Authors | Type of innovation | Stage of innovation process | Type of tension (dilemma or paradox) | Conflicting elements |
---|---|---|---|---|
Marjanovic et al. (2020) | Not specified | Implementing projects, Diffusing lessons | System’s rigidity vs. System’s agility (Paradox) | A: System’s rigidity: Sociotechnical systems tend to be inward-looking and inert, propagating persistence and stability over change and innovation (p. 285) B: System’s agility: Innovation processes require system’s capacity to quickly and long lastingly adapt to change (p. 293) |
Vito (2017) | Improvement of access, accountability, evidence, and coordination of children`s mental health services | Implementing projects | Accountability demands vs. Creating value (Dilemma) | A: Accountability demands: Ministry`s strategic directions increasingly focus on performance indicators and outcomes (p. 5) B: Creating value: The Ministry`s strategic directions focus on (…) service excellence, innovative leaders and cross-sectoral collaboration (p. 4) |
Malik et al. (2017) | Linkages between human resource management (HRM) and innovation | Implementing projects | Exploration of new vs. Exploitation of existing (Dilemma) | A: Exploration of new: Looking for variation in existing routines (major or radical) to empower new products/services or to serve new markets and customers (p. 1359) B: Exploitation of existing: Seeking for improvements and refinements to the existing portfolio (p. 1359) |
Valaitis et al. (2016) | Chronic disease prevention and sexually-transmitted infection prevention | Implementing projects | Local prerequisites vs. Evidence-based requirements (Dilemma) | A: Local prerequisites: Responding to local community needs and collaborative directions (p. 15) B: Evidence-based requirements: Providing health services that are grounded in evidence (p. 6Â f.) |
Valaitis et al. (2016) | Chronic disease prevention and sexually-transmitted infection prevention | Implementing projects | Legislative directions vs. Local accountability measures (Dilemma) | A: Legislative directions: Legislatively mandated requirements (p. 9) B: Local accountability measures: Accountability of the local board of health (p. 9) |
Palmer et al. (2018) | Evidence-based episodes of care pathways as part of a hospital funding reform | Implementing projects | Standardizing cost vs. Standardizing care (Dilemma) | A: Standardizing cost: Addressing cost-pressures of quality-based procedures through standardization and scalability (p. 9) B: Standardizing care: Improving quality of care through the implementation of standardized clinical processes/care pathways (p. 9) |