Authors | Type of innovation | Stage of innovation process | Type of tension (dilemma or paradox) | Conflicting elements |
---|---|---|---|---|
Rapport et al. (2010) | Endoscopy service delivery and organization | Implementing projects | Economic interest vs. Medical convictions (Dilemma) | A: Economic interest: Decision making based on availability of resources (passage of time, ability of staff members) (p. 926) B: Medical convictions: Demanding decisions based on medical evidence, patient need, or the immediacy of the problem (p. 926) |
Mansfield et al. (2018) | Pilot project implementation in general | Implementing projects | Individual vs. Collective (Dilemma) | A: Individual: (Physicians, Clinicians) Valuing autonomy and independence, having control and routines (p. 8) B: Collective: Sharing data, improving local care coordination, and working interdisciplinary (p. 8) |
Atun et al. (2007) | Family-medicine-centred PHC reform | Implementing projects | Professional boundaries vs. Interprofessional relations (Dilemma) | A: Professional boundaries: Traditional roles in PHC demarcate professional boundaries, thereby assuring a sense of authority, security, and quality of service (p. 34) B: Interprofessional relations: Expanding knowledge and skills through interprofessional relations, thereby stimulating confidence, performance, work efficiency and more control over professional duties (p. 34) |
Lehn et al. (2018) | Readmission prevention program | Implementing projects | Interdisciplinary work vs. Professional autonomy (Dilemma) | A: Interdisciplinary work: Requirement for interdisciplinary cooperation in the initial screening stage (p. 8) B: Professional autonomy: Control and dependency on other professional groups leads to frustration and decreased motivation (p. 9) |
Sharp et al. (2020) | Smart phone application for use by rheumatoid arthritis patients | Implementing projects | Illness experience vs. Objectivation practices (Dilemma) | A: Illness experience: Quantification gives way to an oversimplification of illness experience (p. 8) B: Objectivation practices: Relying on scoring systems and objective evidence to access treatment (p. 8) |