Skip to main content
Top
Published in: BMC Health Services Research 1/2024

Open Access 01-12-2024 | Research

Action researchers as “orchestrators” of co-innovation: a theoretical and methodological framework

Authors: Marianne Eliassen, Cathrine Arntzen, Lina Forslund, Morten Nikolaisen, Patrik Alexandersson, Astrid Gramstad, Andreas Hellström

Published in: BMC Health Services Research | Issue 1/2024

Login to get access

Abstract

Background

With the increasing complexity of health care services, more comprehensive and integrated services need to be designed. Action researchers are encouraged to facilitate multiactor participation and user-centered approaches to initiate service development. However, “orchestrating” co-innovation, in which actors have diverse attitudes, agendas, positions of power, and horizons of understanding, is challenging, and a framework that supports action researchers in co-innovation studies lack. The purpose of this article was to explore how action researchers can facilitate multiactor engagement and handle possible challenges and stimulate creativity among diverse stakeholders.

Methods

We have studied and discussed two Scandinavian cases of rehabilitation innovation (for cancer patients and persons with acquired brain injury) where two research teams with action research approaches have acted in an orchestrating role to create co-innovation.

Results

We identified four themes that are essential for action researchers to facilitate collaborative and creative co-innovation processes: (1) relational power reflexibility, (2) resource integration, (3) joint understanding, and (4) the facilitation of creativity. These mutually dependent themes constitute a theoretical and methodological framework for of co-innovation.

