Exploring the Configuration of Institutional Practices—A Case Study of Innovation Implementation in Healthcare

Viviana Gutiérrez Rincón, Manoj Chandra Bayon, Jose Javier Aguilar Zambrano and Javier Medina Vasquez
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Viviana Gutiérrez Rincón: Department of Management and Organization, Pontificia Universidad Javeriana Cali, Calle 18 No. 118–250, Cali 760031, Colombia
Manoj Chandra Bayon: Department of Management and Organization, Pontificia Universidad Javeriana Cali, Calle 18 No. 118–250, Cali 760031, Colombia
Jose Javier Aguilar Zambrano: School of Industrial Design, Faculty of Arts, Universidad Nacional de Colombia, Ciudad Universitaria, Edificio 314, Bogota 111321, Colombia
Javier Medina Vasquez: Faculty of Administrative Sciences, Universidad del Valle, Calle 4B # 36-00, Cali 760032, Colombia

Sustainability, 2022, vol. 14, issue 6, 1-18

Abstract: In this study we provide a fine-grained description of the micro-processes of innovation through a qualitative study of the implementation of telemedicine innovation in a healthcare organization. Our qualitative analysis uses a mix of participant interviews, observation techniques and archival data sources. We use the concept of translation to describe the movement of ideas and practices through social interrelationships. Our results suggest that the implementation of innovation involving changes in extant institutional practices is a result of a translation during which actors assess not only their specific role within a given institutional practice but also how their actions influence the broad outcome. Our results bring to the fore the role that interactions between organizational actors and institutional practices play in the implementation of innovation. Consistent with the translation perspective, our results suggest that the implementation of innovation is mainly an organizational change process facilitated by a concurrence of meaning or the lack of it lack among organizational actors. Our study provides new evidence on the institutional practices that are created, maintained, modified as well as disrupted during the implementation of externally developed innovation.

Keywords: institutional practices; actors; translation; Colombia; institutional work; ANT (search for similar items in EconPapers)
JEL-codes: O13 Q Q0 Q2 Q3 Q5 Q56 (search for similar items in EconPapers)
Date: 2022
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