Accelerating Adoption of Clinical Innovations: Insights on Strategic Leadership Styles for Fostering Dynamic Capabilities by Public Referral Hospitals in Nairobi City County, Kenya

Authors

DOI:

https://doi.org/10.51867/ajernet.5.1.35

Keywords:

Clinical Innovation Adoption, Healthcare Leadership, Strategic Leader Behaviour, Strategic Leadership Style

Abstract

It is unclear if there is a significant link between dynamic organisational capabilities and the adoption of clinical innovations. Specifically, Dynamic capabilities are the adaptive, innovative, and strategic resources organisations purposely utilise in complex and uncertain situations over a long time. The increasing need to understand how productive dynamic capabilities inform healthcare leaders to elevate decision quality in healthcare particularly to impact the implementation of clinical innovations remains underexplored in public referral hospitals. The research employed a nomothetic, descriptive, and cross-sectional survey design, gathering data from 189 consented healthcare leaders in four public referral hospitals in Nairobi City County. This approach offers advantages over idiographic methods by providing a broader understanding of general laws, patterns, or trends applicable to a large population. The data were collected through a digitized questionnaire. Descriptive and inferential results were presented numerically within text or tables and figures with organisational capabilities showing positive and statistical relationships with clinical innovation adoption (β = 0.2145; CI 95% [0.0512-0.3777], p = 0.01).  In conclusion, organizational capabilities are shown as the most statistically significant and positive factors in the adoption of clinical innovations by public referral hospitals in Nairobi City County. This has implications for healthcare managers, theory, policy, and practice on where to focus and invest more and to aid them in choosing the most efficacious strategic leadership style. Managerial recommendation entails sustainably adopting clinical innovations through effective organizational capability development and maintenance. Additionally, policy changes can streamline innovation implementation, suggesting areas for further research.

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References

Al Wali, J., Muthuveloo, R., Teoh, A. P. & Al Wali, W. (2023). Disentangling the relationship between employees' dynamic capabilities, innovative work behaviour and job performance in public hospitals. International Journal of Innovation Science, 15(2), 368-384. https://doi.org/10.1108/IJIS-01-2022-0012

Balas, E. A. & Chapman, W. W. (2018). Road map for diffusion of innovation in health care. Health Affairs, 37(2), 198-204. https://doi.org/10.1377/hlthaff.2017.1155

Bhidé, A. (2017). Constraining knowledge: traditions and rules that limit medical innovation. Critical Review, 29(1), 1-33.

https://doi.org/10.1080/08913811.2017.1288464

Bojesson, C. & Fundin, A. (2021). Exploring microfoundations of dynamic capabilities-challenges, barriers and enablers of organizational change. Journal of Organizational Change Management, 34(1), 206-222. https://doi.org/10.1108/JOCM-02-2020-0060

Cao, G., Duan, Y., Edwards, J. S., & Dwivedi, Y. K. (2021). Understanding managers' attitudes and behavioural intentions towards using artificial intelligence for organizational decision-making. Technovation, 106, 1-15. https://doi.org/10.1016/j.technovation.2021.102312

Chege, A.N., Mwenda, L. K. M. & Wachira, A. W. (2015). Effects of Leadership Styles on Implementation of Organisational Strategic Plans in Small and Medium Enterprises in Nairobi.Management and Administrative Sciences Review, 4(3), 593-600.

Coffin, N., & Tang, H. (2023). Investigating the strategic interaction between QMS, organisational agility and innovative performance. Total Quality Management & Business Excellence, 34(9-10), 1096-1107. https://doi.org/10.1080/14783363.2022.2157711

Correa, V. C., Lugo-Agudelo, L. H., Aguirre-Acevedo, D. C., Contreras, J. A. P., Borrero, A. M. P., Patiño-Lugo, D. F. & Valencia, D. A. C. (2020). Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview. Health research policy and systems, 18(1), 1-11. https://doi.org/10.1186/s12961-020-00588-8

David, G. K., Yang, W., Pei, C. & Moosa, A. (2023). Effect of transformational leadership on open innovation through innovation culture: exploring the moderating role of absorptive capacity. Technology Analysis & Strategic Management, 35(5), 613-628. https://doi.org/10.1080/09537325.2021.1979214

Dicuonzo, G., Donofrio, F., Fusco, A., & Shini, M. (2023). Healthcare system: Moving forward with artificial intelligence. Technovation, 120(C), 102510. https://doi.org/10.1016/j.technovation.2022.102510

Gui, L., Lei, H., & Le, P. B. (2024). Fostering product and process innovation through transformational leadership and knowledge management capability: the moderating role of innovation culture. European Journal of Innovation Management, 27(1), 214-232. https://doi.org/10.1108/EJIM-02-2022-0063

Hernandez, H. (2021). Testing for normality: What is the best method. ForsChem Research Reports, 6, 1-39.

