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Factors influencing middle managers’ commitment to the implementation of innovations in cancer care
Factors influencing middle managers’ commitment to the implementation of innovations in cancer care
- Source :
- Journal of Health Services Research & Policy. 24:91-99
- Publication Year :
- 2018
- Publisher :
- SAGE Publications, 2018.
-
Abstract
- Objective To identify and illuminate influences on middle managers’ commitment to innovation implementation. Methods A qualitative study was conducted, employing the methods of grounded theory. Semi-structured interviews were used to collect data from middle managers (n = 15) in Nova Scotia and New Brunswick, Canada. Data were collected and analysed concurrently, using an inductive constant comparative approach. Data collection and analysis continued until theoretical saturation was reached. Results The data revealed middle managers contemplate two central issues in terms of their commitment to implementation, that is whether or not they fully engage in and support the implementation of a particular innovation. These issues are (1) ease of implementation and (2) potential benefit for patients. Middle managers’ views and expectations related to ease of implementation are influenced by available resources, fit with setting, and stakeholder buy-in. Their views on patient benefit are influenced by external evidence of benefit and local gaps in care. Conclusions These findings provide further insight into the factors that influence middle managers’ commitment to innovation implementation, and how middle managers consider these factors in the context of their work settings.
- Subjects :
- Thesaurus (information retrieval)
Knowledge management
business.industry
030503 health policy & services
Health Policy
Administrative Personnel
Public Health, Environmental and Occupational Health
Middle management
Grounded theory
Interviews as Topic
03 medical and health sciences
Nova Scotia
0302 clinical medicine
Neoplasms
Grounded Theory
Humans
New Brunswick
030212 general & internal medicine
Sociology
Diffusion of Innovation
0305 other medical science
business
Delivery of Health Care
Qualitative Research
Qualitative research
Subjects
Details
- ISSN :
- 17581060 and 13558196
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Journal of Health Services Research & Policy
- Accession number :
- edsair.doi.dedup.....9d90c0df599cf5ffe2784dbfe3d2e2a5
- Full Text :
- https://doi.org/10.1177/1355819618804842