Conclusions

This paper offers a contribution that supports action researchers in orchestrating diverse actors and their contributions in co-innovation processes.
Literature
2.
go back to reference Chandra Y, Shang L, Roy MJ. Understanding healthcare social enterprises: a new public governance perspective. J Soc Policy. 2022;51(4):834–55.CrossRef Chandra Y, Shang L, Roy MJ. Understanding healthcare social enterprises: a new public governance perspective. J Soc Policy. 2022;51(4):834–55.CrossRef
3.
go back to reference Glouberman S, Mintzberg H. Managing the care of health and the cure of disease—part I: differentiation. Health Care Manag Rev. 2001;26(1):56–69.CrossRef Glouberman S, Mintzberg H. Managing the care of health and the cure of disease—part I: differentiation. Health Care Manag Rev. 2001;26(1):56–69.CrossRef
4.
5.
go back to reference Kodner DL, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implications–A discussion paper. Int J Integr Care. 2002;2(4):e12.PubMedCrossRef Kodner DL, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implications–A discussion paper. Int J Integr Care. 2002;2(4):e12.PubMedCrossRef
6.
go back to reference Crosby BC, Hart ‘T, Torfing P. Public value creation through collaborative innovation. Public Manag Rev. 2017;19(5):655–69.CrossRef Crosby BC, Hart ‘T, Torfing P. Public value creation through collaborative innovation. Public Manag Rev. 2017;19(5):655–69.CrossRef
8.
go back to reference Roberts JP, Fisher TR, Trowbridge MJ, Bent C. A design thinking framework for healthcare management and innovation. Healthcare. 2016;4(1):11–4.PubMedCrossRef Roberts JP, Fisher TR, Trowbridge MJ, Bent C. A design thinking framework for healthcare management and innovation. Healthcare. 2016;4(1):11–4.PubMedCrossRef
9.
go back to reference Saragih HS, Tan JD. Co-innovation: a review and conceptual framework. Int J Bus Innov Res. 2018;17(3):361–77.CrossRef Saragih HS, Tan JD. Co-innovation: a review and conceptual framework. Int J Bus Innov Res. 2018;17(3):361–77.CrossRef
10.
go back to reference Lee SM, Olson DL, Trimi S. Co-innovation: convergenomics, collaboration, and co‐creation for organizational values. Manag Decis. 2012;50(5):817–31.CrossRef Lee SM, Olson DL, Trimi S. Co-innovation: convergenomics, collaboration, and co‐creation for organizational values. Manag Decis. 2012;50(5):817–31.CrossRef
11.
go back to reference Elg M, Engström J, Witell L, Poksinska B. Co-creation and learning in health‐care service development. J Serv Manag. 2012;23(3):328–43.CrossRef Elg M, Engström J, Witell L, Poksinska B. Co-creation and learning in health‐care service development. J Serv Manag. 2012;23(3):328–43.CrossRef
12.
go back to reference Osborne SP. From public service-dominant logic to public service logic: are public service organizations capable of co-production and value co-creation? Public Manag Rev. 2018;20(2):225–31.CrossRef Osborne SP. From public service-dominant logic to public service logic: are public service organizations capable of co-production and value co-creation? Public Manag Rev. 2018;20(2):225–31.CrossRef
13.
go back to reference Greenhalgh T, Jackson C, Shaw S, Janamian T. Achieving research impact through co-creation in community‐based health services: literature review and case study. Milbank Q. 2016;94(2):392–429.PubMedPubMedCentralCrossRef Greenhalgh T, Jackson C, Shaw S, Janamian T. Achieving research impact through co-creation in community‐based health services: literature review and case study. Milbank Q. 2016;94(2):392–429.PubMedPubMedCentralCrossRef
14.
go back to reference Elg M, Gremyr I, Halldorsson Á, Wallo A. Service action research: review and guidelines. J Serv Mark. 2020;34(1):87–99.CrossRef Elg M, Gremyr I, Halldorsson Á, Wallo A. Service action research: review and guidelines. J Serv Mark. 2020;34(1):87–99.CrossRef
15.
go back to reference Lifvergren S, Huzzard T, Hellström A. Action research and healthcare. Act Res. 2015;13:3–8.CrossRef Lifvergren S, Huzzard T, Hellström A. Action research and healthcare. Act Res. 2015;13:3–8.CrossRef
16.
go back to reference Koch T, Kralik D. Participatory action research in health care. Singapore: Wiley; 2009. Koch T, Kralik D. Participatory action research in health care. Singapore: Wiley; 2009.
17.
go back to reference Eriksson E, Hellström A. Multi-actor resource integration: a service approach in public management. Br J Manag. 2021;32(2):456–72.CrossRef Eriksson E, Hellström A. Multi-actor resource integration: a service approach in public management. Br J Manag. 2021;32(2):456–72.CrossRef
18.
go back to reference Osborne SP, Radnor Z, Strokosch K. Co-production and the co-creation of value in public services: a suitable case for treatment? Public Manage Rev. 2016;18(5):639–53.CrossRef Osborne SP, Radnor Z, Strokosch K. Co-production and the co-creation of value in public services: a suitable case for treatment? Public Manage Rev. 2016;18(5):639–53.CrossRef
19.
go back to reference Torfing J. Collaborative innovation in the public sector: the argument. Public Manag Rev. 2019;21(1):1–11.CrossRef Torfing J. Collaborative innovation in the public sector: the argument. Public Manag Rev. 2019;21(1):1–11.CrossRef
