City Research Online

Abstract

Collectively, the three papers offer a nuanced understanding of the implementation process, which carries theoretical and practical implications for embedding innovations at scale in pluralist, complex contexts. Together, their insights contribute to organisation and management studies as well as implementation science by (1) clarifying conceptual and practical aspects of the implementation process and (2) demonstrating efforts towards embedding innovations are not solely a matter of transferring evidence-based practices or ensuring resources. Instead, it requires attentiveness to the interplay of attention, storytelling, knowledge exchange, and relational work. These insights can guide practitioners, policymakers, and researchers in designing strategies that foster sustained, meaningful innovation in dynamic organisational contexts.

More specifically, paper one primarily contributes to implementation science research. Paper two advances the organisational attention literature by proposing practice-driven approaches to managing attentional overload. While the theoretical contributions of paper three are not yet fully established due to its preliminary stage, its current analysis suggests potential contributions to research on organisational knowledge sharing and transfer. Further engagement with the literature will refine its theoretical underpinnings as future work progresses toward publication.

The practical implications of the three papers offer guidance for addressing the phenomenon of nonspread of innovations, particularly in healthcare systems. First, the conceptual clarity regarding implementation process indicators—presented in an integrated framework—can facilitate learning from both successful and unsuccessful implementation efforts in process evaluations. Operationalising these outcomes for both localised and wider-scale applications may serve as a more holistic feedback mechanism for change. Second, identifying attention-crafting practices provides facilitative strategies to enhance stakeholder engagement during the early phase of implementation. Finally, the proposed typology of communal narrative shared-knowing (e.g., on platforms that support virtual Communities of Practice) can guide innovation promoters and implementers in identifying experiential knowledge-sharing strategies to reproduce and diffuse situated knowing.

By illustrating how conceptual outcomes, facilitative strategies, and shared narratives together shape the embedding of innovations, the thesis aligns with calls for greater integration of local and global perspectives, bridging the divide between implementation and spread. In particular, insights from the empirical work of the thesis, which is based on data about the implementation experience of innovation intermediary organisations and potential adopters during the early phase of the implementation process, contribute to elaborating on facilitative, supportive mechanisms that are practice-driven, collective and emergent. These findings support understanding how embedding innovations in healthcare contexts (Scarbrough & Kyratsis, 2022) can take root practically within and across organisations. Moreover, by drawing on data that captures the experiences of innovation promoters and implementers to examine the issues and strategies that shape both the localised emergence of innovations’ implementation and their broader spread, the research findings provide empirical evidence for this notion of embedding innovations.

Publication Type:	Thesis (Doctoral)
Subjects:	H Social Sciences > HD Industries. Land use. Labor H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine T Technology > T Technology (General)
Departments:	Bayes Business School > Bayes Business School Doctoral Theses Bayes Business School > Management Doctoral Theses

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