{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:44:20Z","timestamp":1777682660147,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,8,17]],"date-time":"2017-08-17T00:00:00Z","timestamp":1502928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Serv Manage Res"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The implementation of innovations in practice is a critical factor for change and development processes in health and home care. We therefore analyze how an innovative tool \u2013 a mobility agreement to maintain physical mobility of home care clients \u2013 was implemented in Finnish home care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our study involves ethnographic research of 13 home care visits, two years after the mobility agreement was implemented. We analyze the emergence of contradictions, the motives of the actors and the use of artifacts supporting or inhibiting the implementation. Two in-depth cases illustrate the implementation of the mobility agreement in home care visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Our findings show that, first, to achieve practice change and development, the innovation implementation requires the overcoming of contradictions in the implementation process. Second, it calls for the emergence of a shared motive between the actors to transform the abstract concept of an innovation into a concrete practice. Third, artifacts, customary to the clients are important in supporting the implementation process. Fourth, the implementation brings about a modification of the innovation and the adopting social system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Innovation implementation should be seen as a transformation process of an abstract concept into a concrete practice, enabled by the actors involved. Concept design and implementation should be closely linked. In health\/home care innovation management, the implementation of innovations needs to be understood as a complex collective learning process. Results can be far reaching \u2013 in our case leading to change of home care workers\u2019 professional understanding and elderly clients\u2019 mobility habits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0951484817724581","type":"journal-article","created":{"date-parts":[[2017,8,17]],"date-time":"2017-08-17T09:31:51Z","timestamp":1502962311000},"page":"2-10","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["From the abstract to the concrete \u2013 Implementation of an innovative tool in home care"],"prefix":"10.1177","volume":"31","author":[{"given":"Anu","family":"Kajamaa","sequence":"first","affiliation":[{"name":"University of Helsinki, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus-Peter","family":"Schulz","sequence":"additional","affiliation":[{"name":"ICN Business School, Nancy \u2013 Metz, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,8,17]]},"reference":[{"key":"bibr1-0951484817724581","doi-asserted-by":"publisher","DOI":"10.1258\/hsmr.2011.011014"},{"key":"bibr2-0951484817724581","doi-asserted-by":"publisher","DOI":"10.1177\/0951484813511233"},{"key":"bibr3-0951484817724581","doi-asserted-by":"publisher","DOI":"10.1111\/caim.12113"},{"key":"bibr4-0951484817724581","first-page":"3","volume-title":"Theories and practice of interaction design","author":"Engestr\u00f6m Y","year":"2006"},{"key":"bibr5-0951484817724581","doi-asserted-by":"publisher","DOI":"10.1177\/0951484812474246"},{"key":"bibr6-0951484817724581","doi-asserted-by":"publisher","DOI":"10.1108\/09696471111151710"},{"key":"bibr7-0951484817724581","first-page":"67","volume":"31","author":"Ansari S","year":"2010","journal-title":"Acad Manage J"},{"key":"bibr8-0951484817724581","doi-asserted-by":"publisher","DOI":"10.1177\/1077558707299865"},{"key":"bibr9-0951484817724581","volume-title":"Unraveling the helix of change: an activity-theoretical study of health care change efforts and their consequences","author":"Kajamaa A","year":"2011"},{"key":"bibr10-0951484817724581","doi-asserted-by":"crossref","unstructured":"Engestr\u00f6m Y, Kajamaa A and J Nummijoki. 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