Week 3 Discussion
Do a web or library search to locate a research study about the
effects of one or more environmental factors* that affect
cellular respiration or photosynthesis (*examples: temperature,
pH, sunlight, nutrients, carbon dioxide, heavy metals, UV light,
air pollution, heavy metals etc). Briefly describe the conclusion
from this research study in your own words. Include a reference
to the article.
Your main response should be a minimum of 150 words (more is
OK). You must also post a minimum of one significant reply to
a classmate's post that contributes to their learning. The reply
should be a minimum of 100 words.
C Academy ot Managernent Review
1996, Vol. 21. No. 4, 1055-lDBO,
^ THE CHALLENGE OF
INNOVATION IMPLEMENTATION
KATHERINE I. KLEIN
JOANN SPEER SORRA
University of Maryland at College Park
Implementation is the process of gaining targeted organizational
members' appropriate and committed use of an innovation. Our
model
suggests that implementation eiiectiveness—the consistency and
quality of targeted organizational members' use oi an
innovation—is
a function oi (a) the strength oi an organization's climate ior the
imple-
mentation oi that innovation and (b) the fit of that innovation to
targeted
users' values. The model speciiies a range of implementation
outcomes
(including resietance, avoidance, compliance, and commitment):
high-
lights the equifinality of an organization's climate ior
implementation;
describes within- and between-organizational diiferences in
innova-
tion-values fit; and suggests new topics and strategies for
implementa-
tion research.
Innovation implementation within an organization is the process
of
gaining targeted employees' appropriate and committed use of
an innova-
tion. Innovation implementation presupposes innovation
adoption, that
is, a decision, typically made by senior organizational
managers, that
employees within the organization will use the innovation in
their work.
Implementation failure occurs when, despite this decision,
employees use
the innovation less frequently, less consistently, or less
assiduously than
required for the potential benefits of the innovation to be
realized.
An organization's failure to achieve the intended benefits of an
innova-
tion it has adopted may thus reflect either a failure of
implementation or
a failure of the innovation itself. Increasingly, organizational
analysts
identify implementation failure, not innovation failure, as the
cause of
many organizations' inability to achieve the intended benefits of
the inno-
vations they adopt. Quality circles, total quality management,
statistical
process control, and computerized technologies often yield little
or no
benefit to adopting organizations, not because the innovations
are ineffec-
tive, analysts suggest, but because their implementation is
unsuccessful
We are very grateful to Lori Berman. Amy Buhl, Dov Eden.
Marlene Fiol, John Gomperts,
Susan Jackson. Steve Kozlowski, Judy Olian. Michelle Paul,
Ben Schneider, and the anony-
mous reviewers for their extremely helpful comments on earlier
versions oi this article. We
also thank Beth Benjamin, Pamela Carter. Elizabeth Clemmer.
and Scott Rails for their help
in collecting and analyzing the interview data ior the Buildco
and Wireco case studies.
1055
1056 Academy of Management Review October
(e.g., Bushe, 1988; Hackman & Wageman, 1995; Klein & Rails,
1995; Reger,
Gustafson, DeMarie, & Mullane, 1994).
Innovation scholars have long bemoaned the paucity of research
on
innovation implementation (Beyer & Trice, 1978; Hage, 1980;
Roberts-
Gray & Gray, 1983; Tornatzky & Klein, 1982). Although cross-
organizational
studies of the determinants of innovation adoption are abundant
(see
Damanpour, 1991; Tornatzky & Klein, 1982, for reviews),
cross-organiza-
tional studies of innovation implementation (e.g., Nord &
Tucker, 1987) are
extremely rare. More common are single-site, qualitative case
studies of
innovation implementation. Each of these studies describes
pieces of the
implementation story. Largely missing, however, are integrative
models
that capture and clarify the multidetermined, multilevel
phenomenon of
innovation implementation.
In this article, we present an integrative model of the
determinants
of the effectiveness of organizational implementation. The
primary prem-
ise of the model, depicted in Figure 1, is that implementation
effective-
ness—the quality and consistency of targeted organizational
members'
use of an adopted innovation—is a function of (a) an
organization's climate
for the implementation of a given innovation and (b) targeted
organiza-
tional members' perceptions of the fit of the innovation to their
values.
HGURE 1
Determinants and Consequences of Implementation
Effectiveness
t
Climate
for
implementation
Skills
Incentives and
disincentives
Absence of
obstacles
Innovation-
values
fit
Commitment
Implementation
effectiveness
Strategic
accuracy of
innovation
adoption
1996 Klein and Sorra 1057
We begin by defining several key terms and outlining our levels
of
theory. We then present the model. We focus first on the
organization as
a whole, examining instances, determinants, and consequences
of homo-
geneous innovation use within an organization. We then explore
between-
group differences, examining instances, determinants, and
consequences
of varying levels of innovation use by groups within an
organization. Next,
we consider the feedback processes suggested by the model: the
iniluences
of implementation and innovation outcomes on an organization's
subse-
quent climate for implementation and on employees' values. We
illustrate
the model with examples from our own and others'
implementation re-
search, and we conclude with a discussion of the implications
that the
model may have for implementation researchers.
KEY TERMS
Two types of stage models are commonly used to describe the
innova-
tion process. The first, source-based stage models, are based on
the per-
spective of the innovation developer or source. They trace the
creation of
new products or services from the gestation of the idea to the
marketing
of the final product (e.g., research, development, testing,
manufacturing
or packaging, dissemination) (Amabile, 1988; Kanter, 1988;
Tornatzky &
Fleischer, 1990). Within source-based stage models, an
innovation is a
new product or service that an organization, developer, or
inventor has
created for market.
User-based stage models, in contrast, are based on the
perspective
of the user. They trace the innovation process from the user's
awareness
of a need or opportunity for change to the incorporation of the
innovation
in the user's behavioral repertoire (e.g., awareness, selection,
adoption,
implementation, routinization) (Beyer & Trice, 1978; Nord &
Tucker, 1987;
Tornatzky & Fleischer, 1990). Within user-based stage models
(and within
our model), an innovation is a technology or a practice "being
used for
the first time by members of an organization, whether or not
other organiza-
tions have used it previously" (Nord & Tucker, 1987: 6).
We focus on innovations that require the active and coordinated
use
of multiple organizational members to benefit the organization.
Because
innovations of this type by definition affect numerous
organizational mem-
bers, they are typically implemented within an organization
only following
a formal decision on the part of senior managers to adopt the
innovation.
Examples of innovations of this kind include total quality
management
(TQM), statistical process control (SPC), computer-aided design
and manu-
facturing (CAD/CAM), and manufacturing resource planning
(MRP).
Implementation is the transition period during which targeted
organi-
zational members ideally become increasingly skillful,
consistent, and
committed in their use of an innovation. Implementation is the
critical
gateway between the decision to adopt the innovation and the
routine
use oi the innovation within an organization. We conceptualize
innovation
1058 Academy of Management Beview October
use as a continuum, ranging from avoidance of the innovation
(nonuse)
to meager and unenthusiastic use (compliant use) to skilled,
enthusiastic,
and consistent use (committed use). Implementation
effectiveness refers
to the consistency and quality of targeted organizational
members' use
of a specific innovation. Targeted organizational members (or
targeted
users) are individuals who are expected either to use the
innovation di-
rectly (e.g., production workers) or to support the innovation's
use (e.g.,
information technology specialists, production supervisors).
Innovation effectiveness describes the benefits an organization
re-
ceives as a result of its implementation of a given innovation
(e.g., improve-
ments in profitability, productivity, customer service, and
employee mo-
rale). Implementation effectiveness is a necessary but not
sufficient
condition for innovation effectiveness: Although an innovation
is ex-
tremely unlikely to yield significant benefits to an adopting
organization
unless the innovation is used consistently and well, effective
implementa-
tion does not guarantee that the innovation will, in fact, prove
beneficial
for the organization.
LEVELS OF THEORY
Klein, Dansereau, and Hall (1994: 206) urged organizational
scholars
to specify and explicate the level(s) of their theories and their
"attendant
assumptions of homogeneity, independence, or heterogeneity."
We begin
to do so here, weaving further discussion of the levels of the
model through-
out the article.
The fundamental organizational challenge of innovation
implementa-
tion is to gain targeted organizational members' use of an
innovation: to
change individuals' behavior. However, for the innovations on
which we
focus, the benefits of innovation implementation are dependent
on the
use of the innovation not by individuals but by all, or a critical
group of
organizational members (Tornatzky & Fleischer, 1990). Thus,
although we
acknowledge that innovation use may vary between individuals
and be-
tween groups within an organization, we conceptualize
implementation
effectiveness as an organization-level construct, describing the
overall,
pooled or aggregate consistency and quality of targeted
organizational
members' innovation use. An organization in which all targeted
employees
use a given innovation consistently and well is more effective in
its imple-
mentation effort than is an organization in which only some of
the targeted
employees use the innovation consistently and well. Futher,
because the
benefits of innovation implementation depend (again, in the
case of the
innovations we describe) on the integrated and coordinated use
of the
innovation, an organization in which all or most targeted
employees' inno-
vation use is moderate in consistency and quality shows greater
imple-
mentation effectiveness than an organization in which some
targeted
members use the innovation consistently and well while others
use it
inconsistently and poorly. Thus, to use Klein and colleagues'
(1994) termi-
1996 Klein and Sorra 1059
nology, implementation effectiveness is a homogeneous
construct, de-
scribing the quality and consistency of the use of a specific
innovation
within an organization as a whole.
Implementation effectiveness results, we argue in the following
sec-
tion, from the dual influence of an organization's climate for the
implemen-
tation of a given innovation and the perceived fit of that
innovation to
targeted users' values. We posit that implementation climate,
too, is a
homogeneous construct, describing a facet of targeted users'
collective,
perceived work environment. Innovation-values fit, in contrast,
may vary
between individuals, between groups, or between organizations.
We focus
on between-organization and between-group differences in
innovation-
values fit, thus conceptualizing innovation-values fit primarily
as a homo-
geneous construct that may characterize the shared values of
either an
organization's targeted users as a whole or distinct groups of
targeted
users within an organization.
CLIMATE FOR IMPLEMENTATION
The empirical literature on the implementation of workplace
innova-
tions is dominated, as we noted previously, by qualitative,
single-site
studies (e.g., Markus, 1987; Roitman, Liker, & Roskies, 1988;
Sproull &
Hofmeister, 1986). In rich detail, the authors of these studies
have described
a variety of innovation, implementation, organizational, and
managerial
policies, practices, and characteristics that may influence
innovation use.
These include training in innovation use (Fleischer, Liker, &
Arnsdorf,
1988), user support services (Rousseau, 1989), time to
experiment with the
innovation (Zuboff, 1988), praise from supervisors for
innovation use (Klein,
Hall, & Laliberte, 1990), financial incentives for innovation use
(Lawler &
Mohrman, 1991), job reassignment or job elimination for those
who do not
learn to use the innovation (Klein et al., 1990), budgetary
constraints on
implementation expenses (Nord & Tucker, 1987), and the user-
friendliness
of the innovation (Rivard, 1987). (We will use the shorthand
phrase "imple-
mentation policies and practices" to refer to the array of
innovation, imple-
mentation, organizational, and managerial policies, practices,
and charac-
teristics that may influence innovation use.)
Because each implementation case study highlights a different
subset
of one or more implementation policies and practices, the
determinants
of implementation effectiveness may appear to be a blur, a
hodge-podge
lacking organization and parsimony. If multiple authors,
studying multiple
organizations, identify differing sources of implementation
failure and
success, what overarching conclusion is a reader to reach? The
implemen-
tation literature offers, unfortunately, little guidance. To
highlight the
collective influence of an organization's multiple
implementation policies
and practices, we introduce the construct of an organization's
climate for
the implementation of an innovation.
1060 Academy of Management Beview October
Our discussion of this construct builds on Schneider's
conceptualiza-
tion of climate (e.g., Schneider, 1975, 1990). Schneider (1990:
384) defined
climate as employees' "perceptions of the events, practices, and
proce-
dures and the kinds of behaviors that are rewarded, supported,
and ex-
pected in a setting." Three distinctive features of Schneider's
conceptual-
ization of climate bear note here. First, Schneider's
conceptualization
highlights employees' perceptions—^not their evaluations—of
their work
environment. Second, Schneider's conceptualization draws
attention to
employees' shared perceptions, not employees' individual and
idiosyn-
cratic views. And, third, Schneider's conceptualization focuses
on employ-
ees' shared perceptions of the extent to which work unit
practices, proce-
dures, and rewards promote behaviors consistent with a specific
strategic
outcome of interest. Schneider's conceptualization does not
focus on em-
ployees' perceptions of generic work unit characteristics—such
as socio-
emotional supportiveness (e.g., Kopelman, Brief, & Guzzo,
1990)—that are
generalizable to any work unit.
An organization's climate for the implementation of a given
innovation
refers to targeted employees' shared summary perceptions of the
extent
to which their use of a specific innovation is rewarded,
supported, and
expected within their organization. Employees' perceptions of
their organi-
zation's climate for the implementation of a given innovation
are the
result of employees' shared experiences and observations of,
and their
information and discussions about, their organization's
implementation
policies and practices. Climate for implementation, we
emphasize, does
not refer to employees' satisfaction with the innovation, the
organization,
or their jobs; it also does not refer to employees' perceptions of
their
organization's openness to change or general innovativeness.
The Influence of Climate for Implementation
The more comprehensively and consistently implementation
policies
and practices are perceived by targeted employees to encourage,
cultivate,
and reward their use of a given innovation, the stronger the
climate for
implementation of that innovation. A strong implementation
climate fos-
ters innovation use by (a) ensuring employee skill in innovation
use,
(b) providing incentives for innovation use and disincentives for
innova-
tion avoidance, and (c) removing obstacles to innovation use.
An organiza-
tion has a strong climate for the implementation of a given
innovation if,
for example, training regarding innovation use is readily and
broadly
available to targeted employees (ensuring skill); additional
assistance in
innovation use is available to employees following training
(ensuring
skill); ample time is given to employees so they can both learn
about
the innovation and use it on an ongoing basis (ensuring skill,
removing
obstacles); employees' concerns and complaints regarding
innovation use
are responded to by those in charge of the innovation
implementation
(removing obstacles); the innovation itself can be easily
accessed by the
employees (e.g., TQM meetings scheduled at convenient times,
user-
1996̂ Q-J-^ Klein and Sorra 1061
y
friendly computerized technology) (removing obstacles); and
employees'
use of the innovation is monitored and praised by managers and
supervi-
sors (providing incentives for use and disincentives for
innovation
avoidance).
Research on climates for specific strategic outcomes reveals the
in-
fluence that an organization's climate for a specific outcome has
on em-
ployees' behaviors regarding that outcome. Researchers have
found, for
example, that climate for safety is related to factory safety
(Zohar, 1980),
that climate for innovation in R&D subsystems is related to
technological
breakthroughs (Abbey & Dickson, 1983), that climate for
technical updating
is related to engineers' performance (Kozlowski & Hults, 1987),
and that
climate for service is related to customers' perceptions of the
quality of
service received (Schneider & Bowen, 1985; Schneider,
Parkington, & Bux-
ton, 1980). Thus, we posit that the stronger an organization's
climate for
the implementation of a given innovation, the greater will be the
employ-
ees' use of that innovation, provided employees are committed
to innova-
tion use.
The Limits of Climate for Implementation
Our caveat—"provided employees are committed to innovation
use"—indicates the limits of climate. Psychological theories and
research
on conformity and commitment (Kelman, 1961; O'Reilly &
Chatman, 1986;
Sussman & Vecchio, 1991) have been used to distinguish
between compli-
ance, "the acceptance of influence in order to gain specific
rewards and
to avoid punishments," and internalization, "the acceptance of
influence
because it is congruent with a worker's values" (Sussman &
Vecchio, 1991:
214).' Applied to innovation implementation, these works
suggest that
employees who perceive innovation use to be congruent with
their values
are likely to be internalized—committed and enthusiastic—in
their inno-
vation use, whereas individuals who perceive innovation use
merely as
a means to obtain and avoid punishments are likely to be
compliant—pro
forma and uninvested—in their innovation use.
Because a strong implementation climate provides incentives
and
disincentives for innovation use, it may, in and of itself, foster
compliant
innovation use. Climate for implementation does not, however,
ensure
either the congruence of an innovation to targeted users' values
or internal-
ized and committed innovation use. Skillful, internalized, and
commited
innovation use takes more: a strong climate for the
implementation of an
innovation and a good fit of the innovation to targeted users'
values.
We discuss the combined effects of implementation climate and
innovation-values fit in greater detail in a subsequent section,
but an
' Also mentioned in these theories is idenfificafion, the
acceptance of iniluence "in order
to engage in a satisfying role-relationship with another person
or group" (Sussman 8f Vecchio,
1991: 214). Identification seemed to us to have relatively little
relevance to innovation imple-
mentation.
1062 Academy of Management Beview October
example—close to many readers' academic homes—may be
helpful here.
Imagine a university that has historically valued, rewarded, and
sup-
ported teaching far more than research. If the university adopts
a new
emphasis on research, the university can surely create—through
its poli-
cies and practices—a strong climate for research. But how will
professors,
drawn to the university for its teaching emphasis, respond to
such a
change? Will they not simultaneously recognize the new climate
for re-
search and resist it because it is incongruent with their values?
An Example of Climate for Implementation: Buildco, Inc.
Buildco, Inc. (a pseudonym) is a large engineering and
construc-
tion company that experienced great difficulty in implementing
three-
dimensional computer-aided design and drafting (3-D CADD), a
sophisti-
cated computer graphics program used to design and test
computerized
representations of products (in this case, buildings and plants).
Buildco's
senior managers complained of "employee resistance to
change," yet re-
searchers (Klein, 1986; Klein et al., 1990) found, in their
interviews with 26
targeted users and their supervisors, that targeted users were, in
fact,
very enthusiastic about 3-D CADD, per se. For example, one
employee
raved, "I think CADD is the greatest thing since sliced bread. I
like the
whole concept, the speed, the accuracy, [and] the uniformity of
the
drawings."
Targeted users complained vociferously, however, about many
as-
pects of the implementation process. Targeted users were
satisfied with
the content of the company's 60-hour 3-D CADD training
program, but often
they had little opportunity to use their 3-D CADD training on
the job. As
a result, employee skill in 3-D CADD often decayed sharply
following
training. Targeted users complained, too, that managers and
supervisors
offered few rewards for 3-D CADD use: "Supervisors fall short
of letting
people know when they're doing a good job," one employee
commented.
"From what I hear, CADD's made a lot of money for the
company, but how
many people who use CADD know it?" In addition, users
complained
about a variety of obstacles to their use of 3-D CADD: "The
system is
designed to handle 6 or 7 terminals at once, but now there are
17 terminals.
. . . It takes a long time for the computer to do a simple
placement, and
this disrupts your train of thought and creativity. It kills your
efficiency."
Despite users' appreciation of 3-D CADD and the
appropriateness of
the content of the company's training program, the overall
climate for the
implementation of 3-D CADD at Buildco was weak: Targeted
users' CADD
skills often grew rusty, rewards for using CADD were slim, and
obstacles
to using CADD were many.
INNOVATION-VALUES HT
Building on psychological theories of conformity, we posit that
em-
ployees' commitment to the use of an innovation is a function of
the per-
1996 Klein and Sorra 1063
ceived fit of the innovation to employees' values. Values are
"generalized,
enduring beliefs about the personal and social desirability of
modes of
conduct or 'end-states' of existence" (Kabanoff, Waldersee, &
Cohen, 1995:
1076). Individuals have values, as do groups, organizations,
societies, and
national cultures (Kabanoff et al., 1995).
We focus on organizational and group values in our analysis of
innovation-values fit. Organizational values are implicit or
explicit
views, shared to a considerable extent by organizational
members,
about both the external adaptation of the organization (i.e., how
the
organization should relate to external customers, constituencies,
and
competitors) and the internal integration of the organization
(i.e., how
members of the organization should relate to and work with one
another)
(Schein, 1992). Organizational members come to share values as
a result
of their common experiences and personal characteristics
(Holland, 1985;
Schein, 1992; Schneider, 1987). Organizational values are
stable, but not
fixed, and may evolve in response to changing organizational
and
environmental events and circumstances. Organizational values
vary
in intensity. High-intensity organizational values encapsulate
strong,
fervent views and sharp strictures regarding desirable and
undersirable
actions on the part of the organization and its members. Low-
intensity
organizational values describe matters of relatively little
importance
and passion for organizational members.
Group values are implicit or explicit views, shared to a
considerable
extent by the members of a group within an organization, about
the exter-
nal adaptation and internal integration of the organization and
of the
group itself. Group values vary among groups in an
organization, and
they often reflect the self-interests of the group (cf. Guth &
MacMillan, 1986).
Functional and hierarchical groups (e.g., senior managers,
supervisors,
technicians) are likely to differ in their values as a function of
(a) their
roles in the organization (Dougherty, 1992), (b) their common
interactions
and experiences (Rentsch, 1990), and (c) their distinctive
backgrounds and
traits (Holland, 1985). Like organizational values, group values
vary in
their intensity and may evolve over time.
We highlight the fit of innovations to organizational and group
values,
rather than individual values, because our aim is to explain
organizational
implementation effectiveness, not individual differences in
innovation
use. A poor fit between an innovation and organizational or
group values
affects relatively large numbers of organizational members, and
it is thus
more likely to derail innovation implementation than is a poor
fit between
an innovation and any one organizational member's values.
/nnova(ion-va/ues fit describes the extent to which targeted
users
perceive that use of the innovation will foster (or, conversely,
inhibit) the
fulfillment of their values. Targeted users assess the objective
characteris-
tics of an innovation and its socially constructed meaning (e.g..
Barley,
1986; Goodman & Griffith, 1991; Hattrup & Kozlowski, 1993;
Zuboff, 1988) to
judge the fit of the innovation to their values. Because senior
managers
1064 Academy of Management Beview October
adopt innovations to alter production, service, or management,
innova-
tions often represent an imperfect fit with organizational
members' values.
Innovation-values fit is good when targeted innovation users
regard
the innovation as highly congruent with their high-intensity
values.
Innovation-values fit is poor when targeted users regard the
innovation
as highly incongruent with their high-intensity values.
Innovation-values
fit is neutral when targeted users regard the innovation as either
moder-
ately congruent or moderately incongruent with their low-
intensity values.
Innovation-Values Fit: Some Examples of Poor Fit
Innovation-values fit has not, to our knowledge, been the object
of
researchers' explicit attention. However, several scholars have
com-
mented implicitly on the topic. In a case study of the
implementation of
statistical process control in a manufacturing plant, for
example, Bushe
(1988: 25) suggested that because members of manufacturing
plants value
performance (i.e., production) more than change and learning,
"both the
implementation of SPC and the nature of the technique are
countercultural,
in that learning must be as highly valued as performing for SPC
to be
used successfully." In a similar vein, Schein (1992: 140) has
commented.