20.
go back to reference Windrum P, Schartinger D, Rubalcaba L, Gallouj F, Toivonen M. The co-creation of multi-agent social innovations: a bridge between service and social innovation research. Eur J Innov Manag. 2016;19(2):150–66.CrossRef Windrum P, Schartinger D, Rubalcaba L, Gallouj F, Toivonen M. The co-creation of multi-agent social innovations: a bridge between service and social innovation research. Eur J Innov Manag. 2016;19(2):150–66.CrossRef
21.
go back to reference Damanpour F. Organizational innovation: a meta-analysis of effects of determinants and moderators. Acad Manag J. 1991;34(3):555–90.CrossRef Damanpour F. Organizational innovation: a meta-analysis of effects of determinants and moderators. Acad Manag J. 1991;34(3):555–90.CrossRef
22.
go back to reference Huzzard T, Hellström A, Lifvergren S. Whole system in the room: toward systems integration in healthcare. Health Commun. 2018;33(7):800–8.PubMedCrossRef Huzzard T, Hellström A, Lifvergren S. Whole system in the room: toward systems integration in healthcare. Health Commun. 2018;33(7):800–8.PubMedCrossRef
23.
go back to reference Donetto S, Pierri P, Tsianakas V, Robert G. Experience-based co-design and healthcare improvement: realizing participatory design in the public sector. Des J. 2015;18(2):227–48. Donetto S, Pierri P, Tsianakas V, Robert G. Experience-based co-design and healthcare improvement: realizing participatory design in the public sector. Des J. 2015;18(2):227–48.
24.
go back to reference Chandra Y, Shang L, Roy MJ. Understanding healthcare social enterprises: a new public governance perspective. J Soc Policy. 2022;51.4: 834–55. Chandra Y, Shang L, Roy MJ. Understanding healthcare social enterprises: a new public governance perspective. J Soc Policy. 2022;51.4: 834–55.
25.
go back to reference Grenier C. Structuring an integrated care system: interpreted through the enacted diversity of the actors involved—the case of a French healthcare network. Int J Integr care. 2011;11:11.CrossRef Grenier C. Structuring an integrated care system: interpreted through the enacted diversity of the actors involved—the case of a French healthcare network. Int J Integr care. 2011;11:11.CrossRef
26.
go back to reference Blaikie N. Approaches to social enquiry: advancing knowledge. Cambridge: Polity; 2007. Blaikie N. Approaches to social enquiry: advancing knowledge. Cambridge: Polity; 2007.
27.
go back to reference Rostgaard T. Quality reforms in Danish home care–balancing between standardisation and individualisation. Health Soc Care Community. 2012;20(3):247–54.PubMedCrossRef Rostgaard T. Quality reforms in Danish home care–balancing between standardisation and individualisation. Health Soc Care Community. 2012;20(3):247–54.PubMedCrossRef
28.
go back to reference Vike H. Politics and bureaucracy in the Norwegian welfare state: an anthropological approach. Porsgrunn: Springer; 2017. Vike H. Politics and bureaucracy in the Norwegian welfare state: an anthropological approach. Porsgrunn: Springer; 2017.
29.
go back to reference Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. 2013;13:e010.PubMedPubMedCentralCrossRef Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. 2013;13:e010.PubMedPubMedCentralCrossRef
31.
go back to reference Shaikh NM, Kersten P, Siegert RJ, Theadom A. Developing a comprehensive framework of community integration for people with acquired brain injury: a conceptual analysis. Disabil Rehabil. 2019;41(14):1615–31.PubMedCrossRef Shaikh NM, Kersten P, Siegert RJ, Theadom A. Developing a comprehensive framework of community integration for people with acquired brain injury: a conceptual analysis. Disabil Rehabil. 2019;41(14):1615–31.PubMedCrossRef
32.
go back to reference Arntzen C, Moe S, Aadal L, Pallesen H. Facilitating learning and change in the daily lives of stroke survivors: a comparative analysis of municipal stroke rehabilitation services in Norway and Denmark. Cogent Med. 2019;6(1):1608080.CrossRef Arntzen C, Moe S, Aadal L, Pallesen H. Facilitating learning and change in the daily lives of stroke survivors: a comparative analysis of municipal stroke rehabilitation services in Norway and Denmark. Cogent Med. 2019;6(1):1608080.CrossRef
33.
go back to reference Bettger JP, McCoy L, Smith EE, Fonarow GC, Schwamm LH, Peterson ED. Contemporary trends and predictors of postacute service use and routine discharge home after stroke. J Am Heart Assoc. 2015;4(2): e001038.CrossRef Bettger JP, McCoy L, Smith EE, Fonarow GC, Schwamm LH, Peterson ED. Contemporary trends and predictors of postacute service use and routine discharge home after stroke. J Am Heart Assoc. 2015;4(2): e001038.CrossRef
34.
go back to reference Fransson M, Quist J. Livshändelser för gemensamma medborgarmöten i svensk förvaltning: Ett diskussionsunderlag. In: Nationella rådet för innovation och kvalitet i offentlig verksamhet. 2011. Fransson M, Quist J. Livshändelser för gemensamma medborgarmöten i svensk förvaltning: Ett diskussionsunderlag. In: Nationella rådet för innovation och kvalitet i offentlig verksamhet. 2011.
