Table 7 Performing/belonging tensions associated with healthcare innovation
Authors | Type of innovation | Stage of innovation process | Type of tension (dilemma or paradox) | Conflicting elements |
|---|---|---|---|---|
Oboirien et al. (2018) | District based clinical specialist team (DCST) | Implementing projects | Range of competence vs. Perceived authority (Dilemma) | A: Range of competence: DCST ought to organize, steer and support processes across the entire DHS structure (p. 7) B: Perceived authority: DCST perceived to be operating above the authority and jurisdiction of middle managers (p. 8) |
Renju et al. (2010) | Young adolescent sexual reproductive health program | Implementing projects | A: Range of competence: Council HIV/ AIDS Coordinator (CHAC) ought to coordinate with comprehensive responsibility (p. 9) B: Perceived authority: CHACs perceived to be operating above their technical ability given their level of qualification and experience, thereby undermining the District AIDS Control Coordinator’s (DACC) authority (p. 9) | |
Leon et al. (2013) | Provider-initiated HIV testing and counselling (PITC) | Implementing projects | Provider-centeredness vs. Patient-centeredness (Dilemma) | A: Provider-centeredness: Taking an authoritative role of providing knowledge and advice as well as using a provider-centered communication style (p. 13) B: Patient-centeredness: Assessing patient readiness for testing and obtaining patient informed consent using a patient-centered form of communication (p. 13) |