One of the major dilemmas that leaders encounter when they
attempt to change the way organizations function is how to
get something going that is basically countercultural. . . . For
example, the use of quality circles, self-managed teams, auton-
omous work teams, and other kinds of organizational devices
that rely heavily on commitment to groups may be so counter-
cultural in the typical U.S. individualistic competitive organi-
zation as to be virtually impossible to make work unless they
are presented pragmatically as the only way to get some-
thing done.
Further, Schein (1992) and others (e.g., March & Sproull, 1990)
docu-
mented the poor fit between top managers' and information
technology
(IT) specialists' values. For example, top managers' assumption
that "hier-
archy is intrinsic to organizations and necessary for
coordination" (Schein,
1992; 291) clashes with the IT specialists' assumptions that "a
flatter organi-
zation will be a better one" and "a more fully connected
organization with
open channels in every direction will be a better one" (Schein,
1992: 286).
A last example of poor innovation-values fit comes from a case
study
of the implementation of a computerized inventory control
system in a
wire manufacturing company with the pseudonym Wireco
(Klein, Rails, &
Carter, 1989). (The conclusions we make are based on
interviews with 37
employees: managers, supervisors, and targeted users.) When
the decision
to adopt the computerized inventory control system was
mandated by
corporate headquarters, Wireco's manufacturing procedures
were unstruc-
tured, fluid, and disorganized. If Customer A placed a rush
order for one
kind of wire, preliminary work on Customer B's order for a
different kind
of wire was either put aside (and often lost) or transformed and
used to
1996 Klein and Sorra 1065
meet Customer A's order. Employees at Wireco believed that
customers
were well served by the flexibility of their production
procedures. The new
computerized inventory control system, however, required
employees
(a) to track each customer's order throughout the production
process and
(b) to maintain accurate inventory records. Employees could no
longer
use preliminary work on one customer's order to complete a
different
customer's order. The inventory control system represented a
poor fit with
the employees' values supporting flexible, if disorganized,
production pro-
cedures.
THE EFFECTS OF IMPLEMENTATION CLIMATE AND
INNOVATION-
VALUES FIT ON INNOVATION USE: WHEN FIT IS
HOMOGENEOUS
To predict innovation use, we consider the combined influence
of
implementation climate and innovation-values fit. We first
describe the
implications of a strong or weak climate for implementation and
good,
neutral, or poor innovation-values fit, when innovation-values
fit is homo-
geneous (i.e., when there are few within-organization, between-
group dif-
ferences in innovation-values fit).
The six cells in Table 1 summarize the predicted influence of
varying
levels of implementation climate and innovation-values fit on
employees'
affective responses and innovation use. When innovation-values
fit is
good and the organization's implementation climate is strong,
employees
are skilled in innovation use, incentives for innovation use and
disincen-
tives for innovation avoidance are ample, obstacles to
innovation use are
few, and employees are likely to be highly committed to their
innovation
use. This is the ideal scenario for innovation implementation.
Employees
are enthusiastic about the innovation, and they are skilled,
consistent,
and committed in their innovation use.
When innovation-values fit is good, yet the organization's
implemen-
tation climate is weak, targeted users are committed to
innovation use, but
they lack skills in and experience few incentives for and many
obstacles to
innovation use. Thus, employees' use of the innovation is likely
to be
sporadic and inadequate. Committed to the idea of innovation
use, users
are likely to be disappointed and frustrated by their
organization's weak
implementation climate and by their own and their fellow
employees'
poor use of the innovation. Good innovation-values fit, in the
absence of
a strong implementation climate, is not sufficient to produce
skillful and
consistent innovation use.
When innovation-values fit is poor, yet the organization's
implementa-
tion climate is strong, employee resistance is likely. A strong
implementa-
tion climate creates an imperative for employees to use an
innovation
that, given poor innovation-values fit, employees oppose. If
innovation-
values fit is very poor, targeted innovation users may opt to
leave the
organization if they can find alternative employment. Those
who cannot
1066 Academy of Management fleview October
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1996 Klein and Soria 1067
leave the organization are likely to engage in compliant
innovation use,
at best.
When innovation-values fit is poor and implementation climate
is
weak, targeted innovation users are likely to regard their
organization's
weak implementation climate—its anemic and erratic
implementation
policies and practices—with some relief. Targeted users are
likely to be
pleased to face little pressure to use the innovation. Unskilled,
unmoti-
vated, and opposed to innovation use, targeted users are
unlikely to use
the innovation at all.
Between these extremes of enthusiasm and frustration {when
innova-
tion-values fit is good) and resistance and relief (when
innovation-values
fit is poor) lies a middle group defined by neutral innovation-
values fit.
In this middle ground are innovations that are perceived to be
neither
highly congruent nor highly incongruent with organizational
values that
are of low intensity. When fit is neutral and the implementation
climate
is strong, targeted users are indifferent to the prospect of
innovation imple-
mentation, and they face a strong imperative in favor of
innovation use.
In this case, we predict adequate innovation use—more than
compliant
innovation use but less than committed use. When fit is neutral
and the
implementation climate is weak, employees are not likely to use
the inno-
vation at all.
We note that employee resistance to innovation implementation
is
predicted in only one of the six cases that are depicted in Table
1, that is,
when an organization's implementation climate is strong and
innovation-
values fit is poor. The term resistance connotes protest and
defiance
against an opposing pressure or force. A strong implementation
climate
is such a force. However, when an organization's
implementation climate
is weak, employees need not "resist" innovation use; there is, by
definition,
little pressure on employees to use the innovation. In sum, when
an organi-
zation's climate for innovation implementation is weak, the
organization's
failure to create an imperative for innovation use, not employee
resistance,
is the likely cause of employees' lackluster innovation use.
Implementation Climate and Innovation-Values Fit: Two
Examples
Buildco represents a case of a weak implementation climate and
good
innovation-values fit. Targeted users complained about many
aspects of
the implementation process, but they liked 3-D CADD. They
valued their
own and their company's technical expertise and use of cutting-
edge tech-
nologies. They strived to create economical, creative, and fail-
safe de-
signs, and these users believed that 3-D CADD enhanced their
efforts. As
suggested in Table 1, targeted users were frustrated and
disappointed by
their company's weak implementation policies and practices {its
weak
implementation climate) and by employees' resultant inability to
use 3-D
CADD as much or as well as they would have liked to use it.
Markus's {1987) case study of one company's attempted
implementa-
tion of a computerized financial information system {FIS)
provides an
1068 Academy ot Management Review October
example of a strong climate for innovation implementation and
poor
innovation-values fit.̂ Championed by corporate headquarters,
FIS al-
lowed corporate accountants new access to divisional
performance data.
Corporate headquarters fostered a strong climate for the
implementation
of FIS in the divisions of the corporation by {a) ensuring
divisional accoun-
tants knew how to use the system, (b) fixing technical problems
regarding
FIS, and {c) instituting policies that virtually necessitated the
divisions'
use of FIS. Nevertheless, divisional accountants actively
resisted using
FIS. They valued their financial authority and autonomy and
perceived
FIS to be an affront and a threat to these values.
THE EFFECTS OF IMPLEMENTATION CLIMATE
AND INNOVATION-VALUES FIT ON INNOVATION USE:
WHEN FIT DIFFERS BETWEEN GROUPS
In an organization characterized by between-group differences
in
high-intensity values, the same innovation may be regarded by
the mem-
bers of one group as highly congruent with their values {good
fit) and by
the members of a second group as highly incongruent with their
values
{poor fit). Such a situation is, of course, ripe for conflict if the
effective
implementation of the innovation requires innovation use {or at
least sup-
port for innovation use) across both groups. Next, we explore
the conse-
quences of between-group differences in innovation-values fit:
{a) when
neither of the opposing groups has formal power over the other
(horizontal
groups) and {b) when one of the opposing groups does have
formal power
over the other {vertical groups).
Horizontal Groups
When innovation-values fit is good for one group within an
organiza-
tion and poor for another group, and when neither of the groups
has power
over the other, the strength of the organization's implementation
climate
determines the "winner" of the conflict over innovation use. If
the organiza-
tion's climate for implementation is strong, the group in favor
of innovation
implementation (whose members find the innovation congruent
with their
group's values) is likely to win for two reasons. First, a strong
implementa-
tion climate creates an imperative for innovation use for all
targeted users.
Second, a strong implementation climate indicates to targeted
innovation
users that managers, who are senior to both groups, support
implementa-
tion, thus throwing the weight of management behind the group
favoring
implementation. Ultimately, all targeted users are likely to use
the innova-
tion. Conflict may be drawn out, however, and implementation
may be
slow, as those opposed to innovation implementation actively or
passively
resist using the innovation.
^ Because we did not conduct this case study, our knowledge of
it is more limited than
our knowledge of the Buildco and Wireco case studies.
1996 Klein and Sorra 1069
Conversely, if the climate is weak, those opposed to
implementation
are likely to win, for the same reasons. A weak implementation
climate
discourages innovation use and indicates managers' ambivalence
or an-
tipathy toward implementation (and thus their tacit support of
those who
oppose innovation). Under these circumstances, employees' use
of the
innovation is likely to be limited at best, after a period of
perhaps high
but then declining use of the innovation by those who support
innovation
implementation.
An Example of Horizontal Groups:
Production Operators and IT Specialists
We have described Wireco as an example of poor innovation-
values
fit. Although the fit of the computerized inventory control
system to produc-
tion operators' values was poor, the fit of the system to the
company's IT
specialists was good. Wireco's IT specialists valued the
computerized
system, believing it to be modern, efficient, organized, and
beneficial.
{Recall Schein's, 1992, description of IT values.) Further, the
IT specialists
saw in the prospective implementation of the system an
opportunity to
increase their own influence and status in the company.
Wireco's managers and supervisors, however, tacitly supported
pro-
duction operators' views of the system. As a result, the
company's resulting
implementation climate was very weak. For example, operators
experi-
enced few rewards for using the system and few punishments
for neglect-
ing it. One operator commented, "Are there any rewards or
recognition
for effective use of the system? No. I pet my dog at home more
than I get
petted here, and I don't pet my dog very often."
Given the poor fit of the inventory control system to production
opera-
tors' values and the weak implementation climate,
implementation of the
system was not successful. Operators' and their managers' and
supervi-
sors' use of and support for the system declined, and Wireco's
IT specialists
lost the battle for implementation.
Vertical Groups
When innovation-values fit is good for one group within an
organiza-
tion and poor for another group and when one group does have
power
over the other, the strength of the organization's implementation
climate
again determines the "winner" of conflict over innovation use,
yet the
dynamic is a little different than the one just described. If
innovation-
values fit is good for the higher authority group and poor for the
lower
authority group, then the higher authority group (e.g.,
supervisors) will
strengthen and augment the organization's climate for the
implementation
of the innovation. For example, the higher authority group may
establish
additional incentives or training for innovation use. Under these
circum-
stances, lower authority group members—experiencing a strong
imple-
mentation climate and poor innovation-values fit—will resist
innovation
use and/or engage in compliant innovation use.
1070 Academy of Management Beview October
Conversely, if innovation-values fit is poor for the higher
authority
group and good for the lower authority group, then the higher
authority
group is likely to undermine the organization's implementation
climate.
Higher authority group members may diminish or constrain
lower author-
ity group members' innovation use by, for example, minimizing
the time
available to use the innovation. Under such circumstances,
lower authority
group members—experiencing good-innovation values fit and a
weak
implementation climate—feel frustrated and disappointed, and
they en-
gage in only sporadic and inadequate innovation use.
Examples of Vertical Groups: Supervisors and Their
Subordinates
In a study of employee-involvement programs in eight
manufacturing
plants, Klein (1984) found that employees generally welcomed
opportuni-
ties for greater involvement in plant decision making (good fit).
Supervi-
sors, however, often resisted the implementation of employee-
involvement
programs, believing that these programs limited their authority
and threat-
ened their job security (bad fit). For example, in one plant
(Klein, 1984: 88),
the foremen saw [team meetings among employees] as a threat
to their control and authority, which they tried to regain by
bad-mouthing the program. This bad-mouthing, in turn, dis-
couraged many of their subordinates from participating. In the
end, the whole effort just faded away tor lack of interest.
In sum, supervisors created impediments to workers'
involvement, weak-
ening the climate for implementation that their subordinates
experienced
and thereby undermining innovation implementation.
THE OUTCOMES OF INNOVATION IMPLEMENTATION:
EXPLORING
CONSEQUENCES FOR IMPLEMENTATION CLIMATE AND
VALUES
Prior to the 1980s, most researchers who studied the
determinants of
innovation adoption did not study its aftermath: implementation
{Tornat-
zky & Klein, 1982). Although research on implementation is
now more
prevalent, research on its aftermath is, to our knowledge,
nonexistent. In
this section, we consider briefly the aftermath of
implementation: the ef-
fects {depicted by dashed lines in Figure 1) of varying
implementation
outcomes on an organization's subsequent implementation
climate and
values.
Innovation implementation may result in one of three outcomes:
{a) implementation is effective, and use of the innovation
enhances the
organization's performance; {b) implementation is effective, but
use of the
innovation does not enhance the organization's performance;
and
(c) implementation fails. Each of these three outcomes may
influence an
organization's subsequent implementation climate and
organizational
members' values.
1996 Klein and Sorra 1071
When Implementation Is Effective and Innovation Use
Enhances Performance
When innovation implementation succeeds and enhances an
organi-
zation's performance, the organization's implementation climate
is
strengthened. Managers' and supervisors' support for innovation
imple-
mentation increases, yielding likely improvements in
implementation
policies and practices {e.g., innovation training for additional
employees,
more praise for targeted employees' innovation use). Further,
when
innovation implementation enhances an organization's
performance,
organizational values may be affected. If the innovation is
largely
congruent with the organizational members' homogeneous
values, these
values are reinforced and organizational members' confidence in
the
fit of the innovation to their values is strengthened. If the
innovation
is incongruent with organizational members' homogeneous
values, mem-
bers' values may shift. Organizational members' confidence in
new
values congruent with use of the innovation increases, as does
the
perceived efficacy of innovation adoption and implementation
in general.
As a result of such changes in organizational members' values,
the fit
of future innovations to organizational values is improved. If
the innova-
tion fits well with the values of one group of targeted users and
it fits
poorly with the values of a second group of targeted users', the
"good-
fit" group that encouraged innovation implementation is
vindicated.
Support for this group and its values may grow, whereas support
for
the "poor-fit" group and its values declines.
When Implementation Is Effective But Innovation Use
Does Not Enhance Performance
When implementation succeeds but does not enhance an
organiza-
tion's performance, the organization's climate for
implementation is weak-
ened. Managers' and supervisors' support for implementation
declines. If
innovation-values fit is homogeneous within the organization
and poor,
preexisting organizational values are reinforced {e.g., "We
should have
known computerization would never work for us."). If
innovation-values
fit is homogeneous and good, existing organizational values are
chal-
lenged. At the same time, however, the perceived value of
innovation
adoption and implementation in general may be questioned,
potentially
leading to pessimism regarding the organization's
implementation of fu-
ture innovations. Finally, if innovation-values fit varies
between groups,
support for the group that advocated innovation use lessens.
When Implementation Is Not Effective
When implementation fails, an implementation climate, which
has
in all likelihood always been weak, weakens further unless—in
response
to initial signs of implementation failure—managers
demonstrably in-
crease their support for innovation implementation by changing
the
1072 Academy of Management fleview October
organization's implementation policies and practices to better
support
implementation. If the innovation was largely congruent with
organiza-
tional members' homogeneous values, organizational members
may
question not just the merits of change, but the very possibility
of change.
If the innovation was largely incongruent with organizational
members'
homogeneous values, organizational members may feel
empowered by
their thwarting of the innovation's implementation. Finally, if
innovation-
values fit varies between groups, the influence within the
organization
of the group that advocated innovation implementation is
reduced.
The Outcomes of Innovation Implementation: Two Examples
Buildco provides an interesting example of implementation and
innovation outcomes over time. The company's initial climate
for the
implementation of 3-D CADD was weak, and innovation use
was,
accordingly, sporadic. However, Buildco's managers stepped in
to
strengthen the company's climate for implementation. The early
organi-
zational benefits of 3-D CADD use further strengthened
Buildco's imple-
mentation climate. Given an ultimately strong climate for
implementa-
tion and good fit between 3-D CADD and organizational values,
use of
3-D CADD is now routine at Buildco, and the values for
computerization
appear even stronger than they were prior to the company's
adoption
oi 3-D CADD.
In contrast, Wireco did not succeed in implementing its
computerized
inventory control system. Respect within Wireco for the
company's IT spe-
cialists declined. The company has not, in the years since its
foiled imple-
mentation of the inventory control system, adopted any other
computerized
technology that would diminish the flexibility of, or change in
any other
significant way, the company's production procedures.
RESEARCH IMPLICATIONS OF THE MODEL
The subject of relatively little research, implementation is the
ne-
glected member of the innovation family. Even the Academy of
Manage-
ment Review's Call for Papers on the Management of Innovation
(1994:
617-618) had a distinct, if implicit, focus on the development
and adop-
tion^not the implementation^of innovations. Our model brings
new at-
tention to implementation and invites new research on the topic.
In this
section, we underscore key constructs of the model, note
additional re-
search topics suggested by the model, and highlight research
methods
most useful for the study of implementation.
Key Constructs
Climate for implementation. We have proposed that
implementation
effectiveness is in part a function of the strength of an
organization's
climate for implementation. The climate construct subsumes and
inte-
grates many of the findings of past implementation research.
However,
1996 Klein and Sorra 1073
the contributions of the construct go beyond parsimony. The
construct
suggests that an organization's implementation policies and
practices
should be conceptualized and evaluated as a comprehensive,
interdepen-
dent whole that together determines the strength of the
organization's
climate for implementation. Further, the construct highlights the
equifi-
nality of implementation climate. Implementation climates of
equal
strength may ensue from quite different sets of policies and
practices.
For example, an organization may ensure employee innovation
skill by
training employees, by motivating employees through the
reward system,
by selecting employees skilled in innovation use for hire or
promotion,
or by shaping the innovation to match employees' existing
skills.
The climate for implementation construct thus pushes
researchers
away from the search for the critical determinants of
implementation
effectiveness—training or rewards or user friendliness—to the
documen-
tation of the cumulative influence of all of these on innovation
use. Further,
the climate construct facilitates the comparison of
implementation effec-
tiveness across organizations. The specific implementation
policies and
practices that facilitate innovation use may vary tremendously
from orga-
nization to organization. Training may be critical in one
organization,
rewards in a second organization, and so on. Thus, specific
implementation
policies and practices may show little consistent relationship to
innova-
tion use across organizations. Climate, however, is cumulative
and thus,
in concert with innovation-values fit, predictive of innovation
use across
organizations.
Innovation-values fit. The construct of innovation-values fit
indicates
the limits of implementation climate. In the face of poor
innovation-values
fit, a strong implementation climate results in only compliant
innovation
use and/or resistance. Further, innovation-values fit may vary
across the
groups of an organization, engendering intraorganizational
conflict and
lessening implementation effectiveness. The construct of
innovation-
values fit thus directs researchers to look beyond an
organization's global
{or homogeneous) implementation policies and practices and to
consider
the extent to which a given innovation is perceived by targeted
users to
clash or coincide with their organizational and group values.
Implementation effectiveness and innovation efiectiveness. The
con-
struct of implementation effectiveness helps to focus
researchers' attention
on the aggregate behavioral phenomenon of innovation use. The
construct
of innovation effectiveness, in contrast, directs researchers'
attention to
the benefits that may accrue to an organization as a result of
successful
innovation implementation. These two distinct constructs, too
often blurred
in prior innovation research and theory, are critical for
implementation
research and theory. The first underscores the difficulty of
innovation
implementation; targeted organizational members' consistent
and appro-
priate innovation use is not guaranteed. The second underscores
the vary-
ing effects of innovation implementation; even when the
implementation
1074 Academy ot Management Beview October
of an innovation is effective, the innovation may fail to yield
intended
organizational benefits.
Additional Topics for Research
The model invites research not only on the effects of
implementation
climate and innovation-values fit on implementation and
innovation effec-
tiveness, but it also suggests several questions only hinted at in
this
article, given space limitations. We consider four.
Managers and the creation of a strong implementation climate.
The
organizational change and innovation literatures (e.g., Angle &
Van de
Ven, 1989; Beer, 1988; Leonard-Barton & Krauss, 1985; Nadler
& Tushman,
1989; Nutt, 1986) suggest that the primary antecedent of an
organization's
climate for implementation is managers' support for
implementation of
the innovation. If this is true, why do managers fail to support
the imple-
mentation of many of the innovations adopted in their
organizations?
The available literature, although limited, suggests at least two
possible
answers. First, innovation adoption decisions are often made by
execu-
tives at corporate headquarters without the participation or
input of local,
lower level managers {Guth & MacMillan, 1988; Klein, 1984).
Left out of this
decision-making process, local managers may not be inspired to
create
a strong climate for innovation implementation. Second,
managers may
support innovation implementation, but they may lack an in-
depth under-
standing of the innovation. Managers who know little about an
innovation
are likely to delegate implementation management to
subordinates who
are more knowledgeable but who lack the authority and
resources to
create a strong climate for implementation. Although plausible,
these
explanations for managers' failure to support innovation
implementation
are tentative and preliminary. The topic warrants further
empirical and
conceptual analysis.
"Upward implementation" of innovations. The preceding
paragraph,
and much of our model, highlights the roles that managers play
in creating
a strong implementation climate among targeted users. Are
nonmanagers
powerless to affect their organization's implementation climate?
We know
of no research explicitly designed to answer this question. We
suspect,
however, that in all but the most participative, flat
organizations, nonman-
agers have relatively little influence in creating a strong
implementation
climate. Even though nonmanagers can advocate, or champion,
their man-
agers' adoption of a given innovation {Dean, 1987; Howell &
Higgins, 1990),
they lack the authority and resources to institute the policies
and practices
that yield a strong implementation climate. Yet as organizations
strive to
become both more innovative and flatter, the role of
nonmanagers in
fostering implementation becomes an increasingly important
topic for re-
search.
Implementing multiple innovations. Can an organization
successfully
and simultaneously implement multiple innovations? If an
organization's
multiple innovations necessitate diverse, new, time-consuming,
and
^]ein and Sorra 1075
difficult-to-learn behaviors of a common group of targeted
users, the likeli-
hood of successful simultaneous implementation of the
innovations is
slim. An organization's climate for the implementation of one
such innova-
tion may compete with and undermine its climate for the
implementation
of another innovation. For example, rewards for the use of one
innovation
may impose obstacles to the use of the second innovation. More
likely to
be successful are organizational efforts to implement
innovations that
require complementary changes in the behavior of distinct
groups of users.
