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Sustained Learning as a Dynamic Capability for Digital Transformation: A Multilevel Quantitative Study on Workforce Readiness and Digital Services in Healthcare

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  • Sandra Starke

    (BA School of Business and Finance, University of Latvia, LV-1013 Rīga, Latvia)

  • Iveta Ludviga

    (Faculty of Business and Economics, Riseba University, LV-1048 Rīga, Latvia)

Abstract

In the context of the digital transformation of healthcare organisations, this study investigates the critical role of sustained learning, employee readiness, and supportive learning conditions to enable digital service offerings. Drawing on dynamic capabilities theory, we conceptualise and empirically test a multilevel model, exploring how sustained learning behaviour and mindset shape the Ability–Motivation–Opportunity (AMO) framework at the individual level. Furthermore, we analyse how workplace learning mediates the relationship between AMO on service outcomes at an organisational level, with sector affiliation as a moderating factor. Data were collected from 856 participants with online surveys and analysed with PLS-SEM. The results confirmed that sustained learning significantly enhances individual readiness (ability, motivation, and opportunity), which in turn positively influences digital services. Workplace learning was found to be a potent mediator, and sector affiliation significantly moderated the relationship between workforce enhancement and digital service outcomes. These findings underline the importance of embedding an employee sustained learning mindset and behaviour as an organisational capability, beyond technical implementation. The results suggest that a successful digital transformation hinges on cognitive and behavioural learning engagement, supported by supportive learning structures and context-specific strategies.

Suggested Citation

  • Sandra Starke & Iveta Ludviga, 2025. "Sustained Learning as a Dynamic Capability for Digital Transformation: A Multilevel Quantitative Study on Workforce Readiness and Digital Services in Healthcare," Sustainability, MDPI, vol. 17(20), pages 1-20, October.
  • Handle: RePEc:gam:jsusta:v:17:y:2025:i:20:p:9184-:d:1773217
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    1. Dal Mas, Francesca & Massaro, Maurizio & Rippa, Pierluigi & Secundo, Giustina, 2023. "The challenges of digital transformation in healthcare: An interdisciplinary literature review, framework, and future research agenda," Technovation, Elsevier, vol. 123(C).
    2. Arranz, N. & Arroyabe, M.F. & Li, Jun & de Arroyabe, J.C. Fernandez, 2019. "An integrated model of organisational innovation and firm performance: Generation, persistence and complementarity," Journal of Business Research, Elsevier, vol. 105(C), pages 270-282.
    3. Chirumalla, Koteshwar, 2021. "Building digitally-enabled process innovation in the process industries: A dynamic capabilities approach," Technovation, Elsevier, vol. 105(C).
    4. Veronika Bikse & Liva Grinevica & Baiba Rivza & Peteris Rivza, 2022. "Consequences and Challenges of the Fourth Industrial Revolution and the Impact on the Development of Employability Skills," Sustainability, MDPI, vol. 14(12), pages 1-23, June.
    5. Dianne Forbes & Dilani Gedera & Maggie Hartnett & Ashwini Datt & Cheryl Brown, 2023. "Sustainable Strategies for Teaching and Learning Online," Sustainability, MDPI, vol. 15(17), pages 1-17, August.
    6. Iyanna, Shilpa & Kaur, Puneet & Ractham, Peter & Talwar, Shalini & Najmul Islam, A.K.M., 2022. "Digital transformation of healthcare sector. What is impeding adoption and continued usage of technology-driven innovations by end-users?," Journal of Business Research, Elsevier, vol. 153(C), pages 150-161.
    7. Ahmad Alojairi & Nadeem Akhtar & Hafizi Muhamad Ali & Abdullah F. Basiouni, 2019. "Assessing Canadian Business IT Capabilities for Online Selling Adoption: A Net-Enabled Business Innovation Cycle (NEBIC) Perspective," Sustainability, MDPI, vol. 11(13), pages 1-16, July.
    8. Sandra Starke & Iveta Ludviga, 2024. "Impeding Digital Transformation by Establishing a Continuous Process of Competence Reconfiguration: Developing a New Construct and Measurements for Sustained Learning," Sustainability, MDPI, vol. 16(23), pages 1-16, November.
    9. Jeongju Lee & Hae-Deok Song & Ah Jeong Hong, 2019. "Exploring Factors, and Indicators for Measuring Students’ Sustainable Engagement in e-Learning," Sustainability, MDPI, vol. 11(4), pages 1-12, February.
    10. Kraus, Sascha & Rehman, Shafique Ur & García, F. Javier Sendra, 2020. "Corporate social responsibility and environmental performance: The mediating role of environmental strategy and green innovation," Technological Forecasting and Social Change, Elsevier, vol. 160(C).
    11. David J. Teece, 2007. "Explicating dynamic capabilities: the nature and microfoundations of (sustainable) enterprise performance," Strategic Management Journal, Wiley Blackwell, vol. 28(13), pages 1319-1350, December.
    12. Kokshagina, Dr Olga, 2021. "Managing shifts to value-based healthcare and value digitalization as a multi-level dynamic capability development process," Technological Forecasting and Social Change, Elsevier, vol. 172(C).
    13. Mònica Solanes-Cabús & Eugeni Paredes & Esther Limón & Josep Basora & Iris Alarcón & Irene Veganzones & Laura Conangla & Núria Casado & Yolanda Ortega & Jordi Mestres & Jordi Acezat & Joan Deniel & Jo, 2023. "Primary and Community Care Transformation in Post-COVID Era: Nationwide General Practitioner Survey," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    14. David J. Teece & Gary Pisano & Amy Shuen, 1997. "Dynamic capabilities and strategic management," Strategic Management Journal, Wiley Blackwell, vol. 18(7), pages 509-533, August.
    15. Ana Alvarenga & Florinda Matos & Radu Godina & João C. O. Matias, 2020. "Digital Transformation and Knowledge Management in the Public Sector," Sustainability, MDPI, vol. 12(14), pages 1-24, July.
    16. Do, Hoa & Budhwar, Pawan & Shipton, Helen & Nguyen, Hai-Dang & Nguyen, Bach, 2022. "Building organizational resilience, innovation through resource-based management initiatives, organizational learning and environmental dynamism," Journal of Business Research, Elsevier, vol. 141(C), pages 808-821.
    17. Raimo, Nicola & De Turi, Ivano & Albergo, Francesco & Vitolla, Filippo, 2023. "The drivers of the digital transformation in the healthcare industry: An empirical analysis in Italian hospitals," Technovation, Elsevier, vol. 121(C).
    18. Benjamin D Douglas & Patrick J Ewell & Markus Brauer, 2023. "Data quality in online human-subjects research: Comparisons between MTurk, Prolific, CloudResearch, Qualtrics, and SONA," PLOS ONE, Public Library of Science, vol. 18(3), pages 1-17, March.
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