35.
go back to reference Hellstrom A. Design i tjanstesystem |Designing service systems|. In: Holmlid S, Wetter-Edman K, editors. Tjanstedesign Principer och praktiker [Service design Principles and practices] edn. Lund: Studentlitteratur; 2021. p. 147–78. Hellstrom A. Design i tjanstesystem |Designing service systems|. In: Holmlid S, Wetter-Edman K, editors. Tjanstedesign Principer och praktiker [Service design Principles and practices] edn. Lund: Studentlitteratur; 2021. p. 147–78.
37.
go back to reference Ellingsen G, Arntzen C, Forslund L, Nikolaisen M, Eliassen M, Gramstad A, Manskow U. Designing digital systems for rehabilitation practices. Tidsskrift Omsorgsforskning. 2023;2:67–78.CrossRef Ellingsen G, Arntzen C, Forslund L, Nikolaisen M, Eliassen M, Gramstad A, Manskow U. Designing digital systems for rehabilitation practices. Tidsskrift Omsorgsforskning. 2023;2:67–78.CrossRef
38.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2006;3(2):77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2006;3(2):77–101.CrossRef
39.
go back to reference Cooperrider DL, Stavros JM, Whitney D. The appreciative inquiry handbook: for leaders of change. Berrett-Koehler; 2008. Cooperrider DL, Stavros JM, Whitney D. The appreciative inquiry handbook: for leaders of change. Berrett-Koehler; 2008.
40.
go back to reference Gustavsen B. Action research, democratic dialogue, and the issue of critical mass in change. Qual Inq. 1996;2(1):90–103.CrossRef Gustavsen B. Action research, democratic dialogue, and the issue of critical mass in change. Qual Inq. 1996;2(1):90–103.CrossRef
41.
go back to reference Foronda C, MacWilliams B, McArthur E. Interprofessional communication in healthcare: an integrative review. Nurse Educ Pract. 2016;19:36–40.PubMedCrossRef Foronda C, MacWilliams B, McArthur E. Interprofessional communication in healthcare: an integrative review. Nurse Educ Pract. 2016;19:36–40.PubMedCrossRef
43.
go back to reference Crosby BC, Bryson JM. Integrative leadership and the creation and maintenance of cross-sector collaborations. Leadersh Q. 2010;21(2):211–30.CrossRef Crosby BC, Bryson JM. Integrative leadership and the creation and maintenance of cross-sector collaborations. Leadersh Q. 2010;21(2):211–30.CrossRef
44.
go back to reference Star SL, Griesemer JR. Institutional ecology,translations’ and boundary objects: amateurs and professionals in Berkeley’s Museum of Vertebrate Zoology, 1907-39. Soc Stud Sci. 1989;19(3):387–420.CrossRef Star SL, Griesemer JR. Institutional ecology,translations’ and boundary objects: amateurs and professionals in Berkeley’s Museum of Vertebrate Zoology, 1907-39. Soc Stud Sci. 1989;19(3):387–420.CrossRef
45.
go back to reference Akkerman SF, Bakker A. Boundary crossing and boundary objects. Rev Educ Res. 2011;81(2):132–69.CrossRef Akkerman SF, Bakker A. Boundary crossing and boundary objects. Rev Educ Res. 2011;81(2):132–69.CrossRef
46.
go back to reference Kimble C, Grenier C, Goglio-Primard K. Innovation and knowledge sharing across professional boundaries: political interplay between boundary objects and brokers. Int J Inf Manag. 2010;30(5):437–44.CrossRef Kimble C, Grenier C, Goglio-Primard K. Innovation and knowledge sharing across professional boundaries: political interplay between boundary objects and brokers. Int J Inf Manag. 2010;30(5):437–44.CrossRef
47.
go back to reference Osborne SP, Brown L. Innovation, public policy and public services delivery in the UK. The word that would be king? Public Adm. 2011;89(4):1335–50.CrossRef Osborne SP, Brown L. Innovation, public policy and public services delivery in the UK. The word that would be king? Public Adm. 2011;89(4):1335–50.CrossRef
48.
go back to reference Wegener C. Improvisation: Innovation-Fra nyhed til nærvær. In: Samskaping: Sosial innovasjon for helse og velferd. edn. Oslo: Universitetsforlaget; 2020. p. 66–79. Wegener C. Improvisation: Innovation-Fra nyhed til nærvær. In: Samskaping: Sosial innovasjon for helse og velferd. edn. Oslo: Universitetsforlaget; 2020. p. 66–79.
49.
go back to reference Koppenjan JFM, Koppenjan J, Klijn EH. Managing uncertainties in networks: a network approach to problem solving and decision making. London: Psychology; 2004.CrossRef Koppenjan JFM, Koppenjan J, Klijn EH. Managing uncertainties in networks: a network approach to problem solving and decision making. London: Psychology; 2004.CrossRef
50.
go back to reference Herr K, Anderson GL. The action research dissertation: A guide for students and faculty. London: Sage publications; 2014. Herr K, Anderson GL. The action research dissertation: A guide for students and faculty. London: Sage publications; 2014.
Metadata
Title
Action researchers as “orchestrators” of co-innovation: a theoretical and methodological framework
Authors
Marianne Eliassen
Cathrine Arntzen
Lina Forslund
Morten Nikolaisen
Patrik Alexandersson
Astrid Gramstad
Andreas Hellström
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-024-10779-6

Other articles of this Issue 1/2024

BMC Health Services Research 1/2024 Go to the issue