In such a case, the climate for the implementation oi one
innovation may
indeed enhance the climate for the implementation of a second
innovation.
However, additional research is needed because relatively little
is known
about the success or failure of organizations' attempts to
implement multi-
ple innovations.
Fostering innovation-values fit. The actions an organization
might
take to strengthen its climate for the implementation of an
innovation
are relatively clear, but what can an organization do to foster
good
innovation-values fit? The available literature suggests three
possible
strategies. First, an organization may provide opportunities for
employ-
ees to participate in the decision to adopt the innovation {Kotter
&
Schlesinger, 1979). Employees' participation in the adoption
decision
increases the likelihood that the chosen innovation fits their
preexisting
values. Employees' participation in the adoption decision also
may
change employees' values, rendering their new values congruent
with the
adopted innovation. Second, an organization may foster good
innovation-
values fit by educating employees about the need for {value of)
the
innovation for organizational performance. Although senior
executives
may recognize the need for an innovation that is discrepant with
organizational members' preexisting values, lower level
employees may
not understand this {Floyd & Wooldridge, 1992; Guth &
MacMillan, 1986;
Klein, 1984). Third, employees' values may shift over time, and
innovation-
values fit may increase if an organization's implementation of
an
innovation that represents a poor fit with employees' preexisting
values
yields clear and widely recognized benefits for the organization.
This,
however, is a risky strategy; employees' use of an innovation
that
represents a poor fit with their values is likely to be compliant
at best,
and compliant innovation use is unlikely to yield great benefits
to the
adopting organization. Given the predicted importance of
innovation-
values fit in fostering innovation use, the determinants of
innovation-
values fit warrant focused research attention.
Methods for the Study of Implementation
Multiorganizational research. As we have noted, single-site,
qualita-
tive case studies dominate the implementation literature. To
verify the
sources of between-organization differences in implementation
effec-
tiveness proposed in the model, however, researchers must
move be-
yond single-site research to analyze innovation implementation
across
1076 Academy of Management Review October
organizations. The topic is sufficiently complex to warrant
studying the
implementation of a single innovation (e.g., a specific computer
program),
rather than the implementation of diverse innovations, across
organiza-
tional sites. Ultimately, such studies may provide the
groundwork for
studies that are used to compare the implementation of different
types of
innovations across organizations.
Multilevel research. Although designed to capture between-
organiza-
tional differences in innovation implementation, our model is
expressly
multilevel. Implementation effectiveness summarizes the
innovation use
of multiple individuals. Implementation climate describes the
shared per-
ceptions of multiple individuals. And innovation-values fit may
vary not
only between organizations but also between groups and even
between
individuals. Accordingly, we advocate the collection of data
from multiple
individuals across multiple groups, if present, within each
organization
in a multiorganizational sample.
Longitudinal data. Implementation is a process that occurs over
time. Ideally, implementation research begins prior to
implementa-
tion, with analysis and documentation of the decision to adopt
an
innovation. Research then continues over time to capture
increases and
decreases in the strength of implementation climate, in the fit of
the
innovation to employee values, and in innovation use and
innovation
effectiveness.
Qualitative and quantitative data. To gather data from multiple
indi-
viduals across multiple groups in multiple organizations over
multiple
periods, researchers will surely need to use quantitative survey
measures.
The use of qualitative methods across such a sample would be
far too
labor intensive, far too time consuming. Further, the use of
quantitative
measures will allow researchers to conduct needed statistical
tests of
within- and between-group and within- and between-
organization vari-
ability in implementation climate, innovation-values fit,
innovation use,
and innovation effectiveness.
However, qualitative research on implementation is still
valuable.
Preliminary qualitative research is likely to be essential for a
researcher
to gain an in-depth understanding of a given innovation and its
imple-
mentation across organizations. Qualitative research may foster
further
development of our constructs and may provide the groundwork
for the
creation of survey instruments that are focused on a specific
innovation.
Finally, qualitative methods may be used to gather in-depth
information
about specific organizations that were revealed in surveys to be
particu-
larly interesting and important (e.g., organizations characterized
by
strong implementation climates and poor innovation-values fit).
Few researchers are likely, of course, to collect
multiorganizational,
multilevel, longitudinal, quantitative and qualitative data within
a single
study. Yet, studies that follow even two of the four research
design recom-
mendations proposed in this section will represent a step in the
right
1996 Klein and Sorra 1077
direction—a step toward a deeper, more thorough understanding
of inno-
vation implementation.
CONCLUSION
When organizations adopt innovations, they do so with high
expecta-
tions, anticipating improvements in organizational productivity
and per-
formance. However, the adoption of an innovation does not
ensure its
implementation; adopted policies may never be put into action,
and
adopted technologies may sit in unopened crates on the factory
floor. The
organizational challenge is to create the conditions for
innovation use: a
strong climate for innovation implementation and good
innovation-values
fit. Only then is an organization likely—but, unfortunately, by
no means
certain—to achieve the intended benefits of the innovation.
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loann Speer Sorra received her master's degree from Michigan
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level-oi-analysis is-
sues, and part-time work.
POLICY
IMPLEMENTATION,
STREET-LEVEL
BUREAUCRACY, AND
THE IMPORTANCE
OF DISCRETION
Lars Tummers and Victor Bekkers
Lars Tummers
Department of Public Administration
Erasmus University Rotterdam
P.O. Box 1738, NL-3000 DR Rotterdam
The Netherlands
E-mail: [email protected]
Victor Bekkers
Department of Public Administration
Erasmus University Rotterdam
P.O. Box 1738, NL-3000 DR Rotterdam
The Netherlands
E-mail: [email protected]
Abstract
Street-level bureaucrats implementing public
policies have a certain degree of autonomy –
or discretion – in their work. Following
Lipsky, discretion has received wide atten-
tion in the policy implementation literature.
However, scholars have not developed theo-
retical frameworks regarding the effects of
discretion, which were then tested using
large samples. This study therefore develops
a theoretical framework regarding two main
effects of discretion: client meaningfulness
and willingness to implement. The relation-
ships are tested using a survey among 1,300
health care professionals implementing a
new policy. The results underscore the
importance of discretion. Implications of the
findings and a future research agenda is
shown.
Key words
Discretion, public policy, policy implementa-
tion, street-level bureaucracy, quantitative
analysis
© 2013 Taylor & Francis
Public Management Review, 2014
Vol. 16, No. 4, 527–547,
http://dx.doi.org/10.1080/14719037.2013.841978
INTRODUCTION
In his book Street-level bureaucracy: Dilemmas of the
individual in public services, Michael
Lipsky (1980) analysed the behaviour of front-line staff in
policy delivery agencies.
Lipsky refers to these front-line workers as ‘street-level
bureaucrats’. These are public
employees who interact directly with citizens and have
substantial discretion in the
execution of their work (1980, p. 3). Examples are teachers,
police officers, general
practitioners, and social workers.
These street-level bureaucrats implement public policies.
However, street-level
bureaucrats have to respond to citizens with only a limited
amount of information or
time to make a decision. Moreover, very often the rules the
street-level bureaucrats
have to follow do not correspond to the specific situation of the
involved citizen. In
response, street-level bureaucrats develop coping mechanisms.
They can do that
because they have a certain degree of discretion – or autonomy
– in their work
(Lipsky 1980, p. 14). Following the work of Lipsky, the concept
of discretion has
received wide attention in the policy implementation literature
(Brodkin 1997; Buffat
2011; Hill and Hupe 2009; Sandfort 2000; Tummers et al. 2009;
Vinzant et al. 1998).
However, scholars have not yet developed theoretical
frameworks regarding the
effects of discretion, which were subsequently tested using
large-scale quantitative
approaches (Hill and Hupe 2009; O’Toole 2000). This study
aims to fill this gap by
developing a theoretical framework regarding two effects of
discretion.
The first effect, which is often noted, is that a certain amount of
discretion can
increase the meaningfulness of a policy for clients (Palumbo et
al. 1984). An example
can clarify this. A teacher could adapt the teaching method to
the particular circum-
stances of the pupil, such as his/her problems with long-term
reading, but ease when
discussing the material in groups. The teacher could devote
more attention to the
pupil’s reading difficulties, thereby providing a more balanced
development. More
generally, it is argued that when street-level bureaucrats have a
certain degree of
discretion, this will make the policy more meaningful for the
clients. Client mean-
ingfulness can thus be considered a potential effect of
discretion. Here, we note that
client meaningfulness is highly related to concepts such as
client utility or usefulness.
Furthermore, it can be argued that providing street-level
bureaucrats discretion
increases their willingness to implement the policy (Meyers and
Vorsanger 2003;
Sandfort 2000). Tummers (2011) showed this effect while
studying ‘policy alienation’,
a new concept for understanding the problems of street-level
bureaucrats with new
policies. One mechanism underlying this relationship between
discretion and willingness
to implement seems to be that a certain amount of discretion
increases the (perceived)
meaningfulness for clients, which in turn enhances their
willingness to implement this
policy (Hill and Hupe 2009; Lipsky 1980). This is expected as
street-level bureaucrats
want to make a difference to their clients’ lives when
implementing a policy (Maynard-
Moody and Musheno 2000). Hence, when street-level
bureaucrats perceive that they
528 Public Management Review
have discretion, they feel that they are better able to help clients
(more perceived client
meaningfulness), which in turn increases their willingness to
implement the policy. This
is known as a mediation effect. This effect is often implicitly
argued, and has yet to be
studied empirically.
Based on this rationale the central research question is: To what
extent does discretion
influence client meaningfulness and willingness to implement
public policies, and does client
meaningfulness mediate the discretion-willingness relationship?
This brings us to the outline of this article. We will first
develop a theoretical
framework, outlining the relationships between discretion,
client meaningfulness, and
willingness to implement. The ‘Methods’ section describes the
operationalization of the
concepts and research design, which is based on a Dutch
nationwide survey among
1,300 psychologists, psychiatrists, and psychotherapists
implementing a new reimbur-
sement policy. The ‘Results’ section shows descriptive statistics
and discusses the
hypotheses. We conclude by discussing the contribution of this
article to policy
implementation literature with a particular emphasis on the
importance of discretion
of street-level bureaucrats.
THEORETICAL FRAMEWORK
Background on discretion
This article focuses on the discretion of street-level bureaucrats
during policy imple-
mentation. Due to the abundance of literature and the intrinsic
difficulties with the
discretion concept (such as the different interpretations attached
to as well as criticisms
of these interpretations), we will provide only a short overview
of the term discretion
(for elaborate overviews, see Evans (2010), Hill and Hupe
(2009), Lipsky (1980),
Maynard-Moody and Portillo (2010), Meyers and Vorsanger
(2003), Saetren (2005),
and Winter (2007)). For a recent critique on discretion, see
Maynard-Moody and
Musheno (2012).
Evans (2010) has noted that for employees, discretion can be
seen as the extent of
freedom he or she can exercise in a specific context. Related to
this, Davis (1969, p. 4)
states ‘a public officer has discretion whenever the effective
limits on his power leave
him free to make a choice among possible courses of action or
inaction’ (see also
Vinzant et al. 1998). Lipsky (1980) focuses more specifically on
the discretion of street-
level bureaucrats. He views discretion as the freedom that
street-level bureaucrats have
in determining the sort, quantity and quality of sanctions, and
rewards during policy
implementation (see also Hill and Hupe 2009; Tummers 2012).
We then define
discretion as the perceived freedom of street-level bureaucrats
in making choices
concerning the sort, quantity, and quality of sanctions, and
rewards on offer when
implementing a policy; for instance, to what extent do
policemen experience that they
themselves decide whether to give an on-the-spot fine? To what
extent do teachers feel
Tummers & Bekkers: Policy implementation and discretion 529
they can decide what and how to teach students about the
development of mankind, i.e.
evolution or creationism (Berkman and Plutzer 2010)?
As can be seen from the previous paragraph, we focus on
experienced discretion.
This is based on Lewin’s (1936) notion that people behave on
the basis of their
perceptions of reality, not on the basis of reality itself (Thomas
Theorem). Street-
level bureaucrats may experience different levels of discretion
within the same policy
because, for example, (a) they possess more knowledge on
loopholes in the rules, (b)
their organization operationalized the policy somewhat
differently, (c) they have a
better relationship with their manager which enables them to
adjust the policy to
circumstances, or (d) the personality of the street-level
bureaucrat is more rule-
following or rebellious (Brehm and Hamilton 1996; Prottas
1979).
In both top-down and bottom-up approaches of policy
implementation, the notion of
discretion is important (DeLeon and DeLeon 2002; Hill and
Hupe 2009). From a top-
down perspective, discretion is often not welcomed (Davis
1969; Polsky 1993).
Discretion is primarily seen as a possibility that street-level
bureaucrats use to pursue
their own, private goals. This can influence the policy
programme to be implemented
in a negative way, which undermines the effectiveness and
democratic legitimacy of a
programme (Brehm and Gates 1999). In order to deal with this
issue, control
mechanisms are often put in place in order to achieve
compliance.
In the bottom-up perspective, discretion is assessed differently.
Discretion is seen as
inevitable in order to deploy general rules, regulations, and
norms in specific situations,
which helps to improve the effectiveness of policy programmes
and the democratic
support for the programme. Moreover, given the limited time,
money, and other
resources available and the large number of rules, regulations,
and norms that have to
be implemented, it is important that street-level bureaucrats are
able to prioritize what
rules to apply, given the specific circumstances in which they
operate in (Brodkin 1997;
Maynard-Moody and Musheno 2000; Maynard-Moody and
Portillo 2010).
From a top-down and bottom-up perspective it can be argued
that discretion has a
different meaning for citizens as a client. In the top-down
perspective, discretion could
possibly harm the position of a citizen because private
considerations and interpretations
of the goals of the policy programme by the street-level
bureaucrat prevent citizens
being treated equally. In the bottom-up perspective, discretion
will help to strengthen
the value/meaningfulness of a policy for clients, as policy
programmes can be targeted
to their specific situation. Hence, from a bottom-up perspective
discretion might
increase the client meaningfulness, that is, the value of the
policy for clients (Barrick
et al. 2012; Brodkin 1997; May et al. 2004; Maynard-Moody
and Musheno 2003;
Tummers 2011). Client meaningfulness can be defined as the
perception of street-level
bureaucrats that their implementing a policy has value for their
own clients. Client
meaningfulness is therefore about the perception of the street-
level bureaucrat that a policy is
valuable for a client (the client may not feel the same way). For
instance, a social
worker might feel that when he/she implements a policy focused
on getting clients
back to work, this indeed helps the client to get employed and
improves the quality of
530 Public Management Review
life for this client. Granting street-level bureaucrats discretion
during policy implemen-
tation can increase client meaningfulness as several situations
street-level bureaucrats
face are too complicated to be reduced to programmatic formats.
Discretion makes it
possible to adapt the policy to meet the local needs of the
citizens/clients, increasing
the meaningfulness of the policy to clients.
It seems that discretion could also positively affect the street-
level bureaucrats’
willingness to implement the policy. Willingness to implement
is defined as a positive
behavioural intention of the street-level bureaucrat towards the
implementation of the
policy (Ajzen 1991; Metselaar 1997). Hence, the street-level
bureaucrat aims to put
effort in implementing this policy: he/she tries to make it work.
Policy implementation
literature, especially the studies rooted in the bottom-up
perspective, suggests that an
important factor in this willingness of street-level bureaucrats is
the extent to which
organizations are willing and able to delegate decision-making
authority to the front line
(Meier and O’Toole 2002). This influence may be particularly
pronounced in profes-
sionals whose expectations of discretion and autonomy
contradict notions of bureau-
cratic control (Freidson 2001).
To conclude, it seems that discretion can have various effects.
In this article, we
specifically examine two possible positive effects of discretion:
enhanced client mean-
ingfulness for clients and more willingness to implement the
policy. These effects are chosen
given their dominant role in the policy implementation debate
(Ewalt and Jennings
2004; Riccucci 2005; Simon 1987; Tummers et al. 2012).
The effects of discretion on client meaningfulness and
willingness to
implement
Given the arguments stated previously, we first expect that
when street-level bureau-
crats experience high discretion, this positively influences their
perception of client
meaningfulness. Sandfort (2000) illustrates this by describing a
case in United States
public welfare system (Work First contractors). Regardless of
the specifics of the local
office, street-level bureaucrats are given the same resources to
carry out their tasks:
standardized forms, policy manuals, complex computer
programmes, etc. Such struc-
tures cause the street-level bureaucrats to be isolated from other
professionals and
unable to adapt existing practices to altering demands. Hence, it
reduces their discre-
tion and this could result in less client meaningfulness. We will
study this same process
using a quantitative approach, bringing us to the first
hypothesis.
H1: When street-level bureaucrats experience more discretion,
this positively influences their
experienced client meaningfulness of the policy
Next, we expect that when street-level bureaucrats feel that they
have enough discre-
tion, this positively influences their willingness to implement a
policy. Maynard-Moody
Tummers & Bekkers: Policy implementation and discretion 531
and Portillo (2010, p. 259) note, ‘Street-level workers rely on
their discretion to manage
the physical and emotional demands of their jobs. They also
rely on their discretion to
claim some small successes and redeem some satisfaction’.
Examining this more generally,
the mechanism linking discretion to willingness to implement
can be traced back to the
human relations movement (McGregor 1960). One of the central
tenets of this movement
is that employees have a right to give input into decisions that
affect their lives. Employees
enjoy carrying out decisions they have helped create. As such,
the human relations
movement argues that when employees experience discretion
during their work, this
will positively influence several job indicators by fulfilling
intrinsic employee needs. Next
to this, self-determination theory (Deci and Ryan 2004) argues
that three psychological
needs must be fulfilled to foster motivation: competence,
relatedness, and autonomy. In
short, they argue that when people perceive to have autonomy,
they aremoremotivated to
perform.
H2: When street-level bureaucrats experience more discretion,
this positively and directly
influences their willingness to implement the policy
Furthermore, we expect that when street-level bureaucrats
experience more discre-
tion, this positively influences their client meaningfulness,
which in turn positively
influences their willingness to implement a policy. Hence,
client meaningfulness could
influence the willingness to implement a policy. This is
expected as street-level bureau-
crats want to make a difference to their clients’ lives when
implementing a policy. May
and Winter (2009) found that if the front-line workers perceive
the instruments at their
disposal for implementing a policy as ineffective, in terms of
delivering to clients, this is
likely to add to their frustrations. They do not see how their
implementation of the policy
helps their clients, so wonder why they should implement it.
Technically speaking, we expect a mediation effect to occur
(Zhao et al. 2010).
Mediation is the effect of an independent variable (here,
discretion) on a dependent
variable (willingness to implement) via a mediator variable
(client meaningfulness).
Hence, besides hypothesizing the direct effect of discretion on
willingness to imple-
ment, we expect that part of this effect is caused by increasing
client meaningfulness.
This can be considered a partially mediated effect: part of the
effect of discretion on
willingness to implement is mediated by client meaningfulness.
Full mediation is not
expected. Some of the influence of discretion on willingness to
implement is explained
by factors other than increasing client meaningfulness, i.e.
peoples’ intrinsic need for
autonomy in their work (Wagner 1994).
H3: The positive influence of discretion on willingness to
implement is partially mediated by
the level of client meaningfulness
This mediation effect can be related to established job design
theories like the job
characteristics model of Hackman and Oldham (1980). Hackman
and Oldham noted
532 Public Management Review
that autonomy (related to discretion) is one of the core job
characteristics, enhancing
experienced responsibility for outcomes. This influences the
critical psychological
states, such as experienced meaningfulness of work (related to
client meaningfulness).
In turn, experienced meaningfulness of work fosters individual
and organizational
outcomes, such as high internal motivation (related to
willingness to implement).
Hence, important similarities between their line of reasoning
and ours can be found.
An important difference is that we focus on the level of policy
implementation instead
of the general job level.
Based on these three hypotheses, a theoretical framework is
constructed as shown in
Figure 1.
METHODS
Case
To test the theoretical framework, we undertook a survey of
Dutch mental health care
professionals implementing a new reimbursement policy
(Diagnosis Related Groups).
First, a short overview of this policy is provided.
In January 2008, the Dutch government introduced Diagnosis
Related Groups
(DRGs, DiagnoseBehandelingCombinaties (in Dutch), or
DBC’s) in mental health
care. The DRGs are part of the new Law Health Market
Organization. The DRGs can
be seen as the introduction of regulated competition into the
Dutch health care market, a
move in line with new public management (NPM) ideas. More
specifically, it can be seen
as a shift to greater competition and more efficient use of
resource (Hood 1991, p. 5).
The system of DRGs was developed as a means of determining
the level of financial
exchange for mental health care provision. The DRG-policy
differs significantly from
the former method in which each medical action resulted in a
financial claim. This
meant that the more sessions a professional caregiver (a
psychologist, psychiatrist or
psychotherapist) had with a patient, the more recompense could
be claimed. This
former system was considered inefficient by some (Kimberly et
al. 2009). The DRG-
policy changed the situation by stipulating a standard rate for
each disorder. For
Client
meaningfulnessDiscretion
Willingness to
implement+ +
+
Figure 1: Proposed theoretical framework regarding two main
effects of discretion
Tummers & Bekkers: Policy implementation and discretion 533
instance, for a mild depression, the mental health care
professional gets a standard rate
and can treat the patient (direct and indirect time) between 250
and 800 min.
The DRG-policy these professionals have to implement is
related more to service
management than to service delivery. However, this policy does
have effects on service
delivery. Professionals have to work in a more ‘evidence-based’
way and are required
to account for their cost declarations in terms of the mental
health DSM (Diagnostic
Statistical Manual) classification system. As a result, it
becomes harder to use practices
that are difficult to standardize and evaluate, such as
psychodynamic treatments.
Discretion regarding the length of treatment is arguably also
increasingly limited.
Whereas, in the former system, each medical action resulted in
a payment (this was
not the case under the DRG-policy). Under the DRG-policy, a
standard rate is
determined for each disorder, meaning it has become more
difficult to adjust the
treatment to the specific patient needs. Hence, the number of
treatments for a patient
is often limited due to the DRG-policy, thereby changing
service delivery. It is
interesting to study how much discretion street-level
bureaucrats really experienced
during implementing this policy, and what effects this has.
We noted that we focus on experienced discretion. Even within
the same policy, some
street-level bureaucrats will perceive more discretion than
others. Indeed, in the open
answers of the survey we witnessed that some respondents felt
that they had substantial
discretion when implementing this policy, while others felt very
limited. Illustrative quotes
from different respondents are (all from open answers in the
survey, which is reported next):
The DRG-policy does not force me into a certain choices. I
examine the funding scheme of the treatment
only ‘in second instance’.
