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Organizational Healthcare Innovation Performed by Contextual Sense Making

  • Anne Reff Pedersen
Part of the Organizational Behaviour in Health Care Series book series (OBHC)

Abstract

Organizational change occurs when innovative ideas are implemented and translated into the everyday life of healthcare organizations and concerns the involvement of local healthcare professionals. A number of studies describe the resistance professionals can exhibit during organizational change processes (Bloom, 1998; Sehested, 2002). One way of gaining an understanding of this resistance is by investigating the meanings healthcare professionals derive from the implementation process and by examining how meanings can become a driver for involvement in the implementation process, but also by looking at how losses of meanings can become a barrier to involvement. This chapter investigates the contextual meanings of healthcare professionals in healthcare innovation processes. The term ‘meaning’ refers to the storyteller’s creation of meanings from narrative knowledge and narrative practice (Bruner, 1986; Humle and Pedersen, 2014).

Keywords

Healthcare Professional Innovation Process Implementation Process Innovation Project Patient Involvement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Albury, D. (2005) ‘Fostering innovation in public services’, Public Money and Management, 25(1): 51–56.Google Scholar
  2. Bloom, S. W. (1988) ‘Structure and ideology in medical education: an analysis of resistance to change’, Journal of health and social behavior, 29(4): 294–306.CrossRefGoogle Scholar
  3. Bruner, J. (1986) Actual Minds, Possible Worlds. Cambridge, MA: Harvard University Press.Google Scholar
  4. Callon, M. (1986). Some elements of a sociology of translation: domestication of the scallops and the fishermen of St. Brieuc Bay. Power, Action, and Belief: A New Sociology of Knowledge, 32, 196–223.Google Scholar
  5. Coopey, J., Keegan, O. et al. (1997) ‘Managers’ innovations as sense making’, British Journal of Management, 8(4): 301–315.CrossRefGoogle Scholar
  6. Czarniawska-Joerges, B. (2004) Narratives in Social Science Research. London: SAGE Publications Ltd.Google Scholar
  7. Dopson, S., Fitzgerald, L. and Ferlie, E. (2008) ‘Understanding change and innovation in healthcare settings: reconceptualizing the active role of context’, Journal of Change Management, 8(3–4): 213–231.CrossRefGoogle Scholar
  8. Ferlie, E., Fitzgerald, L. et al. (2005) ‘The non-spread of innovations: the mediating role of professionals’, The Academy of Management Journal, 48(1): 117–134.CrossRefGoogle Scholar
  9. Fitzgerald, L., Ferlie, E., Wood, M. and Hawkins, C. (2002) ‘Interlocking interactions, the diffusion of innovations in health care’, Human relations, 55(12): 1429–1449.CrossRefGoogle Scholar
  10. Gabriel, Y. (2000) Storytelling in Organizations: Facts, Fictions, and Fantasies. Oxford: Oxford University Press.CrossRefGoogle Scholar
  11. Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P. and Kyriakidou, O. (2004) ‘Diffusion of innovations in service organizations: systematic review and recommendations’, Milbank Quarterly, 82(4): 581–629.CrossRefGoogle Scholar
  12. Hartley, J. (2005) ‘Innovation in governance and public services: past and present’, Public Money and Management, 25(1): 27–34.Google Scholar
  13. Humle, D. M. and Pedersen, A. R. (2014) ‘Fragmented work stories: developing an antenarrative approach by discontinuity, tensions and editing’, Management Learning [Online] Available from: http://mlq.sagepub.com/content/early/2014/10/16/1350507614553547.abstract [Accessed October 16th, 2014].
  14. Hjort, D. and Steyaert, C. (2004) Narrative and Discursive Approaches in Entrepreneurship. Edward Elgar: Cheltenham.CrossRefGoogle Scholar
  15. Laine, P. M. and Vaara, E. (2007) ‘Struggling over subjectivity: a discursive analysis of strategic development in an engineering group’, Human Relations, 60(1): 29–58.CrossRefGoogle Scholar
  16. Levy, D. L., Alvesson, M. et al. (2003) ‘Critical approaches to strategic management’, in M. Alvesson and H. Willmott (eds.), Studying Management Critically. London: SAGE Publications, Ltd., pp. 92–110.CrossRefGoogle Scholar
  17. Mantere, S. and Vaara, E. (2008) ‘On the problem of participation in strategy: a critical discursive perspective’, Organization Science, 19(2): 341–358.CrossRefGoogle Scholar
  18. Mishler, E. G. (1984) The Discourse of Medicine: Dialectics of Medical Interviews, Vol. 3. London: Greenwood Publishing Group.Google Scholar
  19. Moore, M. and Hartley, J. (2008) ‘Innovations in governance’, Public Management Review, 10(1): 3–20.CrossRefGoogle Scholar
  20. Omachonu, V. K. and Einspruch, N. G. (2010) ‘Innovation in healthcare delivery systems: a conceptual framework’, The Innovation Journal: The Public Sector Innovation Journal, 15(1): 1–20.Google Scholar
  21. Osborne, S. P. and Brown, L. (2011) ‘Innovation, public policy and public services delivery in the UK: the word that would be king?’ Public Administration, 89(4): 1335–2011.CrossRefGoogle Scholar
  22. Pedersen, A. R. (2009) ‘Moving away from chronological time: introducing the shadows of time and chronotopes as new understandings of narrative time’, Organization, 16(3): 389–406.CrossRefGoogle Scholar
  23. Pedersen, A. R. and Johansen, M. B. (2012) ‘Strategic and everyday innovative narratives: translating ideas into everyday life in organizations’, The Public Sector Innovation Journal, 17(1): 2–18.Google Scholar
  24. Pettigrew, A., Ferlie, E. and McKee, L. (1992) ‘Shaping strategic change — The case of the NHS in the 1980s’, Public Money & Management, 12(3): 27–31.CrossRefGoogle Scholar
  25. Polley, D. E., Garud, R. and Venkataraman, S. (1999) The Innovation Journey. Oxford: Oxford University Press.Google Scholar
  26. Rogers, E. M. (2010) Diffusion of innovations. New York: Simon and Schuster.Google Scholar
  27. Sehested, K. (2002) ‘How new public management challenges the roles of professionals’, International Journal of Public Administration, 25(12): 1513–1537.CrossRefGoogle Scholar
  28. Shortell, S. M., Gillies, R. and Wu, F. (2010) ‘United States innovations in healthcare delivery’, Public Health Reviews, 32(1): 190–212.Google Scholar
  29. Van de Ven, A. H. and Poole, M. S. (2005) ‘Alternative approaches for studying organizational change’, Organization studies, 26(9): 1377–1404.CrossRefGoogle Scholar
  30. Varkey, P., Horne, A. and Bennet, K. E. (2008) ‘Innovation in health care: a primer’, American Journal of Medical Quality, 23(5): 382–388.CrossRefGoogle Scholar

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© Anne Reff Pedersen 2015

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  • Anne Reff Pedersen

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