Investigating the Relationship between Organizational Flexibility and the Adoption of Artificial Intelligence Technologies with the Mediating Role of Organizational Learning
Keywords:
Organizational flexibility, adoption of AI technologies, organizational learning, healthcare management, structural equationsAbstract
The objective of this study was to examine the relationship between organizational flexibility and the adoption of artificial intelligence technologies with the mediating role of organizational learning among healthcare management employees. This applied study employed a descriptive-correlational design within the framework of structural equation modeling. The statistical population consisted of 730 employees of Social Security Treatment Management in Chaharmahal and Bakhtiari province, from which 256 participants were selected using the Morgan table and convenience sampling. Data were collected through standardized questionnaires measuring human resource flexibility, technology acceptance, and organizational learning capability. Data analysis was conducted using SPSS-26 and SmartPLS-3. Reliability and validity were confirmed through Cronbach’s alpha, composite reliability, and average variance extracted indices. The results indicated that organizational flexibility has a positive and significant effect on both the adoption of artificial intelligence technologies and organizational learning. Organizational learning also demonstrated a positive and significant impact on AI adoption. Furthermore, organizational learning played a significant mediating role in the relationship between organizational flexibility and AI adoption, confirming both direct and indirect paths, with the overall model demonstrating satisfactory fit and explanatory power. The findings suggest that enhancing AI adoption in healthcare organizations requires simultaneous attention to improving organizational flexibility and strengthening organizational learning processes, as these factors jointly facilitate digital transformation and improve organizational performance.
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Accra Jaja, S., & Amah, E. (2014). Mentoring and organizational resilience: A study of manufacturing companies in Rivers State. IOSR Journal of Business and Management, 16(10), 1-9. https://doi.org/10.9790/487X-161010109
Adiguzel, Z., Sonmez Cakir, F., & Ozbay, F. (2026). Examination of the effects of artificial intelligence readiness on lean sustainability and value creation with the mediating effect of organizational flexibility in technology-focused companies. Kybernetes, 55(1), 100-127. https://doi.org/10.1108/K-01-2024-0046
Akhtarshenas, F., & Hasanian, S. M. (2025). Investigating the effect of work flexibility on organizational agility with the mediating role of organizational learning: A case study of the General Department of Environmental Protection of Razavi Khorasan Mashhad. https://civilica.com/doc/2477083
Alhajeri, A. A. A. M. A., & Safian, E. E. M. (2023). Mediating role of organizational learning in the relationship between use of artificial intelligence security technology and community security. International Journal of Sustainable Construction Engineering and Technology, 14(3), 137-153. https://doi.org/10.30880/ijscet.2023.14.03.012
Almasi, S., Eidi, H., Abbasi, H., & Zardashtian, S. (2019). Investigating the effect of strategic flexibility on organizational entrepreneurship with the mediating role of organizational learning: A case study of youth and sports departments in western Iran. Organizational Behavior Management Studies in Sport, 6(2), 101-116. https://sid.ir/paper/373822/fa
Asayesh, F., & Balou, R. (2022). Investigating the effect of business intelligence implementation and flexibility on organizational success with the mediating role of customer relationship management. Interdisciplinary Marketing Management Studies Quarterly, 1(1), 154-171.
Behvand, M., & Amirnejad, G. (2019). Investigating the effect of organizational flexibility on organizational performance and job satisfaction in the departments and management units of Omidiyeh Oil and Gas Production Company. Social Sciences, 13(1), 223-242.
Bhalerao, K., Kumar, A., Kumar, A., & Pujari, P. (2022). A study of barriers and benefits of artificial intelligence adoption in small and medium enterprise. Academy of Marketing Studies Journal, 26, 1-6.
Bjornstad, A. L., & Lichacz, F. M. J. (2013). Organizational flexibility from a network organizational perspective: A study of central predictors and moderating factors in military contexts. Leadership and Organization Development Journal, 34(8), 763-783. https://doi.org/10.1108/LODJ-02-2012-0021
Chu, Y. H. (2024). Resilience capabilities in the face of environmental turbulence: A case of Hong Kong small to medium enterprises RMIT University].
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS quarterly, 13(3), 319-340. https://doi.org/10.2307/249008
Ghorbani Esfahlan, V. (2021). The effect of knowledge management capabilities on the business innovation model with the role of organizational risk-taking in small and medium-sized enterprises. Accounting and Management Outlook, 4(46), 82-93.
Girot, M., & Saeed, M. (2025). Integrating and Adopting Artificial Intelligence for Knowledge Management and Organizational Learning in Projects.
Hosseinzadeh, A., & Cheraghi, Z. (2025). The role of artificial intelligence in organizational learning and cognitive knowledge management: A systematic review. Interdisciplinary Information Science Studies, 2(1), 51-62.