I do my work first and foremost according to professional
standards and hereafter just attach a DRG-label
which I think fits but best.
With the DRG-policy, I am being forced into a straitjacket.
You are bound by the rules. So that’s a harness.
Sampling and response
Our sampling frame comprised of 5,199 professionals who were
members of two nationwide
mental health care associations (the Dutch Association of
Psychologists (Nederlands Instituut
van Psychologen (NIP)) and the Netherlands Association for
Psychiatry (Nederlandse
Vereniging voor Psychiatrie (NVvP)). They were all members
of those associations which
could, in principle, be working with the DRG-policy. Using an
email and two reminders, we
received 1,317 answers of our questionnaire, i.e. a 25 per cent
response.
Our sampling frame comprised of high-status professionals:
psychiatrists, psycholo-
gists, and psychotherapists. Most research analysing discretion
focuses on traditional
street-level bureaucrats, such as welfare workers and police
officers (Maynard-Moody
534 Public Management Review
and Portillo 2010). However, these mental health care
professionals are a specific group
of highly trained professionals who traditionally, due to their
professional training, have
substantial autonomy. Furthermore, they also have to implement
governmental policies
(in this case, DRGs). Hence, it seems worthwhile to analyse
such professional groups
using the theoretical lens of street-level bureaucracy (see also
Hupe and Hill 2007).
Of the valid respondents, 36 per cent were men and 64 per cent
were women which
is consistent with Dutch averages for mental health care
professionals, where 69 per
cent of the workforce are female (Palm et al. 2008). The
respondents’ ages ranged
from 23 to 91 years (M = 48), which is slightly older then the
Dutch national average
for mental health care professionals (M = 44). Hence,
respondents’ mean age and
gender distribution are quite similar to those of the overall
mental health care sector.
To rule out a possible non-response bias, we conducted non-
response research where
we contacted the non-responders for their reasons for non-
participation. Common
reasons for not participating were: lack of time, retirement,
change of occupation, or
not working with the DRG-policy. Some organizations,
including some hospitals, were
not yet working with this policy. The large number of
respondents, their characteristics
in terms of gender and age, and the results of the non-response
research indicate that
our respondents are quite a good representation of the
population.
Measures
This section reports the measurement of the variables. Unless
stated otherwise, the
measures were formatted using five-point Likert scales, ranging
from strongly agree to
strongly disagree. For the items tapping discretion, client
meaningfulness and will-
ingness to implement, we used templates. Templates allow the
researcher to specify an
item by replacing general phrases with more specific ones that
better fit the research
context (DeVellis 2003). For example, instead of stating ‘the
policy’ or ‘professionals’,
the researcher can rephrase these items using the specific policy
and group of profes-
sionals being examined. Here, ‘the DRG-policy’ and ‘health
care professionals’
replaced the template terms. Items are therefore easier for
professionals to understand,
since items are better tailored to their context and this, in turn,
increases reliability and
content validity (DeVellis 2003, p. 62). All items are shown in
Appendix 1.
Discretion
Discretion concerns the perceived freedom of the implementer
in terms of the type,
quantity and quality of sanctions, and rewards delivered (Lipsky
1980). The scale is
based on the validated measurement instrument of policy
alienation, specifically the
dimension ‘operational powerlessness’ (Tummers 2012). Three
items were used based
on confirmatory factor analysis (CFA; see section ‘Results’).
Cronbach’s alpha = 0.78.
Tummers & Bekkers: Policy implementation and discretion 535
Client meaningfulness
Client meaningfulness (or meaninglessness) was also
conceptualized as a dimension of
policy alienation (Tummers 2012). It refers to the perception of
professionals about the
benefits of implementing the DRG-policy for their own clients.
For instance, do they
perceive that they are really helping their patients by
implementing this policy? Three
items were used based on CFA. Cronbach’s alpha = 0.77.
Willingness to implement
Willingness to implement was measured using Metselaar’s
(1997) four-item scale. All
items were used based on CFA. Cronbach’s alpha = 0.83.
Control variables
Commonly used individual characteristics were included:
gender, age, and management
position (yes/no). We also distinguish between psychiatrists and
others, because the
former belong to a medical profession. Psychologists and
psychotherapists are non-
medical professionals, which possibly influenced their
perceptions.
Statistical method
We used CFA followed by structural equation modelling (SEM).
The CFA and SEM
techniques are often used in psychology research, but quite new
to most public
administration scholars (see for instance Wright et al. 2012).
We therefore discuss a
number of the analyses’ characteristics in detail.
CFA is a technique used to test the factor structure of latent
constructs based on
theory and prior research experience. This is appropriate in our
case given that prior
analyses have already explored the variables discretion, client
meaningfulness, and
willingness to implement. It has several advantages over
exploratory factor analysis,
such as more stringent psychometric criteria for accepting
models, thereby improving
validity and reliability (Brown 2006).
Using CFA, a measurement model is specified. The
measurement model specifies the
number of factors and shows how the indicators (items) relate to
the various factors
(Brown 2006, p. 51). Hence, it shows for instance how the items
asked to measure
discretion relate to the latent construct of discretion. This
measurement model is a
precursor for the SEM analysis. In the SEM analysis, a
structural model is constructed
showing how the various latent factors relate to each other. For
instance, it shows how
discretion is related to willingness to implement. In this
analysis, a complete model can
be tested where variables can be both dependent and
independent. This is an advantage
over regression analyses. Given that we hypothesize that client
meaningfulness is both
dependent (influenced by discretion) and independent
(influencing willingness to
536 Public Management Review
implement), this was appropriate for our model. For mediation
models, as is our
model, SEM is preferred over regression analysis (Zhao et al.
2010).
The latent variable programme Mplus was used for the analyses
(Muthén and Muthén,
1998–2010). Mplus (http://www.statmodel.com/) is suited for
handling non-normally
distributed data, which is often the case when employing
surveys. As our data were
(mildly) non-normally distributed, this was an advantage.
Robust maximum likelihood
was used, which works well in these circumstances (Brown
2006, p. 379).
Measurement model
Before analysing the structural model (see section ‘Results’),
the measurement model is
analysed.
Based on the analyses for the measurement model, some
modifications were made to
improve the model. The only modifications were to delete a
number of items for the
latent factors: three for discretion, one for client
meaningfulness, and one for willingness
to implement. This was based on theoretical grounds, fit of item
content with definition
of concept/latent factor, and the minimization of the Akaike
information criterion (AIC).
This fit index can be used to compare competing models. As
suggested we selected the
model with the lowest AIC, thereby taking into account
theoretical plausibility (Schreiber
et al. 2006). More specifics about the measurement model are
described in Appendix 2.
RESULTS
Descriptive statistics
Table 1 shows the means and variances/covariances for all items
used. A number of
interesting results can be seen. First, many street-level
bureaucrats are psychiatrists and
these often occupy management positions. Next, the means for
discretion are quite
low, showing that the street-level bureaucrats do not feel that
they have a lot of
autonomy in this policy. We also found low scores for
willingness to implement and
even lower scores for client meaningfulness. Hence, in general,
the street-level bureau-
crats were quite negative about this policy. The covariances for
the items linked via our
hypotheses are in the anticipated direction. For example, items
regarding willingness to
implement are positively related to discretion.
Structural model
The structural equation model is shown in Figure 2. Table 2
shows the results,
including control variables. First, an effect of discretion on
client meaningfulness was
Tummers & Bekkers: Policy implementation and discretion 537
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bl
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538 Public Management Review
found (standardized coefficient 0.33, p < 0.01). Hence, we do
not reject Hypothesis
1. Second, the empirical tests show a cascading effect from
discretion to willingness to
implement through the mediating variable client
meaningfulness. The effect (standar-
dized coefficient) of discretion on client meaningfulness was
0.33 (p < 0.01), while
the effect from client meaningfulness on willingness to
implement was 0.49
(p < 0.01). The total indirect effect was therefore 0.16
(0.33*0.49, p < 0.01).
Based on this, we do not reject Hypothesis 3. Furthermore, the
direct effect was also
significant (! = 0.27, p < 0.01), thus Hypothesis 2 is not
rejected. The total effect of
discretion on willingness to implement is the sum of its direct
and indirect effects:
Table 2: Results from structural equation modelling
Model
Meaningfulness for
clients (standardized
scores)
Meaningfulness
for clients
(unstandardized
scores)
Willingness to
implement
(standardized scores)
Willingness to
implement
(unstandardized
scores)
Control variables
Gender NS NS NS NS
Age !0.092 !0.006 NS NS
Managing position NS NS 0.144 0.212
Psychiatrist NS NS NS NS
Direct influences
Discretion 0.330 0.334 0.278 0.302
Meaningfulness for
clients
– – 0.491 0.527
Indirect influence
Discretion via
meaningfulness
for clients
– – 0.162 0.176
R2 0.135 – 0.446 –
Notes: NS = Not significant. All shown scores are significant at
p < 0.01.
Discretion 0.33
Client
meaningfulness
(R2 = 0.14)
Willingness to
implement
(R2 = 0.45)
0.49
0.28
Figure 2: Structural equation model for relationships between
discretion, client meaningfulness, and
willingness to implement (control variables not shown)
Tummers & Bekkers: Policy implementation and discretion 539
0.27 + 0.16 = 0.43. This means that – all other things being
equal – when the
perceived discretion of the street-level bureaucrat increases by
1, the willingness to
implement increases by 0.43. As there is both a direct and an
indirect significant
effect, there is evidence of partial mediation which was also
hypothesized. This
(partially mediated) model proved to be a good fit of the data:
root mean square
error of approximation (RMSEA) = 0.04 (criterion ! 0.08),
comparative fit index
(CFI) = 0.97 (criterion " 0.90), Tucker–Lewis index (TLI) =
0.96 (criterion " 0.90).
To shed more light on the mediating mechanisms, we conducted
additional SEM
analyses to test the validity of two alternative models: a model
without mediation and a
model with full mediation. The model without mediation did not
fit as adequately as
the partially mediated model, given that the AIC was higher
compared to the partially
mediated model, and the fit indexes showed a worse fit. The
fully mediated model also
had a higher AIC, and worse scores on RMSEA, CFI, and TLI
than the partially
mediated model, although differences were small.
We used bootstrapping to test the indirect effect of discretion
on willingness to
implement via client meaningfulness. It is the preferred method
for testing mediated
effects (Preacher and Hayes 2004; Zhao et al. 2010). It presents
estimates and
confidence intervals so that we can test the significance of the
mediation effect. The
99 per cent confidence interval for the standardized indirect
effect (which was 0.16) is
between 0.11 and 0.22, meaning the indirect effect is not equal
to 0 (p < 0.01).1
Hence, a mediation effect is clearly present here. In the
discussion and conclusion, we
discuss the implications of these results for both theory and
practice.
CONCLUSION
The central goal of this article is to understand the mechanisms
at work between
discretion, client meaningfulness, and willingness to implement.
Based on a literature
review, a theoretical model was constructed linking discretion,
client meaningfulness
and willingness to implement. This model was tested in a survey
among 1,317 mental
health care professionals implementing a new policy. The model
worked adequately in
that discretion, together with conventional control variables,
indeed partly explained
client meaningfulness (R2 = 14 per cent). Furthermore,
willingness to implement was
indeed explained by discretion, client meaningfulness, and the
control variables (R2 =
45 per cent). Fit criteria were very good for the measurement
model and the structural
model, thereby strengthening the reliability and validity of the
study. As such, we can
conclude that the approach worked satisfactorily and adds to the
literature on street-
level bureaucracy. Having reached this conclusion, we can
summarize the results,
highlight limitations, and develop a future research agenda on
discretion.
We found that the discretion of street-level bureaucrats
influences the willingness to
implement in two ways. First, discretion influences client
meaningfulness because
street-level bureaucrats are more able to tailor their decisions
and the procedures
540 Public Management Review
they have to follow to the specific situations and needs of their
clients. Hence,
discretion gives street-level bureaucrats the possibility to apply
their own judgements
when dealing with the needs and wishes of citizens. Our results
strengthen the claim
made by several authors that discretion could indeed have
positive effects for clients
(Handler 1990; May and Winter 2009).
At the same time, the positive effect that discretion has on the
bureaucrat’s perception
of client meaningfulness can be seen as a condition for the
second effect: more willingness
to implement the policy. When street-level bureaucrats perceive
that their work is
meaningful for their clients, this strongly influences their
willingness to implement it.
This is in line with the notion that street-level bureaucrats want
to make a difference to
their clients’ lives (Maynard-Moody and Musheno 2003).
Furthermore, the results also
point to another, more autonomous, effect that discretion
directly influences willingness
to implement; hence, discretion is inherently valued by
bureaucrats.
The results have interesting implications for the theory and
practice of policy
implementation. From a theoretical point of view, it contributes
to the long-lasting
discussion about the validity of a more top-down or bottom-up
perspective on policy
implementation. Discretion indeed seems to have a positive
effect on the effectiveness
of policy programmes, as it reduces resistance. At the same time
it adds to the
legitimacy of the policy implementation process, because it
enables street-level bureau-
crats to meet the needs and wishes of citizens (in the eyes of the
street-level bureau-
crats). These implications of the findings are strengthened by
the large-scale
quantitative analysis and sophisticated techniques. The
arguments that are put forward
in the bottom-up perspective on the positive role that discretion
plays in the effective-
ness and democratic legitimacy of public policy programmes are
being confirmed.
For practitioners, it is important to note that when drafting
policy programme it can
be beneficial to give the implementing street-level bureaucrats
some (perceived) free-
dom to adjust the policy programme in order to be effective and
legitimate. This has
also important consequences for the role of performance and
risk management in the
implementation of these programmes. The central role that
detailed performance
indicators and risk reduction rules play in the implementation
process often leads to
a broad variety of detailed norms and guidelines that the street-
level bureaucrats
involved must obey (Power 1997).
Next to this, the results show that client meaningfulness, in
itself, proved to be very
important, something which is not often mentioned in the street-
level bureaucracy
literature or in more general management literature, which
focuses often on influence,
autonomy, and discretion (Green 2008; McGregor 1960; Sowa
and Selden 2003;
Spence Laschinger et al. 2001). For instance, Judson (1991)
argues that providing
employees with influence is the most powerful lever in gaining
acceptance for a change.
However, given the results of this study, we urge practitioners
and scholars to also
consider the perceived meaningfulness of the policy for clients,
rather than to restrict
their focus on discretion and influence aspects.
Tummers & Bekkers: Policy implementation and discretion 541
This brings us to the limitations and future research
suggestions. First, the results
found could be dependent on this research context. This study
addresses high status
professionals: psychologists, psychiatrists, and
psychotherapists. Furthermore, the spe-
cific policy context (DRG-policy, focused on cost-cutting and
transparency) could
influence the results. It would be interesting to conduct studies
using the same
theoretical model which focus on other groups of street-level
bureaucrats who have
other types of professional training or who are a part of
government service bureau-
cracy. Related to this, an interesting venue for research would
be to analyse cases which
are more directly related to service delivery and less to service
management. Here,
stronger effects of discretion on client meaningfulness could be
found. Furthermore, it
would be worthwhile to analyse the developed model in a
situation where there was in
general high discretion, client meaninglessness and willingness
to implement, contrary
to the case analysed. Are the effects of discretion and client
meaningfulness also
important in such rather different policy contexts?
Second, further research could use multiple sources to measure
the indicators, and
measure new effects of discretion. It would be worthwhile to
measure client mean-
ingfulness by asking the clients themselves. Furthermore, other
indicators could be
linked to discretion, such as objective indicators such as the
percentage of people
getting a job when implementing re-integration policies. Does
granting street-level
bureaucrats discretion in such a policy heighten the ‘success’ of
such a policy? Linked to
this, we should note that we have looked at only two possible
positive effects of
discretion. We have largely ignored its negative side, such as
discrimination of clients or
the ways discretion can break public trust (Sandfort 2000).
Third, future research could investigate other factors
influencing client meaningful-
ness and willingness to implement, including other control
variables. Scholars could,
for instance, examine the influence of organizational factors
such as the level of trust
between professionals and management, incentive systems
which promote or stymie
implementing a policy or the way the policy has been
implemented (top-down,
bottom-up) within an organization. Next to this, personality
characteristics could be
taken into account, such as optimism, self-efficacy beliefs, and
locus of control.
To conclude, this study provides important insights that help to
understand the
effects of granting street-level bureaucrats discretion in their
work. It underscores the
importance of studying discretion. Embracing and further
researching this should prove
to be a timely and productive endeavour for both researchers
and practitioners alike.
ACKNOWLEDGEMENT
The authors would like to thank the anonymous reviewers for
their insightful com-
ments on earlier versions of this article.
542 Public Management Review
NOTE
1 Bootstrap 5,000 times, maximum likelihood estimation is used
as robust maximum likelihood is not available
for bootstrapping.
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Brehm, J. and Hamilton, J. T. (1996) Noncompliance in
Environmental Reporting: Are Violators Ignorant, or
Evasive, of the Law? American Journal of Political Science,
40:2 pp444–77.
Brodkin, E. Z. (1997) Inside the Welfare Contract: Discretion
and Accountability in State Welfare
Administration. The Social Service Review, 71:1 pp1–33.
Brown, T. A. (2006) Confirmatory Factor Analysis for Applied
Research, London: The Guilford Press.
Buffat, A. (2011) Pouvoir Discrétionnaire Et Redevabilité De
La Bureaucratie De Guichet: Les Taxateurs D’une Caisse De
Chômage Comme Acteurs De Mise En Oeuvre, Lausanne:
Université de Lausanne.
Davis, K. C. (1969) Discretionary Justice: A Preliminary
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APPENDIX 1
Items used for the scales
As indicated in the main text, we used templates to specify the
policy. Templates allow
the researcher to specify an item by replacing general phrases
with more specific ones
that better fit the research context. Template words are
underlined. The templates are
in this case:
Policy: DRG-policy
Clients: Patients
Professionals: Health care professionals
Organization: Institution
Tummers & Bekkers: Policy implementation and discretion 545
Note: Item 4–5 (client meaningfulness) and Item 1–3
(discretion) are not used in the
final model as they negatively influenced fit indices in the CFA.
Client meaningfulness
1 The policy is harmful for my clients’ privacy
2 With the policy I can better solve the problems of my clients
3 The policy is contributing to the welfare of my clients
4 Because of the policy, I can help clients more efficiently than
before
5 I think that the policy is ultimately favourable for my clients
Discretion
1 I have freedom to decide how to use the policy
2 While working with the policy, I can be in keeping with the
client’s needs
3 Working with the policy feels like a harness in which I cannot
easily move
4 When I work with the policy, I have to adhere to tight
procedures
5 While working with the policy, I cannot sufficiently tailor it
to the needs of my
clients
6 While working with the policy, I can make my own
judgements
Willingness to implement
1 I intend to try to convince employees of the benefits the
policy will bring
2 I intend to put effort into achieving the goals of the policy
3 I intend to reduce resistance among employees regarding the
policy
4 I intend to make time to implement the policy
APPENDIX 2
Measurement model
This Appendix describes some additional reliability and validity
checks on the measure-
ment model. Several authors suggest reporting RMSEA, TLI and
CFI statistics when
describing model fit (Schreiber et al. 2006; Van de Schoot et al.
2012). The RMSEA –
a widely recommended fit index which tests the absolute fit of
the model – was 0.048.
This indicates good fit as Hu and Bentler (1999) suggest that
values !0.06 indicate good
fit (!0.08 average fit). The Tucker–Lewis index (TLI) is a
comparative fit index that
compares the fit of the model with the baseline model. The TLI
here was 0.98, which is
considered excellent ("0.90, better "0.95). The comparative fit
index was 0.98 in our
546 Public Management Review
final model showing good fit ("0.90, better "0.95). Note that –
based on the
recommendations of Hooper et al. (2008) – we have not used
correlated error terms.
In the final model, each item loaded significantly onto its
appropriate latent variable.
For instance, an item tapping discretion loaded onto the variable
discretion. The values
of the standardized factor loadings were all relatively high
(minimum 0.51, maximum
0.91, average 0.75). This shows evidence of convergent
validity: items that tap the
same latent construct are related to each other (Kline 2010).
We should also discuss the possibility of common method
variance. Self-reported
data based on a single application of a questionnaire can result
in inflated relationships
between variables due to common method variance, i.e. variance
that is due to the
measurement method rather than the constructs themselves
(Podsakoff and Organ
1986). Although a recent study showed that ‘in contrast to
conventional wisdom,
common method effects do not appear to be so large as to pose a
serious threat to
organizational research’ (Lance et al. 2010, p. 450), we
conducted a test to analyse
whether common method bias was a major concern. We
compared the three-factor
structure (discretion, client meaningfulness, and willingness to
implement) with a one-
factor model. The fit indices show that the one-factor model had
a much poorer fit than
the three-factor model. The AIC was higher, and the RMSEA
(0.16), CFI (0.58) and
TLI (0.54) indicated much poorer fit. Hence, common method
variance does not seem
to be a major problem in this study.
Tummers & Bekkers: Policy implementation and discretion 547
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Rubric Detail
Select Grid View or List View to change the rubric's layout.
Excellent Good Fair Poor
Main Posting 45 (45%) - 50
(50%)
Answers all
parts of the
discussion
question(s)
expectations
with re!ective
critical analysis
and synthesis
of knowledge
gained from
the course
readings for the
module and
current credible
sources.
Supported by
at least three
current,
credible
sources.
Written clearly
and concisely
with no
grammatical or
spelling errors
and fully
40 (40%) - 44
(44%)
Responds to
the discussion
question(s) and
is re!ective
with critical
analysis and
synthesis of
knowledge
gained from
the course
readings for the
module.
At least 75% of
post has
exceptional
depth and
breadth.
Supported by
at least three
credible
sources.
Written clearly
and concisely
with one or no
grammatical or
35 (35%) - 39
(39%)
Responds to
some of the
discussion
question(s).
One or two
criteria are not
addressed or
are super"cially
addressed.
Is somewhat
lacking
re!ection and
critical analysis
and synthesis.
Somewhat
represents
knowledge
gained from the
course readings
for the module.
Post is cited
with two
credible
sources.
0 (0%) - 34 (34%)
Does not
respond to the
discussion
question(s)
adequately.
Lacks depth or
super"cially
addresses
criteria.
Lacks re!ection
and critical
analysis and
synthesis.
Does not
represent
knowledge
gained from the
course readings
for the module.
Contains only
one or no
credible
sources.
Not written
Name: NURS_6050_Module04_Week08_Discussion_Rubric
EXIT
Grid View List View
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adheres to
current APA
manual writing
rules and style.
spelling errors
and fully
adheres to
current APA
manual writing
rules and style.
