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Table 1 Roles and activities hypothesized in the middle manager role theory [1]

From: Elaborating on theory with middle managers’ experience implementing healthcare innovations in practice

Hypothesized activitiesa

Examples of activities identified in this study

Hypothesized role 1: diffusing information

• Relay information regarding innovation implementation to employees (p 6)

• Stay attuned to top managers’ and frontline employees’ moods and needs (p 6)

• Provide frontline employees with the information necessary to implement innovations (p 6)

• Provide top managers with feedback regarding innovation implementation status (p 6)

• Field employees’ questions regarding innovation implementation (p 6)

• Inform employees of an innovation that is expected to be implemented (p 6)

• Disseminate information regarding material support for innovation implementation (p 6)

• Disseminate information regarding emotional support for innovation implementation (p 6)

• Disseminate rewards for innovation implementation (p 6)

• Websites

• Print/electronic materials

• Training

• Communicating information (e.g., in-person, meetings, email)

• Education

Hypothesized role 2: synthesizing information

• Make general information about innovation implementation relevant to unique organizations and employees (p 6)

• Monitor employees’ responses to the information and reinterpret the information in a way that the employee may find more relevant (p 6)

• Use daily conversations to help frontline employees understand key information regarding innovation implementation (p 7)

• Interpret facts about innovation implementation may convey to employees the relevance of the innovation to the specific roles that they are expected to fulfill (p 7)

• Explain to employees the specific ways in which someone in their role would be supported and rewarded for innovation implementation (p 7)

• Workflow integration

• Providing examples

Hypothesized role 3: mediating between strategy and day-to-day activities

• Give employees the tools necessary to implement innovations (p 7)

• Translate information into concrete tasks that must be carried out to effectively implement innovations (p 7)

• Provide employees with practical feedback on their innovation implementation-related performance (p 7)

• Form “strategic communities” that promote the implementation of new technologies (p 7)

• Identify specific activities in which employees are expected to engage to promote an organization’s strategy of innovation implementation (p 7)

• Provide data

• Funding

• Resources

• Assuring right equipment/tools

• Support

• Workflow integration

• Reminders/follow-up

Hypothesized role 4: selling innovation implementation

• Justify innovation implementation (p 7)

• Encourage employees to consistently and effectively use innovations (p 7)

• Convince employees that innovation implementation is worthy of their attention (p 7)

• Set innovation implementation-related norms (p 8)

• Maintain a positive attitude regarding innovation implementation (p 8)

• Help employees to appreciate the rationale underlying organizational changes (p 8)

• Describing benefits

• Generating “buy-in” from employees

• Providing rewards

• Reinforcement

• Communicating information

  1. aActivities intended to fulfill hypothesized roles are described on indicated page numbers in the theory to which we compare middle managers’ experience in practice in this study [1]