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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

Authors :
Tony Reiman
Amy Folkes
Eva Grunfeld
Geoff Porter
Robin Urquhart
Cynthia Kendell
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.

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