Written
somewhat
concisely; may
contain more
than two
spelling or
grammatical
errors.
Contains some
APA formatting
errors.
clearly or
concisely.
Contains more
than two
spelling or
grammatical
errors.
Does not
adhere to
current APA
manual writing
rules and style.
Main Post:
Timeliness
10 (10%) - 10
(10%)
Posts main
post by day 3.
0 (0%) - 0 (0%) 0 (0%) - 0 (0%) 0 (0%) - 0 (0%)
Does not post
by day 3.
First
Response
17 (17%) - 18
(18%)
Response
exhibits
synthesis,
critical thinking,
and application
to practice
settings.
Communication
is professional
and respectful
to colleagues.
Responses to
faculty
questions are
fully answered,
if posed.
Provides clear,
concise
opinions and
ideas that are
supported by at
15 (15%) - 16
(16%)
Response
exhibits critical
thinking and
application to
practice
settings.
Communication
is professional
and respectful
to colleagues.
Responses to
faculty
questions are
answered, if
posed.
Provides clear,
concise
opinions and
ideas that are
supported by
two or more
13 (13%) - 14
(14%)
Response is on
topic and may
have some
depth.
Responses
posted in the
discussion may
lack e#ective
professional
communication.
Responses to
faculty
questions are
somewhat
answered, if
posed.
Response may
lack clear,
concise
opinions and
ideas, and a few
0 (0%) - 12 (12%)
Response may
not be on topic
and lacks
depth.
Responses
posted in the
discussion lack
e#ective
professional
communication.
Responses to
faculty
questions are
missing.
No credible
sources are
cited.
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least two
scholarly
sources.
Demonstrates
synthesis and
understanding
of learning
objectives.
Response is
e#ectively
written in
standard,
edited English.
credible
sources.
Response is
e#ectively
written in
standard,
edited English.
or no credible
sources are
cited.
Second
Response
16 (16%) - 17
(17%)
Response
exhibits
synthesis,
critical thinking,
and application
to practice
settings.
Communication
is professional
and respectful
to colleagues.
Responses to
faculty
questions are
fully answered,
if posed.
Provides clear,
concise
opinions and
ideas that are
supported by at
least two
scholarly
sources.
Demonstrates
14 (14%) - 15
(15%)
Response
exhibits critical
thinking and
application to
practice
settings.
Communication
is professional
and respectful
to colleagues.
Responses to
faculty
questions are
answered, if
posed.
Provides clear,
concise
opinions and
ideas that are
supported by
two or more
credible
sources.
Response is
e#ectively
12 (12%) - 13
(13%)
Response is on
topic and may
have some
depth.
Responses
posted in the
discussion may
lack e#ective
professional
communication.
Responses to
faculty
questions are
somewhat
answered, if
posed.
Response may
lack clear,
concise
opinions and
ideas, and a few
or no credible
sources are
cited.
0 (0%) - 11 (11%)
Response may
not be on topic
and lacks
depth.
Responses
posted in the
discussion lack
e#ective
professional
communication.
Responses to
faculty
questions are
missing.
No credible
sources are
cited.
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synthesis and
understanding
of learning
objectives.
Response is
e#ectively
written in
standard,
edited English.
written in
standard,
edited English.
Participation 5 (5%) - 5 (5%)
Meets
requirements
for
participation by
posting on
three di#erent
days.
0 (0%) - 0 (0%) 0 (0%) - 0 (0%) 0 (0%) - 0 (0%)
Does not meet
requirements
for participation
by posting on 3
di#erent days.
Total Points: 100
Name: NURS_6050_Module04_Week08_Discussion_Rubric
EXIT
Discussion 2 WK 8: The Role of the RN/APRN in Policy-
Making
Word cloud generators have become popular tools for meetings
and team-building events. Groups or teams are asked to use
these applications to input words they feel best describe their
team or their role. A “word cloud” is generated by the
application that makes prominent the most-used terms, offering
an image of the common thinking among participants of that
role.
What types of words would you use to build a nursing word
cloud?
Empathetic, organized, hard-working, or
advocate would all certainly apply. Would you add policy-
maker to your list? Do you think it would be a very prominent
component of the word cloud?
Nursing has become one of the largest professions in the world,
and as such, nurses have the potential to influence policy and
politics on a global scale. When nurses influence the politics
that improve the delivery of healthcare, they are ultimately
advocating for their patients. Hence, policy-making has become
an increasingly popular term among nurses as they recognize a
moral and professional obligation to be engaged in healthcare
legislation.
To Prepare:
· Revisit the Congress.gov website provided in the Resources
and consider the role of RNs and APRNs in policy-making.
· Reflect on potential opportunities that may exist for RNs and
APRNs to participate in the policy-making process.
By Day 3 of Week 8
Post an explanation of at least two opportunities that exist for
RNs and APRNs to actively participate in
policy-making.
Explain some of the challenges that these opportunities
may present and describe how you might overcome these
challenges. Finally, recommend two strategies you might make
to better advocate for or communicate the existence of these
opportunities to participate in policy-making. Be specific and
provide examples.
https://www.nursingworld.org/practice-policy/advocacy/
https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf
https://www.congress.gov
https://eds.s.ebscohost.com/eds/detail/detail?vid=0&sid=b574b6
f6-8433-4258-ac0e-
e6e9ddd29687%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0
ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=9704071863&db=bth
https://eds.s.ebscohost.com/eds/detail/detail?vid=0&sid=048431
f3-de42-469e-bcfe-
95ab412b8a8c%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0
ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=edsovi.10.1111.jep.1
2350&db=edsovi
https://eds.s.ebscohost.com/eds/detail/detail?vid=0&sid=66312e
f3-5943-41f0-84dd-
64d395986d10%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0
ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=95431226&db=bth
Week 3 DiscussionDo a web or library search to locate a rese

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Week 3 DiscussionDo a web or library search to locate a rese

  • 1. Week 3 Discussion Do a web or library search to locate a research study about the effects of one or more environmental factors* that affect cellular respiration or photosynthesis (*examples: temperature, pH, sunlight, nutrients, carbon dioxide, heavy metals, UV light, air pollution, heavy metals etc). Briefly describe the conclusion from this research study in your own words. Include a reference to the article. Your main response should be a minimum of 150 words (more is OK). You must also post a minimum of one significant reply to a classmate's post that contributes to their learning. The reply should be a minimum of 100 words. C Academy ot Managernent Review 1996, Vol. 21. No. 4, 1055-lDBO, ^ THE CHALLENGE OF INNOVATION IMPLEMENTATION KATHERINE I. KLEIN JOANN SPEER SORRA University of Maryland at College Park Implementation is the process of gaining targeted organizational members' appropriate and committed use of an innovation. Our model suggests that implementation eiiectiveness—the consistency and
  • 2. quality of targeted organizational members' use oi an innovation—is a function oi (a) the strength oi an organization's climate ior the imple- mentation oi that innovation and (b) the fit of that innovation to targeted users' values. The model speciiies a range of implementation outcomes (including resietance, avoidance, compliance, and commitment): high- lights the equifinality of an organization's climate ior implementation; describes within- and between-organizational diiferences in innova- tion-values fit; and suggests new topics and strategies for implementa- tion research. Innovation implementation within an organization is the process of gaining targeted employees' appropriate and committed use of an innova- tion. Innovation implementation presupposes innovation adoption, that is, a decision, typically made by senior organizational managers, that employees within the organization will use the innovation in their work. Implementation failure occurs when, despite this decision, employees use the innovation less frequently, less consistently, or less assiduously than required for the potential benefits of the innovation to be realized. An organization's failure to achieve the intended benefits of an
  • 3. innova- tion it has adopted may thus reflect either a failure of implementation or a failure of the innovation itself. Increasingly, organizational analysts identify implementation failure, not innovation failure, as the cause of many organizations' inability to achieve the intended benefits of the inno- vations they adopt. Quality circles, total quality management, statistical process control, and computerized technologies often yield little or no benefit to adopting organizations, not because the innovations are ineffec- tive, analysts suggest, but because their implementation is unsuccessful We are very grateful to Lori Berman. Amy Buhl, Dov Eden. Marlene Fiol, John Gomperts, Susan Jackson. Steve Kozlowski, Judy Olian. Michelle Paul, Ben Schneider, and the anony- mous reviewers for their extremely helpful comments on earlier versions oi this article. We also thank Beth Benjamin, Pamela Carter. Elizabeth Clemmer. and Scott Rails for their help in collecting and analyzing the interview data ior the Buildco and Wireco case studies. 1055 1056 Academy of Management Review October (e.g., Bushe, 1988; Hackman & Wageman, 1995; Klein & Rails,
  • 4. 1995; Reger, Gustafson, DeMarie, & Mullane, 1994). Innovation scholars have long bemoaned the paucity of research on innovation implementation (Beyer & Trice, 1978; Hage, 1980; Roberts- Gray & Gray, 1983; Tornatzky & Klein, 1982). Although cross- organizational studies of the determinants of innovation adoption are abundant (see Damanpour, 1991; Tornatzky & Klein, 1982, for reviews), cross-organiza- tional studies of innovation implementation (e.g., Nord & Tucker, 1987) are extremely rare. More common are single-site, qualitative case studies of innovation implementation. Each of these studies describes pieces of the implementation story. Largely missing, however, are integrative models that capture and clarify the multidetermined, multilevel phenomenon of innovation implementation. In this article, we present an integrative model of the determinants of the effectiveness of organizational implementation. The primary prem- ise of the model, depicted in Figure 1, is that implementation effective- ness—the quality and consistency of targeted organizational members' use of an adopted innovation—is a function of (a) an organization's climate for the implementation of a given innovation and (b) targeted
  • 5. organiza- tional members' perceptions of the fit of the innovation to their values. HGURE 1 Determinants and Consequences of Implementation Effectiveness t Climate for implementation Skills Incentives and disincentives Absence of obstacles Innovation- values fit Commitment Implementation effectiveness Strategic accuracy of innovation adoption
  • 6. 1996 Klein and Sorra 1057 We begin by defining several key terms and outlining our levels of theory. We then present the model. We focus first on the organization as a whole, examining instances, determinants, and consequences of homo- geneous innovation use within an organization. We then explore between- group differences, examining instances, determinants, and consequences of varying levels of innovation use by groups within an organization. Next, we consider the feedback processes suggested by the model: the iniluences of implementation and innovation outcomes on an organization's subse- quent climate for implementation and on employees' values. We illustrate the model with examples from our own and others' implementation re- search, and we conclude with a discussion of the implications that the model may have for implementation researchers. KEY TERMS Two types of stage models are commonly used to describe the innova- tion process. The first, source-based stage models, are based on the per- spective of the innovation developer or source. They trace the creation of
  • 7. new products or services from the gestation of the idea to the marketing of the final product (e.g., research, development, testing, manufacturing or packaging, dissemination) (Amabile, 1988; Kanter, 1988; Tornatzky & Fleischer, 1990). Within source-based stage models, an innovation is a new product or service that an organization, developer, or inventor has created for market. User-based stage models, in contrast, are based on the perspective of the user. They trace the innovation process from the user's awareness of a need or opportunity for change to the incorporation of the innovation in the user's behavioral repertoire (e.g., awareness, selection, adoption, implementation, routinization) (Beyer & Trice, 1978; Nord & Tucker, 1987; Tornatzky & Fleischer, 1990). Within user-based stage models (and within our model), an innovation is a technology or a practice "being used for the first time by members of an organization, whether or not other organiza- tions have used it previously" (Nord & Tucker, 1987: 6). We focus on innovations that require the active and coordinated use of multiple organizational members to benefit the organization. Because innovations of this type by definition affect numerous organizational mem-
  • 8. bers, they are typically implemented within an organization only following a formal decision on the part of senior managers to adopt the innovation. Examples of innovations of this kind include total quality management (TQM), statistical process control (SPC), computer-aided design and manu- facturing (CAD/CAM), and manufacturing resource planning (MRP). Implementation is the transition period during which targeted organi- zational members ideally become increasingly skillful, consistent, and committed in their use of an innovation. Implementation is the critical gateway between the decision to adopt the innovation and the routine use oi the innovation within an organization. We conceptualize innovation 1058 Academy of Management Beview October use as a continuum, ranging from avoidance of the innovation (nonuse) to meager and unenthusiastic use (compliant use) to skilled, enthusiastic, and consistent use (committed use). Implementation effectiveness refers to the consistency and quality of targeted organizational members' use of a specific innovation. Targeted organizational members (or targeted
  • 9. users) are individuals who are expected either to use the innovation di- rectly (e.g., production workers) or to support the innovation's use (e.g., information technology specialists, production supervisors). Innovation effectiveness describes the benefits an organization re- ceives as a result of its implementation of a given innovation (e.g., improve- ments in profitability, productivity, customer service, and employee mo- rale). Implementation effectiveness is a necessary but not sufficient condition for innovation effectiveness: Although an innovation is ex- tremely unlikely to yield significant benefits to an adopting organization unless the innovation is used consistently and well, effective implementa- tion does not guarantee that the innovation will, in fact, prove beneficial for the organization. LEVELS OF THEORY Klein, Dansereau, and Hall (1994: 206) urged organizational scholars to specify and explicate the level(s) of their theories and their "attendant assumptions of homogeneity, independence, or heterogeneity." We begin to do so here, weaving further discussion of the levels of the model through- out the article.
  • 10. The fundamental organizational challenge of innovation implementa- tion is to gain targeted organizational members' use of an innovation: to change individuals' behavior. However, for the innovations on which we focus, the benefits of innovation implementation are dependent on the use of the innovation not by individuals but by all, or a critical group of organizational members (Tornatzky & Fleischer, 1990). Thus, although we acknowledge that innovation use may vary between individuals and be- tween groups within an organization, we conceptualize implementation effectiveness as an organization-level construct, describing the overall, pooled or aggregate consistency and quality of targeted organizational members' innovation use. An organization in which all targeted employees use a given innovation consistently and well is more effective in its imple- mentation effort than is an organization in which only some of the targeted employees use the innovation consistently and well. Futher, because the benefits of innovation implementation depend (again, in the case of the innovations we describe) on the integrated and coordinated use of the innovation, an organization in which all or most targeted employees' inno- vation use is moderate in consistency and quality shows greater imple-
  • 11. mentation effectiveness than an organization in which some targeted members use the innovation consistently and well while others use it inconsistently and poorly. Thus, to use Klein and colleagues' (1994) termi- 1996 Klein and Sorra 1059 nology, implementation effectiveness is a homogeneous construct, de- scribing the quality and consistency of the use of a specific innovation within an organization as a whole. Implementation effectiveness results, we argue in the following sec- tion, from the dual influence of an organization's climate for the implemen- tation of a given innovation and the perceived fit of that innovation to targeted users' values. We posit that implementation climate, too, is a homogeneous construct, describing a facet of targeted users' collective, perceived work environment. Innovation-values fit, in contrast, may vary between individuals, between groups, or between organizations. We focus on between-organization and between-group differences in innovation- values fit, thus conceptualizing innovation-values fit primarily as a homo- geneous construct that may characterize the shared values of
  • 12. either an organization's targeted users as a whole or distinct groups of targeted users within an organization. CLIMATE FOR IMPLEMENTATION The empirical literature on the implementation of workplace innova- tions is dominated, as we noted previously, by qualitative, single-site studies (e.g., Markus, 1987; Roitman, Liker, & Roskies, 1988; Sproull & Hofmeister, 1986). In rich detail, the authors of these studies have described a variety of innovation, implementation, organizational, and managerial policies, practices, and characteristics that may influence innovation use. These include training in innovation use (Fleischer, Liker, & Arnsdorf, 1988), user support services (Rousseau, 1989), time to experiment with the innovation (Zuboff, 1988), praise from supervisors for innovation use (Klein, Hall, & Laliberte, 1990), financial incentives for innovation use (Lawler & Mohrman, 1991), job reassignment or job elimination for those who do not learn to use the innovation (Klein et al., 1990), budgetary constraints on implementation expenses (Nord & Tucker, 1987), and the user- friendliness of the innovation (Rivard, 1987). (We will use the shorthand phrase "imple- mentation policies and practices" to refer to the array of
  • 13. innovation, imple- mentation, organizational, and managerial policies, practices, and charac- teristics that may influence innovation use.) Because each implementation case study highlights a different subset of one or more implementation policies and practices, the determinants of implementation effectiveness may appear to be a blur, a hodge-podge lacking organization and parsimony. If multiple authors, studying multiple organizations, identify differing sources of implementation failure and success, what overarching conclusion is a reader to reach? The implemen- tation literature offers, unfortunately, little guidance. To highlight the collective influence of an organization's multiple implementation policies and practices, we introduce the construct of an organization's climate for the implementation of an innovation. 1060 Academy of Management Beview October Our discussion of this construct builds on Schneider's conceptualiza- tion of climate (e.g., Schneider, 1975, 1990). Schneider (1990: 384) defined climate as employees' "perceptions of the events, practices, and proce- dures and the kinds of behaviors that are rewarded, supported,
  • 14. and ex- pected in a setting." Three distinctive features of Schneider's conceptual- ization of climate bear note here. First, Schneider's conceptualization highlights employees' perceptions—^not their evaluations—of their work environment. Second, Schneider's conceptualization draws attention to employees' shared perceptions, not employees' individual and idiosyn- cratic views. And, third, Schneider's conceptualization focuses on employ- ees' shared perceptions of the extent to which work unit practices, proce- dures, and rewards promote behaviors consistent with a specific strategic outcome of interest. Schneider's conceptualization does not focus on em- ployees' perceptions of generic work unit characteristics—such as socio- emotional supportiveness (e.g., Kopelman, Brief, & Guzzo, 1990)—that are generalizable to any work unit. An organization's climate for the implementation of a given innovation refers to targeted employees' shared summary perceptions of the extent to which their use of a specific innovation is rewarded, supported, and expected within their organization. Employees' perceptions of their organi- zation's climate for the implementation of a given innovation are the result of employees' shared experiences and observations of,
  • 15. and their information and discussions about, their organization's implementation policies and practices. Climate for implementation, we emphasize, does not refer to employees' satisfaction with the innovation, the organization, or their jobs; it also does not refer to employees' perceptions of their organization's openness to change or general innovativeness. The Influence of Climate for Implementation The more comprehensively and consistently implementation policies and practices are perceived by targeted employees to encourage, cultivate, and reward their use of a given innovation, the stronger the climate for implementation of that innovation. A strong implementation climate fos- ters innovation use by (a) ensuring employee skill in innovation use, (b) providing incentives for innovation use and disincentives for innova- tion avoidance, and (c) removing obstacles to innovation use. An organiza- tion has a strong climate for the implementation of a given innovation if, for example, training regarding innovation use is readily and broadly available to targeted employees (ensuring skill); additional assistance in innovation use is available to employees following training (ensuring skill); ample time is given to employees so they can both learn
  • 16. about the innovation and use it on an ongoing basis (ensuring skill, removing obstacles); employees' concerns and complaints regarding innovation use are responded to by those in charge of the innovation implementation (removing obstacles); the innovation itself can be easily accessed by the employees (e.g., TQM meetings scheduled at convenient times, user- 1996̂ Q-J-^ Klein and Sorra 1061 y friendly computerized technology) (removing obstacles); and employees' use of the innovation is monitored and praised by managers and supervi- sors (providing incentives for use and disincentives for innovation avoidance). Research on climates for specific strategic outcomes reveals the in- fluence that an organization's climate for a specific outcome has on em- ployees' behaviors regarding that outcome. Researchers have found, for example, that climate for safety is related to factory safety (Zohar, 1980), that climate for innovation in R&D subsystems is related to technological breakthroughs (Abbey & Dickson, 1983), that climate for
  • 17. technical updating is related to engineers' performance (Kozlowski & Hults, 1987), and that climate for service is related to customers' perceptions of the quality of service received (Schneider & Bowen, 1985; Schneider, Parkington, & Bux- ton, 1980). Thus, we posit that the stronger an organization's climate for the implementation of a given innovation, the greater will be the employ- ees' use of that innovation, provided employees are committed to innova- tion use. The Limits of Climate for Implementation Our caveat—"provided employees are committed to innovation use"—indicates the limits of climate. Psychological theories and research on conformity and commitment (Kelman, 1961; O'Reilly & Chatman, 1986; Sussman & Vecchio, 1991) have been used to distinguish between compli- ance, "the acceptance of influence in order to gain specific rewards and to avoid punishments," and internalization, "the acceptance of influence because it is congruent with a worker's values" (Sussman & Vecchio, 1991: 214).' Applied to innovation implementation, these works suggest that employees who perceive innovation use to be congruent with their values are likely to be internalized—committed and enthusiastic—in their inno-
  • 18. vation use, whereas individuals who perceive innovation use merely as a means to obtain and avoid punishments are likely to be compliant—pro forma and uninvested—in their innovation use. Because a strong implementation climate provides incentives and disincentives for innovation use, it may, in and of itself, foster compliant innovation use. Climate for implementation does not, however, ensure either the congruence of an innovation to targeted users' values or internal- ized and committed innovation use. Skillful, internalized, and commited innovation use takes more: a strong climate for the implementation of an innovation and a good fit of the innovation to targeted users' values. We discuss the combined effects of implementation climate and innovation-values fit in greater detail in a subsequent section, but an ' Also mentioned in these theories is idenfificafion, the acceptance of iniluence "in order to engage in a satisfying role-relationship with another person or group" (Sussman 8f Vecchio, 1991: 214). Identification seemed to us to have relatively little relevance to innovation imple- mentation. 1062 Academy of Management Beview October
  • 19. example—close to many readers' academic homes—may be helpful here. Imagine a university that has historically valued, rewarded, and sup- ported teaching far more than research. If the university adopts a new emphasis on research, the university can surely create—through its poli- cies and practices—a strong climate for research. But how will professors, drawn to the university for its teaching emphasis, respond to such a change? Will they not simultaneously recognize the new climate for re- search and resist it because it is incongruent with their values? An Example of Climate for Implementation: Buildco, Inc. Buildco, Inc. (a pseudonym) is a large engineering and construc- tion company that experienced great difficulty in implementing three- dimensional computer-aided design and drafting (3-D CADD), a sophisti- cated computer graphics program used to design and test computerized representations of products (in this case, buildings and plants). Buildco's senior managers complained of "employee resistance to change," yet re- searchers (Klein, 1986; Klein et al., 1990) found, in their interviews with 26 targeted users and their supervisors, that targeted users were, in fact, very enthusiastic about 3-D CADD, per se. For example, one
  • 20. employee raved, "I think CADD is the greatest thing since sliced bread. I like the whole concept, the speed, the accuracy, [and] the uniformity of the drawings." Targeted users complained vociferously, however, about many as- pects of the implementation process. Targeted users were satisfied with the content of the company's 60-hour 3-D CADD training program, but often they had little opportunity to use their 3-D CADD training on the job. As a result, employee skill in 3-D CADD often decayed sharply following training. Targeted users complained, too, that managers and supervisors offered few rewards for 3-D CADD use: "Supervisors fall short of letting people know when they're doing a good job," one employee commented. "From what I hear, CADD's made a lot of money for the company, but how many people who use CADD know it?" In addition, users complained about a variety of obstacles to their use of 3-D CADD: "The system is designed to handle 6 or 7 terminals at once, but now there are 17 terminals. . . . It takes a long time for the computer to do a simple placement, and this disrupts your train of thought and creativity. It kills your efficiency."