Kittleson, M. M. (2024). Optimizing Beneficence and Justice in Heart Transplant Allocation. JAMA, 331(6), 480-481. https://doi.org/10.1001/jama.2023.27157

Knief, U. & Forstmeier, W. (2021). Violating the normality assumption may be the lesser of two evils. Behaviour Research Methods, 53(6), 2576-2590. https://doi.org/10.3758/s13428-021-01587-5

Kothari, C., & Garg, G. (2019). Research methodology: Methods and techniques, 4th (ed.). New age international.

Lipworth, W., Stewart, C. & Kerridge, I. (2018). The need for beneficence and prudence in clinical innovation with autologous stem cells. Perspectives in Biology and Medicine, 61(1), 90-105. https://doi.org/10.1353/pbm.2018.0029

Lohr, S. L. (2021). Sampling: Design and analysis. 3rd (ed.). Chapman and Hall/CRC. https://doi.org/10.1201/9780429298899

Loureiro, R., Ferreira, J. J. & Simoes, J. (2023). Understanding healthcare sector organisations from a dynamic capabilities perspective. European Journal of Innovation Management, 26(2), 588-614. https://doi.org/10.1108/EJIM-02-2021-0085

McKenna, M. K., Pugno, P. A. & Frist, W. H. (2018). (Eds). Physicians as pioneers: leading innovation in healthcare. Physicians as Leaders (pp. 93-108). CRC Press. https://doi.org/10.1201/9781315378244-10

Mukherjee, S., Chittipaka, V., Baral, M. M., Pal, S. K., & Rana, S. (2022). Impact of artificial intelligence in the healthcare sector. Artificial Intelligence and Industry 4.0, 23-54. https://doi.org/10.1016/B978-0-323-88468-6.00001-2

Nguyen, N. T., Hooi, L. W. & Avvari, M. V. (2023). Leadership styles and organisational innovation in Vietnam: does employee creativity matter? International Journal of Productivity and Performance Management, 72(2), 331-360. https://doi.org/10.1108/IJPPM-10-2020-0563

Phillips, A. W., Durning, S. J. & Artino Jr, A. R. (2021). Survey methods for medical and health professions education: A six-step approach. Elsevier Health Sciences.

Saunders, M., Lewis, P. & Thornhill, A. (2020). Research methods for business approach, 8th (ed.). John Wiley & Sons.

Sekaran, U. & Bougie, R. (2020). Research methods for business: A skill building approach. 8th (ed.).(pp. 432).John Wiley & Sons.

Singh, A., Lim, W. M., Jha, S., Kumar, S. & Ciasullo, M. V. (2023). The state of the art of strategic leadership. Journal of Business Research, 158, 1-20. https://doi.org/10.1016/j.jbusres.2023.113676

Spain, E. & Woodruff, T. (2023). The applied strategic leadership process: Setting direction in a VUCA world. Journal of Character and Leadership Development, 10(1), 47-57. https://doi.org/10.58315/jcld.v10.250

Sun, T. Q., & Medaglia, R. (2019). Mapping the challenges of Artificial Intelligence in the public sector: Evidence from public healthcare. Government Information Quarterly, 36(2), 368-383. https://doi.org/10.1016/j.giq.2018.09.008

Vagnani, G., & Volpe, L. (2017). Innovation Attributes and Managers' Decisions about the Adoption of Innovations in Organizations: A Meta-Analytical Review. International Journal of Innovation Studies, 1, 107-133. https://doi.org/10.1016/j.ijis.2017.10.001

van de Riet, M. C., Berghout, M. A., Buljac-Samardžić, M., van Exel, J. & Hilders, C. G. (2019). What makes an ideal hospital-based medical leader? Three views of healthcare professionals and managers: A case study. PLoS One, 14(6), 1-18. https://doi.org/10.1371/journal.pone.0218095

Walsh, J., Downie, S., Windholz, E., Kirk-Brown, A. & Haines, T. P. (2023). Clinical innovation and scope of practice regulation: a case study of the Charlie Teo decision. Australian Health Review, 48(1), 91-94. https://doi.org/10.1071/AH23157

Wong, J. H. K., Näswall, K., Pawsey, F., Chase, J. G. & Malinen, S. K. (2023). Adoption of technological innovation in healthcare delivery: a psychological perspective for healthcare decision-makers. BMJ Innovations, 9(4), 240-252. https://doi.org/10.1136/bmjinnov-2022-001003

Yu, K. H., Beam, A. L., & Kohane, I. S. (2018). Artificial intelligence in healthcare. Nature biomedical engineering, 2(10), 719-731. https://doi.org/10.1038/s41551-018-0305-z

Zhou, L., Huang, H., Chen, X. & Tian, F. (2023). Functional diversity of top management teams and firm performance in SMEs: a social network perspective. Review of Managerial Science, 17(1), 259-286. https://doi.org/10.1007/s11846-022-00524-w

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Published

2024-03-16

How to Cite

Kirigi, G., Kinuthia, J., & Muigai, R. G. (2024). Accelerating Adoption of Clinical Innovations: Insights on Strategic Leadership Styles for Fostering Dynamic Capabilities by Public Referral Hospitals in Nairobi City County, Kenya. African Journal of Empirical Research, 5(1), 362-370. https://doi.org/10.51867/ajernet.5.1.35