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Values Alignment in Sustaining Healthcare Innovation Processes

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Shaping High Quality, Affordable and Equitable Healthcare

Part of the book series: Organizational Behaviour in Healthcare ((OBHC))

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Abstract

Innovating has always been an integral aspect of health and care as it impacts the ability to deliver and improve services for increasingly complex needs. Yet, health and care innovations often fail to spread or are slow in uptake. In this chapter, we focus on the role of values in implementing and sustaining innovation in healthcare settings. We argue that the alignment or mismatch of values has significant implications for the uptake and diffusion of innovations. Using data from two case studies of social care innovations we show that the mechanisms that underpin values alignment as well as the actors involved change as innovations evolve.

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References

  • Aubert, B. A., & Hamel, G. (2001). Adoption of smart cards in the medical sector: The Canadian experience. Social Science & Medicine, 53(7), 879–894.

    Article  Google Scholar 

  • Aubry, T., Klodawsky, F., & Coulombe, D. (2012). Comparing the housing trajectories of different classes within a diverse homeless population. American Journal of Community Psychology, 49(1–2), 142–155.

    Article  Google Scholar 

  • Baker, U., Petro, A., Marchant, T., Peterson, S., Manzi, F., Bergström, A., & Hanson, C. (2018). Health workers’ experiences of collaborative quality improvement for maternal and newborn care in rural Tanzanian health facilities: A process evaluation using the integrated promoting action on research implementation in health services’ framework. PLoS ONE, 13(12), e0209092.

    Article  Google Scholar 

  • Campbell, S. M., Roland, M. O., & Buetow, S. A. (2000). Defining quality of care. Social Science & Medicine, 51(11), 1611–1625.

    Article  Google Scholar 

  • Crane, M., & Joly, L. (2014). Older homeless people: Increasing numbers and changing needs. Reviews in Clinical Gerontology, 24(4), 255.

    Article  Google Scholar 

  • Crilly, T., Jashapara, A., & Ferlie, E. (2010). Research utilisation and knowledge mobilisation: A scoping review of the literature. National Co-Ordinating Centre for NHS Service Delivery and Organization R&D (NCCSDO).

    Google Scholar 

  • D’Souza, C., Mort, G. S., Zyngier, S., Robinson, P., & Schlotterlein, M. (2013). Preventive innovation: An Australian case study on HPV vaccination. Health Marketing Quarterly, 30(3), 206–220.

    Article  Google Scholar 

  • Duarte, N. T., Goodson, J. R., & Dougherty, T. M. P. (2014). Managing innovation in hospitals and health systems: Lessons from the Malcolm Baldrige National Quality Award Winners. International Journal of Healthcare Management, 7(1), 21–34.

    Article  Google Scholar 

  • Ekeland, A. G. (2015). The significance of emotions and professional relations for accommodating a web-based ulcer record and improving home-based care. Healthcare, 3(1), 20-35.

    Google Scholar 

  • Ferlie, E., Fitzgerald, L., Wood, M., & Hawkins, C. (2005). The nonspread of innovations: The mediating role of professionals. Academy of Management Journal, 48(1), 117–134.

    Article  Google Scholar 

  • Fulford, K. W. (2008). Values-based practice: A new partner to evidence-based practice and a first for psychiatry? Mens Sana Monographs, 6(1), 10.

    Article  Google Scholar 

  • Gabbay, J., & Le May, A. (2004). Evidence based guidelines or collectively constructed “mindlines?” Ethnographic study of knowledge management in primary care. BMJ, 329(7473), 1013.

    Article  Google Scholar 

  • Garud, R., Tuertscher, P., & Van de Ven, A. H. (2013). Perspectives on innovation processes. Academy of Management Annals, 7(1), 775–819.

    Article  Google Scholar 

  • Greenhalgh, T., Macfarlane, F., Barton-Sweeney, C., & Woodard, F. (2012). If we build it, will it stay? A case study of the sustainability of whole-system change in London. The Milbank Quarterly, 90(3), 516–547.

    Article  Google Scholar 

  • Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. The Milbank Quarterly, 82(4), 581–629.

    Article  Google Scholar 

  • Gustafsson, A., Nilsson, L., & Johnson, M. D. (2003). The role of quality practices in service organizations. International Journal of Service Industry Management, 14(2), 232–244.

    Article  Google Scholar 

  • Hansen, M. T. (1999). The search-transfer problem: The role of weak ties in sharing knowledge across organization subunits. Administrative Science Quarterly, 44(1), 82–111.

    Article  Google Scholar 

  • Harburger, D. S., Stephan, S. H., & Kaye, S. (2013). Children’s behavioral health system transformation: One state’s context and strategies for sustained change. The Journal of Behavioural Health Services & Research, 40(4), 404–415.

    Article  Google Scholar 

  • Hewett, N., & Halligan, A. (2010). Homelessness is a healthcare issue. SAGE Publications Sage UK.

