Högskolan i Skövde

Healthcare organizations must remain up-to-date when healthcare systems are in constant flux. One way to meet challenges is through innovations. The aim of this study is to explore what promotes and hinders the implementation of innovation in healthcare’s complex organizational environment. An innovation system was studied through qualitative interviews with nine respondents. The results show that the implementation and adoption of innovations in healthcare are complex. The complexity of the innovation determines the likelihood and speed of the adoption among healthcare professionals. Promoters such as human and financial capital were seen as critical for the sustainability of the innovation. Evaluating the innovation through scientific processes was also important to gain legitimacy and is seen as an important contribution to research. The identifying promoters and hindrances are practical implications to prompt reflection on healthcare innovations among managers and healthcare professionals.

Purpose – This paper applies systems thinking modelling to enhance the dynamic understanding of how to nurture an innovative culture in healthcare organisations to develop the innovation system in practice and speed up the innovative work. The model aims to provide a holistic view of a studied healthcare organisation’s innovation processes, ranging from managerial values to its manifestation in improved results.

Design/methodology/approach – The study is based on empirical material from a healthcare unit that, within a few years, changed from having no innovations to repeatedly generating innovations. The study uses the modelling language of causal loop diagrams (CLDs) in the system dynamics methodology to identify the key important aspects found in the empirical material.

Findings – The proposed model, based on the stories of the interviewees, explores the dynamics of inertia when nurturing an innovative culture, identifying delays attributed to the internal change processes and system relationships. These findings underscored the need for perseverance when developing an innovative culture in the entrepreneurial phases.

Practical implications – The approach of using systems thinking to make empirical healthcare research results more tangible through the visual notations of CLDs and mental simulations is believed to support exploring complex phenomena to induce and nurture both individual and organisational learning.

Originality/value – The results from this approach provide deepened analysis and provoke the systems view to explain how the nurturing of the culture can accelerate the innovation processes, which helps practitioners and researchers to further expand their understanding of their healthcare contexts.