  • 21. Despite users' appreciation of 3-D CADD and the appropriateness of the content of the company's training program, the overall climate for the implementation of 3-D CADD at Buildco was weak: Targeted users' CADD skills often grew rusty, rewards for using CADD were slim, and obstacles to using CADD were many. INNOVATION-VALUES HT Building on psychological theories of conformity, we posit that em- ployees' commitment to the use of an innovation is a function of the per- 1996 Klein and Sorra 1063 ceived fit of the innovation to employees' values. Values are "generalized, enduring beliefs about the personal and social desirability of modes of conduct or 'end-states' of existence" (Kabanoff, Waldersee, & Cohen, 1995: 1076). Individuals have values, as do groups, organizations, societies, and national cultures (Kabanoff et al., 1995). We focus on organizational and group values in our analysis of innovation-values fit. Organizational values are implicit or explicit views, shared to a considerable extent by organizational members,
  • 22. about both the external adaptation of the organization (i.e., how the organization should relate to external customers, constituencies, and competitors) and the internal integration of the organization (i.e., how members of the organization should relate to and work with one another) (Schein, 1992). Organizational members come to share values as a result of their common experiences and personal characteristics (Holland, 1985; Schein, 1992; Schneider, 1987). Organizational values are stable, but not fixed, and may evolve in response to changing organizational and environmental events and circumstances. Organizational values vary in intensity. High-intensity organizational values encapsulate strong, fervent views and sharp strictures regarding desirable and undersirable actions on the part of the organization and its members. Low- intensity organizational values describe matters of relatively little importance and passion for organizational members. Group values are implicit or explicit views, shared to a considerable extent by the members of a group within an organization, about the exter- nal adaptation and internal integration of the organization and of the group itself. Group values vary among groups in an organization, and
  • 23. they often reflect the self-interests of the group (cf. Guth & MacMillan, 1986). Functional and hierarchical groups (e.g., senior managers, supervisors, technicians) are likely to differ in their values as a function of (a) their roles in the organization (Dougherty, 1992), (b) their common interactions and experiences (Rentsch, 1990), and (c) their distinctive backgrounds and traits (Holland, 1985). Like organizational values, group values vary in their intensity and may evolve over time. We highlight the fit of innovations to organizational and group values, rather than individual values, because our aim is to explain organizational implementation effectiveness, not individual differences in innovation use. A poor fit between an innovation and organizational or group values affects relatively large numbers of organizational members, and it is thus more likely to derail innovation implementation than is a poor fit between an innovation and any one organizational member's values. /nnova(ion-va/ues fit describes the extent to which targeted users perceive that use of the innovation will foster (or, conversely, inhibit) the fulfillment of their values. Targeted users assess the objective characteris- tics of an innovation and its socially constructed meaning (e.g.. Barley,
  • 24. 1986; Goodman & Griffith, 1991; Hattrup & Kozlowski, 1993; Zuboff, 1988) to judge the fit of the innovation to their values. Because senior managers 1064 Academy of Management Beview October adopt innovations to alter production, service, or management, innova- tions often represent an imperfect fit with organizational members' values. Innovation-values fit is good when targeted innovation users regard the innovation as highly congruent with their high-intensity values. Innovation-values fit is poor when targeted users regard the innovation as highly incongruent with their high-intensity values. Innovation-values fit is neutral when targeted users regard the innovation as either moder- ately congruent or moderately incongruent with their low- intensity values. Innovation-Values Fit: Some Examples of Poor Fit Innovation-values fit has not, to our knowledge, been the object of researchers' explicit attention. However, several scholars have com- mented implicitly on the topic. In a case study of the implementation of statistical process control in a manufacturing plant, for example, Bushe
  • 25. (1988: 25) suggested that because members of manufacturing plants value performance (i.e., production) more than change and learning, "both the implementation of SPC and the nature of the technique are countercultural, in that learning must be as highly valued as performing for SPC to be used successfully." In a similar vein, Schein (1992: 140) has commented. One of the major dilemmas that leaders encounter when they attempt to change the way organizations function is how to get something going that is basically countercultural. . . . For example, the use of quality circles, self-managed teams, auton- omous work teams, and other kinds of organizational devices that rely heavily on commitment to groups may be so counter- cultural in the typical U.S. individualistic competitive organi- zation as to be virtually impossible to make work unless they are presented pragmatically as the only way to get some- thing done. Further, Schein (1992) and others (e.g., March & Sproull, 1990) docu- mented the poor fit between top managers' and information technology (IT) specialists' values. For example, top managers' assumption that "hier- archy is intrinsic to organizations and necessary for coordination" (Schein, 1992; 291) clashes with the IT specialists' assumptions that "a flatter organi- zation will be a better one" and "a more fully connected organization with open channels in every direction will be a better one" (Schein, 1992: 286).
  • 26. A last example of poor innovation-values fit comes from a case study of the implementation of a computerized inventory control system in a wire manufacturing company with the pseudonym Wireco (Klein, Rails, & Carter, 1989). (The conclusions we make are based on interviews with 37 employees: managers, supervisors, and targeted users.) When the decision to adopt the computerized inventory control system was mandated by corporate headquarters, Wireco's manufacturing procedures were unstruc- tured, fluid, and disorganized. If Customer A placed a rush order for one kind of wire, preliminary work on Customer B's order for a different kind of wire was either put aside (and often lost) or transformed and used to 1996 Klein and Sorra 1065 meet Customer A's order. Employees at Wireco believed that customers were well served by the flexibility of their production procedures. The new computerized inventory control system, however, required employees (a) to track each customer's order throughout the production process and (b) to maintain accurate inventory records. Employees could no longer
  • 27. use preliminary work on one customer's order to complete a different customer's order. The inventory control system represented a poor fit with the employees' values supporting flexible, if disorganized, production pro- cedures. THE EFFECTS OF IMPLEMENTATION CLIMATE AND INNOVATION- VALUES FIT ON INNOVATION USE: WHEN FIT IS HOMOGENEOUS To predict innovation use, we consider the combined influence of implementation climate and innovation-values fit. We first describe the implications of a strong or weak climate for implementation and good, neutral, or poor innovation-values fit, when innovation-values fit is homo- geneous (i.e., when there are few within-organization, between- group dif- ferences in innovation-values fit). The six cells in Table 1 summarize the predicted influence of varying levels of implementation climate and innovation-values fit on employees' affective responses and innovation use. When innovation-values fit is good and the organization's implementation climate is strong, employees are skilled in innovation use, incentives for innovation use and disincen- tives for innovation avoidance are ample, obstacles to
  • 28. innovation use are few, and employees are likely to be highly committed to their innovation use. This is the ideal scenario for innovation implementation. Employees are enthusiastic about the innovation, and they are skilled, consistent, and committed in their innovation use. When innovation-values fit is good, yet the organization's implemen- tation climate is weak, targeted users are committed to innovation use, but they lack skills in and experience few incentives for and many obstacles to innovation use. Thus, employees' use of the innovation is likely to be sporadic and inadequate. Committed to the idea of innovation use, users are likely to be disappointed and frustrated by their organization's weak implementation climate and by their own and their fellow employees' poor use of the innovation. Good innovation-values fit, in the absence of a strong implementation climate, is not sufficient to produce skillful and consistent innovation use. When innovation-values fit is poor, yet the organization's implementa- tion climate is strong, employee resistance is likely. A strong implementa- tion climate creates an imperative for employees to use an innovation that, given poor innovation-values fit, employees oppose. If
  • 29. innovation- values fit is very poor, targeted innovation users may opt to leave the organization if they can find alternative employment. Those who cannot 1066 Academy of Management fleview October ^ "5 cn > 0) O "o ^ I § Ti ") 0 Q0) S o a "en .2 $ a ° •PH Cfl u d) M a> "o c 0
  • 38. at io n > ln no 1996 Klein and Soria 1067 leave the organization are likely to engage in compliant innovation use, at best. When innovation-values fit is poor and implementation climate is weak, targeted innovation users are likely to regard their organization's weak implementation climate—its anemic and erratic implementation policies and practices—with some relief. Targeted users are likely to be pleased to face little pressure to use the innovation. Unskilled, unmoti- vated, and opposed to innovation use, targeted users are unlikely to use the innovation at all. Between these extremes of enthusiasm and frustration {when innova- tion-values fit is good) and resistance and relief (when
  • 39. innovation-values fit is poor) lies a middle group defined by neutral innovation- values fit. In this middle ground are innovations that are perceived to be neither highly congruent nor highly incongruent with organizational values that are of low intensity. When fit is neutral and the implementation climate is strong, targeted users are indifferent to the prospect of innovation imple- mentation, and they face a strong imperative in favor of innovation use. In this case, we predict adequate innovation use—more than compliant innovation use but less than committed use. When fit is neutral and the implementation climate is weak, employees are not likely to use the inno- vation at all. We note that employee resistance to innovation implementation is predicted in only one of the six cases that are depicted in Table 1, that is, when an organization's implementation climate is strong and innovation- values fit is poor. The term resistance connotes protest and defiance against an opposing pressure or force. A strong implementation climate is such a force. However, when an organization's implementation climate is weak, employees need not "resist" innovation use; there is, by definition, little pressure on employees to use the innovation. In sum, when
  • 40. an organi- zation's climate for innovation implementation is weak, the organization's failure to create an imperative for innovation use, not employee resistance, is the likely cause of employees' lackluster innovation use. Implementation Climate and Innovation-Values Fit: Two Examples Buildco represents a case of a weak implementation climate and good innovation-values fit. Targeted users complained about many aspects of the implementation process, but they liked 3-D CADD. They valued their own and their company's technical expertise and use of cutting- edge tech- nologies. They strived to create economical, creative, and fail- safe de- signs, and these users believed that 3-D CADD enhanced their efforts. As suggested in Table 1, targeted users were frustrated and disappointed by their company's weak implementation policies and practices {its weak implementation climate) and by employees' resultant inability to use 3-D CADD as much or as well as they would have liked to use it. Markus's {1987) case study of one company's attempted implementa- tion of a computerized financial information system {FIS) provides an
  • 41. 1068 Academy ot Management Review October example of a strong climate for innovation implementation and poor innovation-values fit.̂ Championed by corporate headquarters, FIS al- lowed corporate accountants new access to divisional performance data. Corporate headquarters fostered a strong climate for the implementation of FIS in the divisions of the corporation by {a) ensuring divisional accoun- tants knew how to use the system, (b) fixing technical problems regarding FIS, and {c) instituting policies that virtually necessitated the divisions' use of FIS. Nevertheless, divisional accountants actively resisted using FIS. They valued their financial authority and autonomy and perceived FIS to be an affront and a threat to these values. THE EFFECTS OF IMPLEMENTATION CLIMATE AND INNOVATION-VALUES FIT ON INNOVATION USE: WHEN FIT DIFFERS BETWEEN GROUPS In an organization characterized by between-group differences in high-intensity values, the same innovation may be regarded by the mem- bers of one group as highly congruent with their values {good fit) and by the members of a second group as highly incongruent with their values
  • 42. {poor fit). Such a situation is, of course, ripe for conflict if the effective implementation of the innovation requires innovation use {or at least sup- port for innovation use) across both groups. Next, we explore the conse- quences of between-group differences in innovation-values fit: {a) when neither of the opposing groups has formal power over the other (horizontal groups) and {b) when one of the opposing groups does have formal power over the other {vertical groups). Horizontal Groups When innovation-values fit is good for one group within an organiza- tion and poor for another group, and when neither of the groups has power over the other, the strength of the organization's implementation climate determines the "winner" of the conflict over innovation use. If the organiza- tion's climate for implementation is strong, the group in favor of innovation implementation (whose members find the innovation congruent with their group's values) is likely to win for two reasons. First, a strong implementa- tion climate creates an imperative for innovation use for all targeted users. Second, a strong implementation climate indicates to targeted innovation users that managers, who are senior to both groups, support implementa- tion, thus throwing the weight of management behind the group
  • 43. favoring implementation. Ultimately, all targeted users are likely to use the innova- tion. Conflict may be drawn out, however, and implementation may be slow, as those opposed to innovation implementation actively or passively resist using the innovation. ^ Because we did not conduct this case study, our knowledge of it is more limited than our knowledge of the Buildco and Wireco case studies. 1996 Klein and Sorra 1069 Conversely, if the climate is weak, those opposed to implementation are likely to win, for the same reasons. A weak implementation climate discourages innovation use and indicates managers' ambivalence or an- tipathy toward implementation (and thus their tacit support of those who oppose innovation). Under these circumstances, employees' use of the innovation is likely to be limited at best, after a period of perhaps high but then declining use of the innovation by those who support innovation implementation. An Example of Horizontal Groups: Production Operators and IT Specialists We have described Wireco as an example of poor innovation-
  • 44. values fit. Although the fit of the computerized inventory control system to produc- tion operators' values was poor, the fit of the system to the company's IT specialists was good. Wireco's IT specialists valued the computerized system, believing it to be modern, efficient, organized, and beneficial. {Recall Schein's, 1992, description of IT values.) Further, the IT specialists saw in the prospective implementation of the system an opportunity to increase their own influence and status in the company. Wireco's managers and supervisors, however, tacitly supported pro- duction operators' views of the system. As a result, the company's resulting implementation climate was very weak. For example, operators experi- enced few rewards for using the system and few punishments for neglect- ing it. One operator commented, "Are there any rewards or recognition for effective use of the system? No. I pet my dog at home more than I get petted here, and I don't pet my dog very often." Given the poor fit of the inventory control system to production opera- tors' values and the weak implementation climate, implementation of the system was not successful. Operators' and their managers' and supervi- sors' use of and support for the system declined, and Wireco's
  • 45. IT specialists lost the battle for implementation. Vertical Groups When innovation-values fit is good for one group within an organiza- tion and poor for another group and when one group does have power over the other, the strength of the organization's implementation climate again determines the "winner" of conflict over innovation use, yet the dynamic is a little different than the one just described. If innovation- values fit is good for the higher authority group and poor for the lower authority group, then the higher authority group (e.g., supervisors) will strengthen and augment the organization's climate for the implementation of the innovation. For example, the higher authority group may establish additional incentives or training for innovation use. Under these circum- stances, lower authority group members—experiencing a strong imple- mentation climate and poor innovation-values fit—will resist innovation use and/or engage in compliant innovation use. 1070 Academy of Management Beview October Conversely, if innovation-values fit is poor for the higher authority
  • 46. group and good for the lower authority group, then the higher authority group is likely to undermine the organization's implementation climate. Higher authority group members may diminish or constrain lower author- ity group members' innovation use by, for example, minimizing the time available to use the innovation. Under such circumstances, lower authority group members—experiencing good-innovation values fit and a weak implementation climate—feel frustrated and disappointed, and they en- gage in only sporadic and inadequate innovation use. Examples of Vertical Groups: Supervisors and Their Subordinates In a study of employee-involvement programs in eight manufacturing plants, Klein (1984) found that employees generally welcomed opportuni- ties for greater involvement in plant decision making (good fit). Supervi- sors, however, often resisted the implementation of employee- involvement programs, believing that these programs limited their authority and threat- ened their job security (bad fit). For example, in one plant (Klein, 1984: 88), the foremen saw [team meetings among employees] as a threat to their control and authority, which they tried to regain by bad-mouthing the program. This bad-mouthing, in turn, dis- couraged many of their subordinates from participating. In the
  • 47. end, the whole effort just faded away tor lack of interest. In sum, supervisors created impediments to workers' involvement, weak- ening the climate for implementation that their subordinates experienced and thereby undermining innovation implementation. THE OUTCOMES OF INNOVATION IMPLEMENTATION: EXPLORING CONSEQUENCES FOR IMPLEMENTATION CLIMATE AND VALUES Prior to the 1980s, most researchers who studied the determinants of innovation adoption did not study its aftermath: implementation {Tornat- zky & Klein, 1982). Although research on implementation is now more prevalent, research on its aftermath is, to our knowledge, nonexistent. In this section, we consider briefly the aftermath of implementation: the ef- fects {depicted by dashed lines in Figure 1) of varying implementation outcomes on an organization's subsequent implementation climate and values. Innovation implementation may result in one of three outcomes: {a) implementation is effective, and use of the innovation enhances the organization's performance; {b) implementation is effective, but use of the innovation does not enhance the organization's performance; and
  • 48. (c) implementation fails. Each of these three outcomes may influence an organization's subsequent implementation climate and organizational members' values. 1996 Klein and Sorra 1071 When Implementation Is Effective and Innovation Use Enhances Performance When innovation implementation succeeds and enhances an organi- zation's performance, the organization's implementation climate is strengthened. Managers' and supervisors' support for innovation imple- mentation increases, yielding likely improvements in implementation policies and practices {e.g., innovation training for additional employees, more praise for targeted employees' innovation use). Further, when innovation implementation enhances an organization's performance, organizational values may be affected. If the innovation is largely congruent with the organizational members' homogeneous values, these values are reinforced and organizational members' confidence in the fit of the innovation to their values is strengthened. If the innovation is incongruent with organizational members' homogeneous
  • 49. values, mem- bers' values may shift. Organizational members' confidence in new values congruent with use of the innovation increases, as does the perceived efficacy of innovation adoption and implementation in general. As a result of such changes in organizational members' values, the fit of future innovations to organizational values is improved. If the innova- tion fits well with the values of one group of targeted users and it fits poorly with the values of a second group of targeted users', the "good- fit" group that encouraged innovation implementation is vindicated. Support for this group and its values may grow, whereas support for the "poor-fit" group and its values declines. When Implementation Is Effective But Innovation Use Does Not Enhance Performance When implementation succeeds but does not enhance an organiza- tion's performance, the organization's climate for implementation is weak- ened. Managers' and supervisors' support for implementation declines. If innovation-values fit is homogeneous within the organization and poor, preexisting organizational values are reinforced {e.g., "We should have known computerization would never work for us."). If innovation-values
  • 50. fit is homogeneous and good, existing organizational values are chal- lenged. At the same time, however, the perceived value of innovation adoption and implementation in general may be questioned, potentially leading to pessimism regarding the organization's implementation of fu- ture innovations. Finally, if innovation-values fit varies between groups, support for the group that advocated innovation use lessens. When Implementation Is Not Effective When implementation fails, an implementation climate, which has in all likelihood always been weak, weakens further unless—in response to initial signs of implementation failure—managers demonstrably in- crease their support for innovation implementation by changing the 1072 Academy of Management fleview October organization's implementation policies and practices to better support implementation. If the innovation was largely congruent with organiza- tional members' homogeneous values, organizational members may question not just the merits of change, but the very possibility of change. If the innovation was largely incongruent with organizational
  • 51. members' homogeneous values, organizational members may feel empowered by their thwarting of the innovation's implementation. Finally, if innovation- values fit varies between groups, the influence within the organization of the group that advocated innovation implementation is reduced. The Outcomes of Innovation Implementation: Two Examples Buildco provides an interesting example of implementation and innovation outcomes over time. The company's initial climate for the implementation of 3-D CADD was weak, and innovation use was, accordingly, sporadic. However, Buildco's managers stepped in to strengthen the company's climate for implementation. The early organi- zational benefits of 3-D CADD use further strengthened Buildco's imple- mentation climate. Given an ultimately strong climate for implementa- tion and good fit between 3-D CADD and organizational values, use of 3-D CADD is now routine at Buildco, and the values for computerization appear even stronger than they were prior to the company's adoption oi 3-D CADD. In contrast, Wireco did not succeed in implementing its computerized inventory control system. Respect within Wireco for the
  • 52. company's IT spe- cialists declined. The company has not, in the years since its foiled imple- mentation of the inventory control system, adopted any other computerized technology that would diminish the flexibility of, or change in any other significant way, the company's production procedures. RESEARCH IMPLICATIONS OF THE MODEL The subject of relatively little research, implementation is the ne- glected member of the innovation family. Even the Academy of Manage- ment Review's Call for Papers on the Management of Innovation (1994: 617-618) had a distinct, if implicit, focus on the development and adop- tion^not the implementation^of innovations. Our model brings new at- tention to implementation and invites new research on the topic. In this section, we underscore key constructs of the model, note additional re- search topics suggested by the model, and highlight research methods most useful for the study of implementation. Key Constructs Climate for implementation. We have proposed that implementation effectiveness is in part a function of the strength of an organization's climate for implementation. The climate construct subsumes and
  • 53. inte- grates many of the findings of past implementation research. However, 1996 Klein and Sorra 1073 the contributions of the construct go beyond parsimony. The construct suggests that an organization's implementation policies and practices should be conceptualized and evaluated as a comprehensive, interdepen- dent whole that together determines the strength of the organization's climate for implementation. Further, the construct highlights the equifi- nality of implementation climate. Implementation climates of equal strength may ensue from quite different sets of policies and practices. For example, an organization may ensure employee innovation skill by training employees, by motivating employees through the reward system, by selecting employees skilled in innovation use for hire or promotion, or by shaping the innovation to match employees' existing skills. The climate for implementation construct thus pushes researchers away from the search for the critical determinants of implementation effectiveness—training or rewards or user friendliness—to the
  • 54. documen- tation of the cumulative influence of all of these on innovation use. Further, the climate construct facilitates the comparison of implementation effec- tiveness across organizations. The specific implementation policies and practices that facilitate innovation use may vary tremendously from orga- nization to organization. Training may be critical in one organization, rewards in a second organization, and so on. Thus, specific implementation policies and practices may show little consistent relationship to innova- tion use across organizations. Climate, however, is cumulative and thus, in concert with innovation-values fit, predictive of innovation use across organizations. Innovation-values fit. The construct of innovation-values fit indicates the limits of implementation climate. In the face of poor innovation-values fit, a strong implementation climate results in only compliant innovation use and/or resistance. Further, innovation-values fit may vary across the groups of an organization, engendering intraorganizational conflict and lessening implementation effectiveness. The construct of innovation- values fit thus directs researchers to look beyond an organization's global {or homogeneous) implementation policies and practices and to
  • 55. consider the extent to which a given innovation is perceived by targeted users to clash or coincide with their organizational and group values. Implementation effectiveness and innovation efiectiveness. The con- struct of implementation effectiveness helps to focus researchers' attention on the aggregate behavioral phenomenon of innovation use. The construct of innovation effectiveness, in contrast, directs researchers' attention to the benefits that may accrue to an organization as a result of successful innovation implementation. These two distinct constructs, too often blurred in prior innovation research and theory, are critical for implementation research and theory. The first underscores the difficulty of innovation implementation; targeted organizational members' consistent and appro- priate innovation use is not guaranteed. The second underscores the vary- ing effects of innovation implementation; even when the implementation 1074 Academy ot Management Beview October of an innovation is effective, the innovation may fail to yield intended organizational benefits. Additional Topics for Research
  • 56. The model invites research not only on the effects of implementation climate and innovation-values fit on implementation and innovation effec- tiveness, but it also suggests several questions only hinted at in this article, given space limitations. We consider four. Managers and the creation of a strong implementation climate. The organizational change and innovation literatures (e.g., Angle & Van de Ven, 1989; Beer, 1988; Leonard-Barton & Krauss, 1985; Nadler & Tushman, 1989; Nutt, 1986) suggest that the primary antecedent of an organization's climate for implementation is managers' support for implementation of the innovation. If this is true, why do managers fail to support the imple- mentation of many of the innovations adopted in their organizations? The available literature, although limited, suggests at least two possible answers. First, innovation adoption decisions are often made by execu- tives at corporate headquarters without the participation or input of local, lower level managers {Guth & MacMillan, 1988; Klein, 1984). Left out of this decision-making process, local managers may not be inspired to create a strong climate for innovation implementation. Second, managers may support innovation implementation, but they may lack an in-
  • 57. depth under- standing of the innovation. Managers who know little about an innovation are likely to delegate implementation management to subordinates who are more knowledgeable but who lack the authority and resources to create a strong climate for implementation. Although plausible, these explanations for managers' failure to support innovation implementation are tentative and preliminary. The topic warrants further empirical and conceptual analysis. "Upward implementation" of innovations. The preceding paragraph, and much of our model, highlights the roles that managers play in creating a strong implementation climate among targeted users. Are nonmanagers powerless to affect their organization's implementation climate? We know of no research explicitly designed to answer this question. We suspect, however, that in all but the most participative, flat organizations, nonman- agers have relatively little influence in creating a strong implementation climate. Even though nonmanagers can advocate, or champion, their man- agers' adoption of a given innovation {Dean, 1987; Howell & Higgins, 1990), they lack the authority and resources to institute the policies and practices that yield a strong implementation climate. Yet as organizations
