Despite the positive effects of the implementation of a learning
organization on nursing practice, its impact was uneven across
the CSSS. According to five participants, the involvement of other
health professionals (apart from nurses) was very low. Being a
nurses’ initiative, the creation of a learning culture was presented
to the other professionals later in the change process and they
were not always involved in learning strategies projects, which
made it more difficult for these workers to take ownership of the
project. Moreover, introducing the learning organization required
an important process of culture change. This was not carried out
symmetrically among the facilities of the CSSS. For instance, nurses
from one local health center reported that they would not take part
in conferences at the hospital center that is a 45-min drive away. A
nurse at another facility reported that people were not conscious
of being part of a learning organization; it was just another project
for them.