    Book  Google Scholar 

  • Hislop, D., Newell, S., Scarbrough, H., & Swan, J. (1997). Innovation and networks: Linking diffusion and implementation. International Journal of Innovation Management, 1(04), 427–448.

    Article  Google Scholar 

  • Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080.

    Article  Google Scholar 

  • Kouzes, J. M., & Posner, B. Z. (1996). Envisioning your future: Imagining ideal scenarios. The Futurist, 30(3), 14.

    Google Scholar 

  • Krogh, K. (1998). A conceptual framework of community partnerships: Perspectives of people with disabilities on power, beliefs and values. Canadian Journal of Rehabilitation, 12(2), 123–134.

    Google Scholar 

  • Kyratsis, Y., Ahmad, R., & Holmes, A. (2014). Making sense of evidence in management decisions: The role of research-based knowledge on innovation adoption and implementation in healthcare. Final Report. Health Services and Delivery Research, 2(6), 1.

    Google Scholar 

  • Lounsbury, M., & Crumley, E. T. (2007). New practice creation: An institutional perspective on innovation. Organization Studies, 28(7), 993–1012.

    Article  Google Scholar 

  • Lyon-Callo, V. (2008). Inequality, poverty, and neoliberal governance: Activist ethnography in the homeless sheltering industry. University of Toronto Press.

    Google Scholar 

  • MacAteer, A., Manktelow, R., & Fitzsimons, L. (2016). Mental health workers’ perception of role self-efficacy and the organizational climate regarding the ethos of recovery. The British Journal of Social Work, 46(3), 737–755.

    Article  Google Scholar 

  • May, C., & Finch, T. (2009). Implementing, embedding, and integrating practices: An outline of normalization process theory. Sociology, 43(3), 535–554.

    Article  Google Scholar 

  • Miao, R., Wu, Q., Wang, Z., Zhang, X., Song, Y., Zhang, H., Sun, Q., & Jiang, Z. (2017). Factors that influence users’ adoption intention of mobile health: A structural equation modeling approach. International Journal of Production Research, 55(19), 5801–5815.

    Article  Google Scholar 

  • Mitchell, P. F. (2009). A discourse analysis on how service providers in non-medical primary health and social care services understand their roles in mental health care. Social Science & Medicine, 68(7), 1213–1220.

    Article  Google Scholar 

  • Mitchell, R., Parker, V., Giles, M., Joyce, P., & Chiang, V. (2012). Perceived value congruence and team innovation. Journal of Occupational and Organizational Psychology, 85(4), 626–648.

    Article  Google Scholar 

  • Mondros, J. B., Wilson, S. M., & Wilson, S. (1994). Organizing for power and empowerment. Columbia University Press.

    Google Scholar 

  • Murray, R., Caulier-Grice, J., & Mulgan, G. (2010). The open book of social innovation (Vol. 24). Nesta.

    Google Scholar 

  • Newell, S., Scarbrough, H., & Swan, J. (2009). Managing knowledge work and innovation. Bloomsbury Publishing.

    Book  Google Scholar 

  • NHS England. (2021). Integrating care: Next steps to building strong and effective integrated care systems. NHS England. www.england.nhs.uk/wp-content/uploads/2021/01/integrating-care-next-steps-to-building-strong-and-effective-integrated-care-systems.pdf Accessed 17/08/2021.

  • Nielsen, J. A., & Mengiste, S. A. (2014). Analysing the diffusion and adoption of mobile IT across social worlds. Health Informatics Journal, 20(2), 87–103.

    Article  Google Scholar 

  • Petrova, M., Dale, J., & Fulford, B. K. (2006). Values-based practice in primary care: Easing the tensions between individual values, ethical principles and best evidence. British Journal of General Practice, 56(530), 703–709.

    Google Scholar 

  • Radaelli, G., Currie, G., Frattini, F., & Lettieri, E. (2017). The role of managers in enacting two-step institutional work for radical innovation in professional organizations. Journal of Product Innovation Management, 34(4), 450–470.

    Article  Google Scholar 

  • Reay, P., & Seddighi, H. R. (2012). An empirical evaluation of management and operational capabilities for innovation via co-creation. European Journal of Innovation Management, 15(2), 259–275.

    Article  Google Scholar 

  • Sabus, C., & Spake, E. (2018). Organizational dimensions of innovative practice: A qualitative investigation of the processes supporting innovation adoption in outpatient physical therapy practice. Journal of Allied Health, 47(1), 25–35.

    Google Scholar 

  • Scarbrough, H., Robertson, M., & Swan, J. (2015). Diffusion in the face of failure: The evolution of a management innovation. British Journal of Management, 26(3), 365–387.