  • 58. strive to become both more innovative and flatter, the role of nonmanagers in fostering implementation becomes an increasingly important topic for re- search. Implementing multiple innovations. Can an organization successfully and simultaneously implement multiple innovations? If an organization's multiple innovations necessitate diverse, new, time-consuming, and ^]ein and Sorra 1075 difficult-to-learn behaviors of a common group of targeted users, the likeli- hood of successful simultaneous implementation of the innovations is slim. An organization's climate for the implementation of one such innova- tion may compete with and undermine its climate for the implementation of another innovation. For example, rewards for the use of one innovation may impose obstacles to the use of the second innovation. More likely to be successful are organizational efforts to implement innovations that require complementary changes in the behavior of distinct groups of users. In such a case, the climate for the implementation oi one innovation may
  • 59. indeed enhance the climate for the implementation of a second innovation. However, additional research is needed because relatively little is known about the success or failure of organizations' attempts to implement multi- ple innovations. Fostering innovation-values fit. The actions an organization might take to strengthen its climate for the implementation of an innovation are relatively clear, but what can an organization do to foster good innovation-values fit? The available literature suggests three possible strategies. First, an organization may provide opportunities for employ- ees to participate in the decision to adopt the innovation {Kotter & Schlesinger, 1979). Employees' participation in the adoption decision increases the likelihood that the chosen innovation fits their preexisting values. Employees' participation in the adoption decision also may change employees' values, rendering their new values congruent with the adopted innovation. Second, an organization may foster good innovation- values fit by educating employees about the need for {value of) the innovation for organizational performance. Although senior executives may recognize the need for an innovation that is discrepant with organizational members' preexisting values, lower level
  • 60. employees may not understand this {Floyd & Wooldridge, 1992; Guth & MacMillan, 1986; Klein, 1984). Third, employees' values may shift over time, and innovation- values fit may increase if an organization's implementation of an innovation that represents a poor fit with employees' preexisting values yields clear and widely recognized benefits for the organization. This, however, is a risky strategy; employees' use of an innovation that represents a poor fit with their values is likely to be compliant at best, and compliant innovation use is unlikely to yield great benefits to the adopting organization. Given the predicted importance of innovation- values fit in fostering innovation use, the determinants of innovation- values fit warrant focused research attention. Methods for the Study of Implementation Multiorganizational research. As we have noted, single-site, qualita- tive case studies dominate the implementation literature. To verify the sources of between-organization differences in implementation effec- tiveness proposed in the model, however, researchers must move be- yond single-site research to analyze innovation implementation across
  • 61. 1076 Academy of Management Review October organizations. The topic is sufficiently complex to warrant studying the implementation of a single innovation (e.g., a specific computer program), rather than the implementation of diverse innovations, across organiza- tional sites. Ultimately, such studies may provide the groundwork for studies that are used to compare the implementation of different types of innovations across organizations. Multilevel research. Although designed to capture between- organiza- tional differences in innovation implementation, our model is expressly multilevel. Implementation effectiveness summarizes the innovation use of multiple individuals. Implementation climate describes the shared per- ceptions of multiple individuals. And innovation-values fit may vary not only between organizations but also between groups and even between individuals. Accordingly, we advocate the collection of data from multiple individuals across multiple groups, if present, within each organization in a multiorganizational sample. Longitudinal data. Implementation is a process that occurs over time. Ideally, implementation research begins prior to
  • 62. implementa- tion, with analysis and documentation of the decision to adopt an innovation. Research then continues over time to capture increases and decreases in the strength of implementation climate, in the fit of the innovation to employee values, and in innovation use and innovation effectiveness. Qualitative and quantitative data. To gather data from multiple indi- viduals across multiple groups in multiple organizations over multiple periods, researchers will surely need to use quantitative survey measures. The use of qualitative methods across such a sample would be far too labor intensive, far too time consuming. Further, the use of quantitative measures will allow researchers to conduct needed statistical tests of within- and between-group and within- and between- organization vari- ability in implementation climate, innovation-values fit, innovation use, and innovation effectiveness. However, qualitative research on implementation is still valuable. Preliminary qualitative research is likely to be essential for a researcher to gain an in-depth understanding of a given innovation and its imple- mentation across organizations. Qualitative research may foster
  • 63. further development of our constructs and may provide the groundwork for the creation of survey instruments that are focused on a specific innovation. Finally, qualitative methods may be used to gather in-depth information about specific organizations that were revealed in surveys to be particu- larly interesting and important (e.g., organizations characterized by strong implementation climates and poor innovation-values fit). Few researchers are likely, of course, to collect multiorganizational, multilevel, longitudinal, quantitative and qualitative data within a single study. Yet, studies that follow even two of the four research design recom- mendations proposed in this section will represent a step in the right 1996 Klein and Sorra 1077 direction—a step toward a deeper, more thorough understanding of inno- vation implementation. CONCLUSION When organizations adopt innovations, they do so with high expecta- tions, anticipating improvements in organizational productivity and per-
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  • 72. Zuboif, S. 1988. in tiie age of the smart machine: The tuture ot work and power. New York: Basic Books. loann Speer Sorra received her master's degree from Michigan State University and is currently a doctoral candidate in industrial and organizational psychology at th© University of Maryland. Her research interests include training, technical updating, organizational climate and culture, and organizational change, Katherine J. Klein received her Ph.D. from the University oi Texas. She is an associate professor of psychology at the University of Maryland, Her current research interests include innovation implementation and organizational change, level-oi-analysis is- sues, and part-time work. POLICY IMPLEMENTATION, STREET-LEVEL BUREAUCRACY, AND THE IMPORTANCE OF DISCRETION Lars Tummers and Victor Bekkers Lars Tummers
  • 73. Department of Public Administration Erasmus University Rotterdam P.O. Box 1738, NL-3000 DR Rotterdam The Netherlands E-mail: [email protected] Victor Bekkers Department of Public Administration Erasmus University Rotterdam P.O. Box 1738, NL-3000 DR Rotterdam The Netherlands E-mail: [email protected] Abstract Street-level bureaucrats implementing public policies have a certain degree of autonomy – or discretion – in their work. Following Lipsky, discretion has received wide atten- tion in the policy implementation literature. However, scholars have not developed theo- retical frameworks regarding the effects of discretion, which were then tested using large samples. This study therefore develops a theoretical framework regarding two main effects of discretion: client meaningfulness and willingness to implement. The relation- ships are tested using a survey among 1,300 health care professionals implementing a new policy. The results underscore the importance of discretion. Implications of the findings and a future research agenda is shown. Key words Discretion, public policy, policy implementa- tion, street-level bureaucracy, quantitative analysis
  • 74. © 2013 Taylor & Francis Public Management Review, 2014 Vol. 16, No. 4, 527–547, http://dx.doi.org/10.1080/14719037.2013.841978 INTRODUCTION In his book Street-level bureaucracy: Dilemmas of the individual in public services, Michael Lipsky (1980) analysed the behaviour of front-line staff in policy delivery agencies. Lipsky refers to these front-line workers as ‘street-level bureaucrats’. These are public employees who interact directly with citizens and have substantial discretion in the execution of their work (1980, p. 3). Examples are teachers, police officers, general practitioners, and social workers. These street-level bureaucrats implement public policies. However, street-level bureaucrats have to respond to citizens with only a limited amount of information or time to make a decision. Moreover, very often the rules the street-level bureaucrats have to follow do not correspond to the specific situation of the involved citizen. In response, street-level bureaucrats develop coping mechanisms. They can do that because they have a certain degree of discretion – or autonomy – in their work (Lipsky 1980, p. 14). Following the work of Lipsky, the concept
  • 75. of discretion has received wide attention in the policy implementation literature (Brodkin 1997; Buffat 2011; Hill and Hupe 2009; Sandfort 2000; Tummers et al. 2009; Vinzant et al. 1998). However, scholars have not yet developed theoretical frameworks regarding the effects of discretion, which were subsequently tested using large-scale quantitative approaches (Hill and Hupe 2009; O’Toole 2000). This study aims to fill this gap by developing a theoretical framework regarding two effects of discretion. The first effect, which is often noted, is that a certain amount of discretion can increase the meaningfulness of a policy for clients (Palumbo et al. 1984). An example can clarify this. A teacher could adapt the teaching method to the particular circum- stances of the pupil, such as his/her problems with long-term reading, but ease when discussing the material in groups. The teacher could devote more attention to the pupil’s reading difficulties, thereby providing a more balanced development. More generally, it is argued that when street-level bureaucrats have a certain degree of discretion, this will make the policy more meaningful for the clients. Client mean- ingfulness can thus be considered a potential effect of discretion. Here, we note that client meaningfulness is highly related to concepts such as client utility or usefulness. Furthermore, it can be argued that providing street-level
  • 76. bureaucrats discretion increases their willingness to implement the policy (Meyers and Vorsanger 2003; Sandfort 2000). Tummers (2011) showed this effect while studying ‘policy alienation’, a new concept for understanding the problems of street-level bureaucrats with new policies. One mechanism underlying this relationship between discretion and willingness to implement seems to be that a certain amount of discretion increases the (perceived) meaningfulness for clients, which in turn enhances their willingness to implement this policy (Hill and Hupe 2009; Lipsky 1980). This is expected as street-level bureaucrats want to make a difference to their clients’ lives when implementing a policy (Maynard- Moody and Musheno 2000). Hence, when street-level bureaucrats perceive that they 528 Public Management Review have discretion, they feel that they are better able to help clients (more perceived client meaningfulness), which in turn increases their willingness to implement the policy. This is known as a mediation effect. This effect is often implicitly argued, and has yet to be studied empirically. Based on this rationale the central research question is: To what extent does discretion influence client meaningfulness and willingness to implement
  • 77. public policies, and does client meaningfulness mediate the discretion-willingness relationship? This brings us to the outline of this article. We will first develop a theoretical framework, outlining the relationships between discretion, client meaningfulness, and willingness to implement. The ‘Methods’ section describes the operationalization of the concepts and research design, which is based on a Dutch nationwide survey among 1,300 psychologists, psychiatrists, and psychotherapists implementing a new reimbur- sement policy. The ‘Results’ section shows descriptive statistics and discusses the hypotheses. We conclude by discussing the contribution of this article to policy implementation literature with a particular emphasis on the importance of discretion of street-level bureaucrats. THEORETICAL FRAMEWORK Background on discretion This article focuses on the discretion of street-level bureaucrats during policy imple- mentation. Due to the abundance of literature and the intrinsic difficulties with the discretion concept (such as the different interpretations attached to as well as criticisms of these interpretations), we will provide only a short overview of the term discretion (for elaborate overviews, see Evans (2010), Hill and Hupe (2009), Lipsky (1980), Maynard-Moody and Portillo (2010), Meyers and Vorsanger
  • 78. (2003), Saetren (2005), and Winter (2007)). For a recent critique on discretion, see Maynard-Moody and Musheno (2012). Evans (2010) has noted that for employees, discretion can be seen as the extent of freedom he or she can exercise in a specific context. Related to this, Davis (1969, p. 4) states ‘a public officer has discretion whenever the effective limits on his power leave him free to make a choice among possible courses of action or inaction’ (see also Vinzant et al. 1998). Lipsky (1980) focuses more specifically on the discretion of street- level bureaucrats. He views discretion as the freedom that street-level bureaucrats have in determining the sort, quantity and quality of sanctions, and rewards during policy implementation (see also Hill and Hupe 2009; Tummers 2012). We then define discretion as the perceived freedom of street-level bureaucrats in making choices concerning the sort, quantity, and quality of sanctions, and rewards on offer when implementing a policy; for instance, to what extent do policemen experience that they themselves decide whether to give an on-the-spot fine? To what extent do teachers feel Tummers & Bekkers: Policy implementation and discretion 529 they can decide what and how to teach students about the development of mankind, i.e.
  • 79. evolution or creationism (Berkman and Plutzer 2010)? As can be seen from the previous paragraph, we focus on experienced discretion. This is based on Lewin’s (1936) notion that people behave on the basis of their perceptions of reality, not on the basis of reality itself (Thomas Theorem). Street- level bureaucrats may experience different levels of discretion within the same policy because, for example, (a) they possess more knowledge on loopholes in the rules, (b) their organization operationalized the policy somewhat differently, (c) they have a better relationship with their manager which enables them to adjust the policy to circumstances, or (d) the personality of the street-level bureaucrat is more rule- following or rebellious (Brehm and Hamilton 1996; Prottas 1979). In both top-down and bottom-up approaches of policy implementation, the notion of discretion is important (DeLeon and DeLeon 2002; Hill and Hupe 2009). From a top- down perspective, discretion is often not welcomed (Davis 1969; Polsky 1993). Discretion is primarily seen as a possibility that street-level bureaucrats use to pursue their own, private goals. This can influence the policy programme to be implemented in a negative way, which undermines the effectiveness and democratic legitimacy of a programme (Brehm and Gates 1999). In order to deal with this issue, control mechanisms are often put in place in order to achieve
  • 80. compliance. In the bottom-up perspective, discretion is assessed differently. Discretion is seen as inevitable in order to deploy general rules, regulations, and norms in specific situations, which helps to improve the effectiveness of policy programmes and the democratic support for the programme. Moreover, given the limited time, money, and other resources available and the large number of rules, regulations, and norms that have to be implemented, it is important that street-level bureaucrats are able to prioritize what rules to apply, given the specific circumstances in which they operate in (Brodkin 1997; Maynard-Moody and Musheno 2000; Maynard-Moody and Portillo 2010). From a top-down and bottom-up perspective it can be argued that discretion has a different meaning for citizens as a client. In the top-down perspective, discretion could possibly harm the position of a citizen because private considerations and interpretations of the goals of the policy programme by the street-level bureaucrat prevent citizens being treated equally. In the bottom-up perspective, discretion will help to strengthen the value/meaningfulness of a policy for clients, as policy programmes can be targeted to their specific situation. Hence, from a bottom-up perspective discretion might increase the client meaningfulness, that is, the value of the policy for clients (Barrick et al. 2012; Brodkin 1997; May et al. 2004; Maynard-Moody
  • 81. and Musheno 2003; Tummers 2011). Client meaningfulness can be defined as the perception of street-level bureaucrats that their implementing a policy has value for their own clients. Client meaningfulness is therefore about the perception of the street- level bureaucrat that a policy is valuable for a client (the client may not feel the same way). For instance, a social worker might feel that when he/she implements a policy focused on getting clients back to work, this indeed helps the client to get employed and improves the quality of 530 Public Management Review life for this client. Granting street-level bureaucrats discretion during policy implemen- tation can increase client meaningfulness as several situations street-level bureaucrats face are too complicated to be reduced to programmatic formats. Discretion makes it possible to adapt the policy to meet the local needs of the citizens/clients, increasing the meaningfulness of the policy to clients. It seems that discretion could also positively affect the street- level bureaucrats’ willingness to implement the policy. Willingness to implement is defined as a positive behavioural intention of the street-level bureaucrat towards the implementation of the policy (Ajzen 1991; Metselaar 1997). Hence, the street-level bureaucrat aims to put
  • 82. effort in implementing this policy: he/she tries to make it work. Policy implementation literature, especially the studies rooted in the bottom-up perspective, suggests that an important factor in this willingness of street-level bureaucrats is the extent to which organizations are willing and able to delegate decision-making authority to the front line (Meier and O’Toole 2002). This influence may be particularly pronounced in profes- sionals whose expectations of discretion and autonomy contradict notions of bureau- cratic control (Freidson 2001). To conclude, it seems that discretion can have various effects. In this article, we specifically examine two possible positive effects of discretion: enhanced client mean- ingfulness for clients and more willingness to implement the policy. These effects are chosen given their dominant role in the policy implementation debate (Ewalt and Jennings 2004; Riccucci 2005; Simon 1987; Tummers et al. 2012). The effects of discretion on client meaningfulness and willingness to implement Given the arguments stated previously, we first expect that when street-level bureau- crats experience high discretion, this positively influences their perception of client meaningfulness. Sandfort (2000) illustrates this by describing a case in United States public welfare system (Work First contractors). Regardless of the specifics of the local
  • 83. office, street-level bureaucrats are given the same resources to carry out their tasks: standardized forms, policy manuals, complex computer programmes, etc. Such struc- tures cause the street-level bureaucrats to be isolated from other professionals and unable to adapt existing practices to altering demands. Hence, it reduces their discre- tion and this could result in less client meaningfulness. We will study this same process using a quantitative approach, bringing us to the first hypothesis. H1: When street-level bureaucrats experience more discretion, this positively influences their experienced client meaningfulness of the policy Next, we expect that when street-level bureaucrats feel that they have enough discre- tion, this positively influences their willingness to implement a policy. Maynard-Moody Tummers & Bekkers: Policy implementation and discretion 531 and Portillo (2010, p. 259) note, ‘Street-level workers rely on their discretion to manage the physical and emotional demands of their jobs. They also rely on their discretion to claim some small successes and redeem some satisfaction’. Examining this more generally, the mechanism linking discretion to willingness to implement can be traced back to the human relations movement (McGregor 1960). One of the central tenets of this movement
  • 84. is that employees have a right to give input into decisions that affect their lives. Employees enjoy carrying out decisions they have helped create. As such, the human relations movement argues that when employees experience discretion during their work, this will positively influence several job indicators by fulfilling intrinsic employee needs. Next to this, self-determination theory (Deci and Ryan 2004) argues that three psychological needs must be fulfilled to foster motivation: competence, relatedness, and autonomy. In short, they argue that when people perceive to have autonomy, they aremoremotivated to perform. H2: When street-level bureaucrats experience more discretion, this positively and directly influences their willingness to implement the policy Furthermore, we expect that when street-level bureaucrats experience more discre- tion, this positively influences their client meaningfulness, which in turn positively influences their willingness to implement a policy. Hence, client meaningfulness could influence the willingness to implement a policy. This is expected as street-level bureau- crats want to make a difference to their clients’ lives when implementing a policy. May and Winter (2009) found that if the front-line workers perceive the instruments at their disposal for implementing a policy as ineffective, in terms of delivering to clients, this is likely to add to their frustrations. They do not see how their implementation of the policy
  • 85. helps their clients, so wonder why they should implement it. Technically speaking, we expect a mediation effect to occur (Zhao et al. 2010). Mediation is the effect of an independent variable (here, discretion) on a dependent variable (willingness to implement) via a mediator variable (client meaningfulness). Hence, besides hypothesizing the direct effect of discretion on willingness to imple- ment, we expect that part of this effect is caused by increasing client meaningfulness. This can be considered a partially mediated effect: part of the effect of discretion on willingness to implement is mediated by client meaningfulness. Full mediation is not expected. Some of the influence of discretion on willingness to implement is explained by factors other than increasing client meaningfulness, i.e. peoples’ intrinsic need for autonomy in their work (Wagner 1994). H3: The positive influence of discretion on willingness to implement is partially mediated by the level of client meaningfulness This mediation effect can be related to established job design theories like the job characteristics model of Hackman and Oldham (1980). Hackman and Oldham noted 532 Public Management Review that autonomy (related to discretion) is one of the core job
  • 86. characteristics, enhancing experienced responsibility for outcomes. This influences the critical psychological states, such as experienced meaningfulness of work (related to client meaningfulness). In turn, experienced meaningfulness of work fosters individual and organizational outcomes, such as high internal motivation (related to willingness to implement). Hence, important similarities between their line of reasoning and ours can be found. An important difference is that we focus on the level of policy implementation instead of the general job level. Based on these three hypotheses, a theoretical framework is constructed as shown in Figure 1. METHODS Case To test the theoretical framework, we undertook a survey of Dutch mental health care professionals implementing a new reimbursement policy (Diagnosis Related Groups). First, a short overview of this policy is provided. In January 2008, the Dutch government introduced Diagnosis Related Groups (DRGs, DiagnoseBehandelingCombinaties (in Dutch), or DBC’s) in mental health care. The DRGs are part of the new Law Health Market Organization. The DRGs can be seen as the introduction of regulated competition into the
  • 87. Dutch health care market, a move in line with new public management (NPM) ideas. More specifically, it can be seen as a shift to greater competition and more efficient use of resource (Hood 1991, p. 5). The system of DRGs was developed as a means of determining the level of financial exchange for mental health care provision. The DRG-policy differs significantly from the former method in which each medical action resulted in a financial claim. This meant that the more sessions a professional caregiver (a psychologist, psychiatrist or psychotherapist) had with a patient, the more recompense could be claimed. This former system was considered inefficient by some (Kimberly et al. 2009). The DRG- policy changed the situation by stipulating a standard rate for each disorder. For Client meaningfulnessDiscretion Willingness to implement+ + + Figure 1: Proposed theoretical framework regarding two main effects of discretion Tummers & Bekkers: Policy implementation and discretion 533
  • 88. instance, for a mild depression, the mental health care professional gets a standard rate and can treat the patient (direct and indirect time) between 250 and 800 min. The DRG-policy these professionals have to implement is related more to service management than to service delivery. However, this policy does have effects on service delivery. Professionals have to work in a more ‘evidence-based’ way and are required to account for their cost declarations in terms of the mental health DSM (Diagnostic Statistical Manual) classification system. As a result, it becomes harder to use practices that are difficult to standardize and evaluate, such as psychodynamic treatments. Discretion regarding the length of treatment is arguably also increasingly limited. Whereas, in the former system, each medical action resulted in a payment (this was not the case under the DRG-policy). Under the DRG-policy, a standard rate is determined for each disorder, meaning it has become more difficult to adjust the treatment to the specific patient needs. Hence, the number of treatments for a patient is often limited due to the DRG-policy, thereby changing service delivery. It is interesting to study how much discretion street-level bureaucrats really experienced during implementing this policy, and what effects this has. We noted that we focus on experienced discretion. Even within the same policy, some street-level bureaucrats will perceive more discretion than
  • 89. others. Indeed, in the open answers of the survey we witnessed that some respondents felt that they had substantial discretion when implementing this policy, while others felt very limited. Illustrative quotes from different respondents are (all from open answers in the survey, which is reported next): The DRG-policy does not force me into a certain choices. I examine the funding scheme of the treatment only ‘in second instance’. I do my work first and foremost according to professional standards and hereafter just attach a DRG-label which I think fits but best. With the DRG-policy, I am being forced into a straitjacket. You are bound by the rules. So that’s a harness. Sampling and response Our sampling frame comprised of 5,199 professionals who were members of two nationwide mental health care associations (the Dutch Association of Psychologists (Nederlands Instituut van Psychologen (NIP)) and the Netherlands Association for Psychiatry (Nederlandse Vereniging voor Psychiatrie (NVvP)). They were all members of those associations which could, in principle, be working with the DRG-policy. Using an email and two reminders, we received 1,317 answers of our questionnaire, i.e. a 25 per cent response. Our sampling frame comprised of high-status professionals: psychiatrists, psycholo-
  • 90. gists, and psychotherapists. Most research analysing discretion focuses on traditional street-level bureaucrats, such as welfare workers and police officers (Maynard-Moody 534 Public Management Review and Portillo 2010). However, these mental health care professionals are a specific group of highly trained professionals who traditionally, due to their professional training, have substantial autonomy. Furthermore, they also have to implement governmental policies (in this case, DRGs). Hence, it seems worthwhile to analyse such professional groups using the theoretical lens of street-level bureaucracy (see also Hupe and Hill 2007). Of the valid respondents, 36 per cent were men and 64 per cent were women which is consistent with Dutch averages for mental health care professionals, where 69 per cent of the workforce are female (Palm et al. 2008). The respondents’ ages ranged from 23 to 91 years (M = 48), which is slightly older then the Dutch national average for mental health care professionals (M = 44). Hence, respondents’ mean age and gender distribution are quite similar to those of the overall mental health care sector. To rule out a possible non-response bias, we conducted non- response research where we contacted the non-responders for their reasons for non-
  • 91. participation. Common reasons for not participating were: lack of time, retirement, change of occupation, or not working with the DRG-policy. Some organizations, including some hospitals, were not yet working with this policy. The large number of respondents, their characteristics in terms of gender and age, and the results of the non-response research indicate that our respondents are quite a good representation of the population. Measures This section reports the measurement of the variables. Unless stated otherwise, the measures were formatted using five-point Likert scales, ranging from strongly agree to strongly disagree. For the items tapping discretion, client meaningfulness and will- ingness to implement, we used templates. Templates allow the researcher to specify an item by replacing general phrases with more specific ones that better fit the research context (DeVellis 2003). For example, instead of stating ‘the policy’ or ‘professionals’, the researcher can rephrase these items using the specific policy and group of profes- sionals being examined. Here, ‘the DRG-policy’ and ‘health care professionals’ replaced the template terms. Items are therefore easier for professionals to understand, since items are better tailored to their context and this, in turn, increases reliability and content validity (DeVellis 2003, p. 62). All items are shown in Appendix 1.
