Caring for innovation: practices of compassion in health and social care

Caring for innovation: practices of compassion in health and social care
Caterina Manfrini, Cameron Duff
Journal of Organizational Ethnography, Vol. ahead-of-print, No. ahead-of-print, pp.-

Across the public sector, and especially in the delivery of health and social care and support, practicing innovation is a difficult and seldom rewarding activity. The organisational barriers inhibiting innovation adoption in healthcare settings have been widely discussed. What is less well understood is what motivates staff to persist with innovation efforts despite these barriers. This paper contributes to recent studies of the role of care and compassion in innovation processes within social care settings not only to generate new insights into the motivations underpinning innovation efforts but also to help illuminate how staff overcome barriers to innovation.

We crafted a series of vignettes from our recent ethnographic studies of innovation across the health and social care sectors in Australia and Denmark, involving semi-structured interviews, observation and field notes. Within the Danish case, we explore an instance involving a formal organisational focus on identifying and sustaining innovation within local service deliver. With the Australian case, we present an informal approach, where the process of identifying and sustaining innovation derives from moments of spontaneous employee engagement and initiative.

Reflecting on the examples of “frugal innovation” presented in these vignettes, the major contribution of this study is to situate care and compassion as critical social, affective and material aspects of the practice of innovation in health and social care settings. Our analysis indicates how the practice of innovation is shaped by diverse relations of caregiving, where compassion emerges as a key source of motivation, aspiration and application that inspires staff to seek novel solutions to enduring healthcare challenges.

We develop our argument with reference to recent interdisciplinary orientations to care and compassion in the healthcare literature, incorporating contributions from feminist scholars and the ongoing articulation of feminist care ethics in the study of innovation.