Husain, Z., Dayan, B., & Chaudhry, I. S. (2024). Roles of organizational flexibility and organizational support on service innovation via organizational learning: A moderated mediation model. Journal of Open Innovation: Technology, Market, and Complexity, 10(3), 100367. https://doi.org/10.1016/j.joitmc.2024.100367
Jerez-Gomez, P., Cespedes-Lorente, J., & Valle-Cabrera, R. (2005). Organizational learning capability: A proposal of measurement. Journal of Business Research, 58(6), 715-725. https://doi.org/10.1016/j.jbusres.2003.11.002
Jia, R., Hu, W., & Li, S. (2022). Ambidextrous leadership and organizational innovation: The importance of knowledge search and strategic flexibility. Journal of Knowledge Management, 26(3), 781-801. https://doi.org/10.1108/JKM-07-2020-0544
Kaviani, H., Alizadeh, H., & Farajif, M. (2019). Investigating the mediating role of human resource flexibility in the relationship between organizational ambidexterity and organizational intelligence in selected military intelligence units. MILITARY MANAGEMENT QUARTERLY, 19(2), 53-80.
Lages, L. F., Silva, G., & Styles, C. (2009). Relationship capabilities, quality, and innovation as determinants of export performance. Journal of International Marketing, 17(4), 47-70. https://doi.org/10.1509/jimk.17.4.47
Lundin, L., & Kindstrom, D. (2023). Digitalizing customer journeys in B2B markets. Journal of Business Research, 157, 113639. https://doi.org/10.1016/j.jbusres.2022.113639
Meher, J. R., Nayak, L., Mishra, R. K., & Patel, G. (2024). Impact of organizational learning culture on organizational effectiveness: A serial mediation analysis with knowledge sharing and employee competencies. VINE Journal of Information and Knowledge Management Systems, 54(2), 324-338. https://doi.org/10.1108/VJIKMS-10-2021-0230
Molaei, I., Salarnejad, A. A., & Salehi Moghaddam, S. (2024). Investigating the effect of artificial intelligence adoption on digital resilience and organizational innovation: A case study of the Audit Organization of Iran. New Research Approaches in Management and Accounting Quarterly, 8(95), 1911-1926.
Moradi, S. M. (2017). Investigating the effect of human resource flexibility on organizational innovation with the mediating role of adaptive culture: A case study of Mashhad Electricity Distribution Company Islamic Azad University, Neyshabur].
Nakash, M., & Bolisani, E. (2024). Knowledge management meets artificial intelligence: A systematic review and future research agenda
Nozari, H., Abdi, H., Szmelter-Jarosz, A., & Motevalli, S. H. (2024). Design of dual-channel supply chain network based on the internet of things under uncertainty. Mathematical and Computational Applications, 29(6). https://doi.org/10.3390/mca29060118
Pai, R. Y., Shetty, A., Shetty, A. D., Bhandary, R., Shetty, J., Nayak, S., & D'Souza, K. J. (2022). Integrating artificial intelligence for knowledge management systems: Synergy among people and technology; a systematic review of the evidence. Economic Research-Ekonomska Istraživanja, 35(1), 7043-7065. https://doi.org/10.1080/1331677X.2022.2058976
Prihandoko, D., Arief, M. T. S., Elidjen, E., Alamsjah, F., & Rizky, Z. S. (2024). Leveraging artificial intelligence for knowledge management: A systematic literature analysis
Rahmani, G. (2011). Investigating the relationship between information technology adoption and organizational agility in governmental organizations of Hamedan Province Islamic Azad University, Sanandaj].
Rikhamba, R. C. (2024). The role of entrepreneurial orientation on the adoption of artificial intelligence within organisations: The mediating roles of organisational learning and innovation capacity University of Pretoria].
Sheikh Shoaei, F., & Oloumi, T. (2007). Investigating factors affecting information technology adoption by librarians in the libraries of engineering faculties of public universities in Tehran. Library and Information Science, 10(3), 9-34.
Taherdoost, H., & Madanchian, M. (2023). Artificial intelligence and knowledge management: Impacts, benefits, and implementation. Computers, 12(4), 72. https://doi.org/10.3390/computers12040072
Wright, P. M., & Snell, S. A. (1998). Toward a unifying framework for exploring fit and flexibility in strategic human resource management. Academy of Management Review, 23(4), 756-772. https://doi.org/10.2307/259061
Zeraati Foukolaei, P. (2025). The impact of organizational learning on sustainable competitive advantage about the mediating role of cultural intelligence and artificial intelligence adoption. Journal of Industrial and Systems Engineering, 17(1), 122-130.
Zhao, X. (2024). AI and organisational learning: Exploring the impact of IoTs and innovation management on the organisational learning process with moderation of perceived risk. International Journal of Information Systems and Change Management, 14(1), 54-69. https://doi.org/10.1504/IJISCM.2024.138082
