2738-46.
  29. Ghelichkhani F, Mohammadi A, Mohammadshahi F, Khalili-Shomia S, Azadi A, Bahrami-Vazir E. The Association between Sociodemographic Characteristics, Creativity and Occupational Stress among Nurses Working in Ilam Hospitals, Iran (2019) %J Journal of Occupational Health and Epidemiology. 2022;11(2):129-37.
  30. Waheed A, Waheed S, Mahmood S, El-Kenawy E-SM, Alharbi AH, Eid MM. The impact of high involvement work systems on nurses team creative performance in the public service industry of Pakistan. Scientific Reports. 2025;15(1):13741.
  31. El Achi D, Al Hakim L, Makki M, Mokaddem M, Khalil PA, Kaafarani BR, et al. Perception, attitude, practice and barriers towards medical research among undergraduate students. BMC Medical Education. 2020;20(1):195.
  32. Moreno-Domínguez M-J, Escobar-Rodríguez T, Pelayo-Díaz Y-M, Tovar-García IJH. Organizational culture and leadership style in Spanish Hospitals: Effects on knowledge management and efficiency. 2024;10(20).
  33. Malhotra Y. Knowledge management and new organization forms: A framework for business model innovation. Intelligent support systems: Knowledge management: IGI Global Scientific Publishing; 2002. p. 177-99.
  34. Probst G, Raub S, Romhardt K. Wissen managen: Wie Unternehmen ihre wertvollste Ressource optimal nutzen: Springer; 2006.
  35. Paavola S, Hakkarainen KJS, education. The knowledge creation metaphor–An emergent epistemological approach to learning. 2005;14(6):535-57.
  36. Vali L, Izadi A, Jahani Y, Okhovati MJEp. Investigating knowledge management status among faculty members of Kerman university of medical sciences based on the Nonaka model in 2015. 2016;8(8):2738.
  37. Garcia D, Gluesing JCJJoocm. Qualitative research methods in international organizational change research. 2013;26(2):423-44.
  38. Pettigrew AM, Woodman RW, Cameron KSJAomj. Studying organizational change and development: Challenges for future research. 2001;44(4):697-713.
  39. Ghasemi M, Nejad MG, Bagzibagli KJIjoph. Knowledge management orientation: an innovative perspective to hospital management. 2017;46(12):1639.
  40. Aryankhesal A, Hasani M, Niknam N, Safari M, Ranaei A, Kalteh EAJJoE, et al. Staff perspectives on the relationship between knowledge management and social capital with organizational health in selected educational hospitals in Tehran. 2020;9(1):29.
  41. Migdadi MMJIjop, management p. Knowledge management processes, innovation capability and organizational performance. 2022;71(1):182-210.
  42. Gómez-Marín N, Cara-Jiménez J, Bernardo-Sánchez A, Álvarez-de-Prado L, Ortega-Fernández FJTIJoME. Sustainable knowledge management in academia and research organizations in the innovation context. 2022;20(1):100601.
  43. Jiao W, Chang A, Ho M, Lu Q, Liu MT, Schulz PJJJoMIR. Predicting and empowering health for generation Z by comparing health information seeking and digital health literacy: cross-sectional questionnaire study. 2023;25:e47595.
  44. Bidian C, Evans MM, Frissen IJK, Management P. Does generational thinking create differences in knowledge sharing and ICT preferences? 2022;29(4):318-32.
  45. Aliei M, Hoseini SH, Ostad Hashemi A, Ghamkhaori SMJIJoNA, Applications. Identifying and prioritizing the effective factors on knowledge creation with the logarithmic fuzzy preference programming (LFPP) technique (Case study: Khuzestan Steel Company). 2024;16(1):329-40.
  46. Rahman Seresht H, Radmard SG, Galavani MJOCM. Study of relationship between organizational structure and knowledge management. 2011;9(23):31-50.
  47. Salehi M, Sadeq Alanbari SAJEJoIM. Knowledge sharing barriers and knowledge sharing facilitators in innovation. 2024;27(8):2701-21.
  48. Osman A, Lew CCJJoRR. Developing a framework of institutional risk culture for strategic decision-making. 2021;24(9):1072-85.
  49. Lemon M, Sahota PSJT. Organizational culture as a knowledge repository for increased innovative capacity. 2004;24(6):483-98.
  50. Corfield A, Paton RJJokm. Investigating knowledge management: can KM really change organisational culture? 2016;20(1):88-103.
  51. Auernhammer J, Hall HJJoIS. Organizational culture in knowledge creation, creativity and innovation: Towards the Freiraum model. 2014;40(2):154-66.