Management Decision Finding the hospital-in-the-home units' innovativeness Finding the hospital-in-the-home units' innovativeness

Abstract

Access to this document was granted through an Emerald subscription provided by emerald-srm:514828 [] For Authors If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.com Emerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services. Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. Abstract Purpose – The purpose of this paper is to examine the impact of an organization's unlearning context and information systems (IS) capabilities on the organization's ability to challenge basic beliefs and to implement processes that are explicitly or tacitly helpful in the reception of new ideas (absorptive capacity). The authors also seek to examine the relationship between absorptive capacity and the existence and enhancement of innovativeness. Design/methodology/approach – These relationships are examined through an empirical investigation of 54 doctors and 62 nurses belonging to 44 hospital-in-the-home units (HHU) in Spain. Findings – The results show that absorptive capacity is an important dynamic determinant for developing a HHU's innovativeness. Moreover, this relationship is best explained with two related constructs. Firstly, the HHU's unlearning context plays a key role in managing the tension between potential absorptive capacity and realized absorptive capacity. Secondly, the results also shed light on a tangible means for health managers to enhance their units' innovativeness (quality of service) through IS capabilities. Research limitations/implications – The cross-sectional design does not allow observation of the short-and long-term impact of absorptive capacity on the unlearning context, information systems capability and HHU's innovativeness. Although the model presented here proposes sequenced relationships between absorptive capacities (PACAP and RACAP), the unlearning context and IS capability, the authors measure all these constructs at one point in time. Practical implications – This sequential model presented in this paper provides practical steps for managers interested in organizational structures that support organizational innovativeness. Originality/value – The contribution of unlearning context is related to its ability to prepare the ground for innovation processes.