    Article  Google Scholar 

  • SCIE (Social Care Institute of Excellence). (2020). Scaling innovation in social care. Rapid Pragmatic Evidence Review: Summary Report, June 2020.

    Google Scholar 

  • Simmons, M., Guerra-Reyes, L., Meyerson, B., Adams, K., & Sanders, S. (2016). Exploring provider perspectives as barriers and facilitators to implementation of quality family planning recommendations at Title X Clinics: A qualitative study. Women’s Health Issues, 26(6), 628–633.

    Article  Google Scholar 

  • Skillman, M., Cross-Barnet, C., Singer, R. F., Ruiz, S., Rotondo, C., Ahn, R., Snyder, L. P., Colligan, E. M., Giuriceo, K., & Moiduddin, A. (2017). Physician engagement strategies in care coordination: Findings from the centers for Medicare & Medicaid Services’ health care innovation awards program. Health Services Research, 52(1), 291–312.

    Article  Google Scholar 

  • Sørly, R., Krane, M. S., Bye, G., & Ellingsen, M. B. (2019). There is a lot of community spirit going on. Middle managers’ stories of innovation in home care services. SAGE Open Nursing, 5. https://doi.org/2377960819844367.

  • Stokke, R. (2017). Maybe we should talk about it anyway: A qualitative study of understanding expectations and use of an established technology innovation in caring practices. BMC Health Services Research, 17(1), 1–13.

    Article  Google Scholar 

  • Suddaby, R., Elsbach, K. D., Greenwood, R., Meyer, J. W., & Zilber, T. B. (2010). Organizations and their institutional environments—Bringing meaning, values, and culture back in: Introduction to the special research forum. Academy of Management Journal, 53(6), 1234–1240.

    Google Scholar 

  • Swinkels, I. C. S., Huygens, M. W. J., Schoenmakers, T. M., Nijeweme-D’Hollosy, W. O., Van Velsen, L., Vermeulen, J., Schoone-Harmsen, M., Jansen, Y. J., Van Schayck, O. C., Friele, R., & de Witte, L. (2018). Lessons learned from a living lab on the broad adoption of eHealth in primary health care. Journal of Medical Internet Research, 20(3), e9110.

    Article  Google Scholar 

  • Swan, J., Newell, S. & Nicolini, D. (2016). Mobilizing knowledge in healthcare: Challenges for management and organization. Oxford University Press.

    Google Scholar 

  • Thomas, B. (2012). Homelessness kills: An analysis of the mortality of homeless people in early twenty-first century England. Crisis.

    Google Scholar 

  • Thomson, L., Schneider, J., & Wright, N. (2013). Developing communities of practice to support the implementation of research into clinical practice. Leadership in Health Services, 26(1), 20–33.

    Article  Google Scholar 

  • Urquhart, R., Porter, G. A., Sargeant, J., Jackson, L., & Grunfeld, E. (2014). Multi-level factors influence the implementation and use of complex innovations in cancer care: A multiple case study of synoptic reporting. Implementation Science, 9(1), 1–16.

    Article  Google Scholar 

  • Van de Ven, A. H. (1986). Central problems in the management of innovation. Management Science, 32(5), 590–607.

    Article  Google Scholar 

  • Vedel, I. V., Ghadi, M. D., Stampa, C., Routelous, H., Bergman, J., Ankri, L., & Lapointe. (2013). Diffusion of a collaborative care model in primary care: A longitudinal qualitative study. BMC Family Practice, 14(1), 1–9.

    Article  Google Scholar 

  • Vito, R. (2017). The impact of service system transformation on human service agencies: Competing ministry directives and strategic innovative leadership adaptations. Human Service Organizations: Management, Leadership & Governance, 41(5), 477–491.

    Google Scholar 

  • Walker, P. (2012). Strategies for organizational change from group homes to individualized supports. Intellectual and Developmental Disabilities, 50(5), 403–414.

    Article  Google Scholar 

  • Walshe, K., & Rundall, T. G. (2001). Evidence-based management: From theory to practice in health care. The Milbank Quarterly, 79(3), 429–457.

    Article  Google Scholar 

  • Williamson, E., Abrahams, H., Morgan, K., & Cameron, A. (2014). Tracking homeless women in qualitative longitudinal research. European Journal of Homelessness, 8(2), 69–91.

    Google Scholar 

  • Windrum, P. (2014). Third sector organizations and the co-production of health innovations. Management Decision, 52(6), 1046–1056.

    Article  Google Scholar 

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Correspondence to Ila Bharatan .

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Bharatan, I., Logan, K., Manning, R.M., Swan, J. (2023). Values Alignment in Sustaining Healthcare Innovation Processes. In: Burgess, N., Currie, G. (eds) Shaping High Quality, Affordable and Equitable Healthcare. Organizational Behaviour in Healthcare. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-031-24212-0_14

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  • DOI: https://doi.org/10.1007/978-3-031-24212-0_14

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