  • 92. Discretion Discretion concerns the perceived freedom of the implementer in terms of the type, quantity and quality of sanctions, and rewards delivered (Lipsky 1980). The scale is based on the validated measurement instrument of policy alienation, specifically the dimension ‘operational powerlessness’ (Tummers 2012). Three items were used based on confirmatory factor analysis (CFA; see section ‘Results’). Cronbach’s alpha = 0.78. Tummers & Bekkers: Policy implementation and discretion 535 Client meaningfulness Client meaningfulness (or meaninglessness) was also conceptualized as a dimension of policy alienation (Tummers 2012). It refers to the perception of professionals about the benefits of implementing the DRG-policy for their own clients. For instance, do they perceive that they are really helping their patients by implementing this policy? Three items were used based on CFA. Cronbach’s alpha = 0.77. Willingness to implement Willingness to implement was measured using Metselaar’s (1997) four-item scale. All items were used based on CFA. Cronbach’s alpha = 0.83. Control variables Commonly used individual characteristics were included: gender, age, and management
  • 93. position (yes/no). We also distinguish between psychiatrists and others, because the former belong to a medical profession. Psychologists and psychotherapists are non- medical professionals, which possibly influenced their perceptions. Statistical method We used CFA followed by structural equation modelling (SEM). The CFA and SEM techniques are often used in psychology research, but quite new to most public administration scholars (see for instance Wright et al. 2012). We therefore discuss a number of the analyses’ characteristics in detail. CFA is a technique used to test the factor structure of latent constructs based on theory and prior research experience. This is appropriate in our case given that prior analyses have already explored the variables discretion, client meaningfulness, and willingness to implement. It has several advantages over exploratory factor analysis, such as more stringent psychometric criteria for accepting models, thereby improving validity and reliability (Brown 2006). Using CFA, a measurement model is specified. The measurement model specifies the number of factors and shows how the indicators (items) relate to the various factors (Brown 2006, p. 51). Hence, it shows for instance how the items asked to measure discretion relate to the latent construct of discretion. This
  • 94. measurement model is a precursor for the SEM analysis. In the SEM analysis, a structural model is constructed showing how the various latent factors relate to each other. For instance, it shows how discretion is related to willingness to implement. In this analysis, a complete model can be tested where variables can be both dependent and independent. This is an advantage over regression analyses. Given that we hypothesize that client meaningfulness is both dependent (influenced by discretion) and independent (influencing willingness to 536 Public Management Review implement), this was appropriate for our model. For mediation models, as is our model, SEM is preferred over regression analysis (Zhao et al. 2010). The latent variable programme Mplus was used for the analyses (Muthén and Muthén, 1998–2010). Mplus (http://www.statmodel.com/) is suited for handling non-normally distributed data, which is often the case when employing surveys. As our data were (mildly) non-normally distributed, this was an advantage. Robust maximum likelihood was used, which works well in these circumstances (Brown 2006, p. 379). Measurement model
  • 95. Before analysing the structural model (see section ‘Results’), the measurement model is analysed. Based on the analyses for the measurement model, some modifications were made to improve the model. The only modifications were to delete a number of items for the latent factors: three for discretion, one for client meaningfulness, and one for willingness to implement. This was based on theoretical grounds, fit of item content with definition of concept/latent factor, and the minimization of the Akaike information criterion (AIC). This fit index can be used to compare competing models. As suggested we selected the model with the lowest AIC, thereby taking into account theoretical plausibility (Schreiber et al. 2006). More specifics about the measurement model are described in Appendix 2. RESULTS Descriptive statistics Table 1 shows the means and variances/covariances for all items used. A number of interesting results can be seen. First, many street-level bureaucrats are psychiatrists and these often occupy management positions. Next, the means for discretion are quite low, showing that the street-level bureaucrats do not feel that they have a lot of autonomy in this policy. We also found low scores for willingness to implement and even lower scores for client meaningfulness. Hence, in general,
  • 96. the street-level bureau- crats were quite negative about this policy. The covariances for the items linked via our hypotheses are in the anticipated direction. For example, items regarding willingness to implement are positively related to discretion. Structural model The structural equation model is shown in Figure 2. Table 2 shows the results, including control variables. First, an effect of discretion on client meaningfulness was Tummers & Bekkers: Policy implementation and discretion 537 Ta bl e 1: M ea n an d va ria nc e/ co va ria
  • 115. 538 Public Management Review found (standardized coefficient 0.33, p < 0.01). Hence, we do not reject Hypothesis 1. Second, the empirical tests show a cascading effect from discretion to willingness to implement through the mediating variable client meaningfulness. The effect (standar- dized coefficient) of discretion on client meaningfulness was 0.33 (p < 0.01), while the effect from client meaningfulness on willingness to implement was 0.49 (p < 0.01). The total indirect effect was therefore 0.16 (0.33*0.49, p < 0.01). Based on this, we do not reject Hypothesis 3. Furthermore, the direct effect was also significant (! = 0.27, p < 0.01), thus Hypothesis 2 is not rejected. The total effect of discretion on willingness to implement is the sum of its direct and indirect effects: Table 2: Results from structural equation modelling Model Meaningfulness for clients (standardized scores) Meaningfulness for clients (unstandardized
  • 116. scores) Willingness to implement (standardized scores) Willingness to implement (unstandardized scores) Control variables Gender NS NS NS NS Age !0.092 !0.006 NS NS Managing position NS NS 0.144 0.212 Psychiatrist NS NS NS NS Direct influences Discretion 0.330 0.334 0.278 0.302 Meaningfulness for clients – – 0.491 0.527 Indirect influence Discretion via meaningfulness for clients – – 0.162 0.176 R2 0.135 – 0.446 –
  • 117. Notes: NS = Not significant. All shown scores are significant at p < 0.01. Discretion 0.33 Client meaningfulness (R2 = 0.14) Willingness to implement (R2 = 0.45) 0.49 0.28 Figure 2: Structural equation model for relationships between discretion, client meaningfulness, and willingness to implement (control variables not shown) Tummers & Bekkers: Policy implementation and discretion 539 0.27 + 0.16 = 0.43. This means that – all other things being equal – when the perceived discretion of the street-level bureaucrat increases by 1, the willingness to implement increases by 0.43. As there is both a direct and an indirect significant effect, there is evidence of partial mediation which was also hypothesized. This (partially mediated) model proved to be a good fit of the data: root mean square
  • 118. error of approximation (RMSEA) = 0.04 (criterion ! 0.08), comparative fit index (CFI) = 0.97 (criterion " 0.90), Tucker–Lewis index (TLI) = 0.96 (criterion " 0.90). To shed more light on the mediating mechanisms, we conducted additional SEM analyses to test the validity of two alternative models: a model without mediation and a model with full mediation. The model without mediation did not fit as adequately as the partially mediated model, given that the AIC was higher compared to the partially mediated model, and the fit indexes showed a worse fit. The fully mediated model also had a higher AIC, and worse scores on RMSEA, CFI, and TLI than the partially mediated model, although differences were small. We used bootstrapping to test the indirect effect of discretion on willingness to implement via client meaningfulness. It is the preferred method for testing mediated effects (Preacher and Hayes 2004; Zhao et al. 2010). It presents estimates and confidence intervals so that we can test the significance of the mediation effect. The 99 per cent confidence interval for the standardized indirect effect (which was 0.16) is between 0.11 and 0.22, meaning the indirect effect is not equal to 0 (p < 0.01).1 Hence, a mediation effect is clearly present here. In the discussion and conclusion, we discuss the implications of these results for both theory and practice.
  • 119. CONCLUSION The central goal of this article is to understand the mechanisms at work between discretion, client meaningfulness, and willingness to implement. Based on a literature review, a theoretical model was constructed linking discretion, client meaningfulness and willingness to implement. This model was tested in a survey among 1,317 mental health care professionals implementing a new policy. The model worked adequately in that discretion, together with conventional control variables, indeed partly explained client meaningfulness (R2 = 14 per cent). Furthermore, willingness to implement was indeed explained by discretion, client meaningfulness, and the control variables (R2 = 45 per cent). Fit criteria were very good for the measurement model and the structural model, thereby strengthening the reliability and validity of the study. As such, we can conclude that the approach worked satisfactorily and adds to the literature on street- level bureaucracy. Having reached this conclusion, we can summarize the results, highlight limitations, and develop a future research agenda on discretion. We found that the discretion of street-level bureaucrats influences the willingness to implement in two ways. First, discretion influences client meaningfulness because street-level bureaucrats are more able to tailor their decisions and the procedures
  • 120. 540 Public Management Review they have to follow to the specific situations and needs of their clients. Hence, discretion gives street-level bureaucrats the possibility to apply their own judgements when dealing with the needs and wishes of citizens. Our results strengthen the claim made by several authors that discretion could indeed have positive effects for clients (Handler 1990; May and Winter 2009). At the same time, the positive effect that discretion has on the bureaucrat’s perception of client meaningfulness can be seen as a condition for the second effect: more willingness to implement the policy. When street-level bureaucrats perceive that their work is meaningful for their clients, this strongly influences their willingness to implement it. This is in line with the notion that street-level bureaucrats want to make a difference to their clients’ lives (Maynard-Moody and Musheno 2003). Furthermore, the results also point to another, more autonomous, effect that discretion directly influences willingness to implement; hence, discretion is inherently valued by bureaucrats. The results have interesting implications for the theory and practice of policy implementation. From a theoretical point of view, it contributes to the long-lasting
  • 121. discussion about the validity of a more top-down or bottom-up perspective on policy implementation. Discretion indeed seems to have a positive effect on the effectiveness of policy programmes, as it reduces resistance. At the same time it adds to the legitimacy of the policy implementation process, because it enables street-level bureau- crats to meet the needs and wishes of citizens (in the eyes of the street-level bureau- crats). These implications of the findings are strengthened by the large-scale quantitative analysis and sophisticated techniques. The arguments that are put forward in the bottom-up perspective on the positive role that discretion plays in the effective- ness and democratic legitimacy of public policy programmes are being confirmed. For practitioners, it is important to note that when drafting policy programme it can be beneficial to give the implementing street-level bureaucrats some (perceived) free- dom to adjust the policy programme in order to be effective and legitimate. This has also important consequences for the role of performance and risk management in the implementation of these programmes. The central role that detailed performance indicators and risk reduction rules play in the implementation process often leads to a broad variety of detailed norms and guidelines that the street- level bureaucrats involved must obey (Power 1997). Next to this, the results show that client meaningfulness, in itself, proved to be very
  • 122. important, something which is not often mentioned in the street- level bureaucracy literature or in more general management literature, which focuses often on influence, autonomy, and discretion (Green 2008; McGregor 1960; Sowa and Selden 2003; Spence Laschinger et al. 2001). For instance, Judson (1991) argues that providing employees with influence is the most powerful lever in gaining acceptance for a change. However, given the results of this study, we urge practitioners and scholars to also consider the perceived meaningfulness of the policy for clients, rather than to restrict their focus on discretion and influence aspects. Tummers & Bekkers: Policy implementation and discretion 541 This brings us to the limitations and future research suggestions. First, the results found could be dependent on this research context. This study addresses high status professionals: psychologists, psychiatrists, and psychotherapists. Furthermore, the spe- cific policy context (DRG-policy, focused on cost-cutting and transparency) could influence the results. It would be interesting to conduct studies using the same theoretical model which focus on other groups of street-level bureaucrats who have other types of professional training or who are a part of government service bureau- cracy. Related to this, an interesting venue for research would
  • 123. be to analyse cases which are more directly related to service delivery and less to service management. Here, stronger effects of discretion on client meaningfulness could be found. Furthermore, it would be worthwhile to analyse the developed model in a situation where there was in general high discretion, client meaninglessness and willingness to implement, contrary to the case analysed. Are the effects of discretion and client meaningfulness also important in such rather different policy contexts? Second, further research could use multiple sources to measure the indicators, and measure new effects of discretion. It would be worthwhile to measure client mean- ingfulness by asking the clients themselves. Furthermore, other indicators could be linked to discretion, such as objective indicators such as the percentage of people getting a job when implementing re-integration policies. Does granting street-level bureaucrats discretion in such a policy heighten the ‘success’ of such a policy? Linked to this, we should note that we have looked at only two possible positive effects of discretion. We have largely ignored its negative side, such as discrimination of clients or the ways discretion can break public trust (Sandfort 2000). Third, future research could investigate other factors influencing client meaningful- ness and willingness to implement, including other control variables. Scholars could, for instance, examine the influence of organizational factors
  • 124. such as the level of trust between professionals and management, incentive systems which promote or stymie implementing a policy or the way the policy has been implemented (top-down, bottom-up) within an organization. Next to this, personality characteristics could be taken into account, such as optimism, self-efficacy beliefs, and locus of control. To conclude, this study provides important insights that help to understand the effects of granting street-level bureaucrats discretion in their work. It underscores the importance of studying discretion. Embracing and further researching this should prove to be a timely and productive endeavour for both researchers and practitioners alike. ACKNOWLEDGEMENT The authors would like to thank the anonymous reviewers for their insightful com- ments on earlier versions of this article. 542 Public Management Review NOTE 1 Bootstrap 5,000 times, maximum likelihood estimation is used as robust maximum likelihood is not available for bootstrapping. REFERENCES
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  • 132. Wagner III, J. A. (1994) Participation’s Effects on Performance and Satisfaction: A Reconsideration of Research Evidence. Academy of Management Review, 19:2 pp312–30. Winter, S. C. (2007) ‘Implementation Perspectives, Status and Reconsideration’ in B. Guy Peters and J. Pierre (eds) The Handbook of Public Administration, Concise Paperback Edition, pp131–141. New York: Sage. Wright, B. E., Moynihan, D. P. and Pandey, S. K. (2012) Pulling the Levers: Transformational Leadership, Public Service Motivation, and Mission Valence. Public Administration Review, 72:2 pp206–15. Zhao, X., Lynch, J. G. and Chen, Q. (2010) Reconsidering Baron and Kenny: Myths and Truths About Mediation Analysis. Journal of Consumer Research, 37:2 pp197–206. APPENDIX 1 Items used for the scales As indicated in the main text, we used templates to specify the policy. Templates allow the researcher to specify an item by replacing general phrases with more specific ones that better fit the research context. Template words are underlined. The templates are in this case: Policy: DRG-policy Clients: Patients Professionals: Health care professionals Organization: Institution
  • 133. Tummers & Bekkers: Policy implementation and discretion 545 Note: Item 4–5 (client meaningfulness) and Item 1–3 (discretion) are not used in the final model as they negatively influenced fit indices in the CFA. Client meaningfulness 1 The policy is harmful for my clients’ privacy 2 With the policy I can better solve the problems of my clients 3 The policy is contributing to the welfare of my clients 4 Because of the policy, I can help clients more efficiently than before 5 I think that the policy is ultimately favourable for my clients Discretion 1 I have freedom to decide how to use the policy 2 While working with the policy, I can be in keeping with the client’s needs 3 Working with the policy feels like a harness in which I cannot easily move 4 When I work with the policy, I have to adhere to tight procedures 5 While working with the policy, I cannot sufficiently tailor it to the needs of my clients 6 While working with the policy, I can make my own judgements Willingness to implement 1 I intend to try to convince employees of the benefits the
  • 134. policy will bring 2 I intend to put effort into achieving the goals of the policy 3 I intend to reduce resistance among employees regarding the policy 4 I intend to make time to implement the policy APPENDIX 2 Measurement model This Appendix describes some additional reliability and validity checks on the measure- ment model. Several authors suggest reporting RMSEA, TLI and CFI statistics when describing model fit (Schreiber et al. 2006; Van de Schoot et al. 2012). The RMSEA – a widely recommended fit index which tests the absolute fit of the model – was 0.048. This indicates good fit as Hu and Bentler (1999) suggest that values !0.06 indicate good fit (!0.08 average fit). The Tucker–Lewis index (TLI) is a comparative fit index that compares the fit of the model with the baseline model. The TLI here was 0.98, which is considered excellent ("0.90, better "0.95). The comparative fit index was 0.98 in our 546 Public Management Review final model showing good fit ("0.90, better "0.95). Note that – based on the recommendations of Hooper et al. (2008) – we have not used correlated error terms. In the final model, each item loaded significantly onto its appropriate latent variable.
  • 135. For instance, an item tapping discretion loaded onto the variable discretion. The values of the standardized factor loadings were all relatively high (minimum 0.51, maximum 0.91, average 0.75). This shows evidence of convergent validity: items that tap the same latent construct are related to each other (Kline 2010). We should also discuss the possibility of common method variance. Self-reported data based on a single application of a questionnaire can result in inflated relationships between variables due to common method variance, i.e. variance that is due to the measurement method rather than the constructs themselves (Podsakoff and Organ 1986). Although a recent study showed that ‘in contrast to conventional wisdom, common method effects do not appear to be so large as to pose a serious threat to organizational research’ (Lance et al. 2010, p. 450), we conducted a test to analyse whether common method bias was a major concern. We compared the three-factor structure (discretion, client meaningfulness, and willingness to implement) with a one- factor model. The fit indices show that the one-factor model had a much poorer fit than the three-factor model. The AIC was higher, and the RMSEA (0.16), CFI (0.58) and TLI (0.54) indicated much poorer fit. Hence, common method variance does not seem to be a major problem in this study. Tummers & Bekkers: Policy implementation and discretion 547
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  • 141. current APA manual writing rules and style. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. Main Post: Timeliness
  • 142. 10 (10%) - 10 (10%) Posts main post by day 3. 0 (0%) - 0 (0%) 0 (0%) - 0 (0%) 0 (0%) - 0 (0%) Does not post by day 3. First Response 17 (17%) - 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed.
  • 143. Provides clear, concise opinions and ideas that are supported by at 15 (15%) - 16 (16%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more 13 (13%) - 14 (14%)
  • 144. Response is on topic and may have some depth. Responses posted in the discussion may lack e#ective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few 0 (0%) - 12 (12%) Response may not be on topic and lacks depth. Responses posted in the discussion lack
  • 145. e#ective professional communication. Responses to faculty questions are missing. No credible sources are cited. 10/2/22, 4:35 PMRubric Detail – Blackboard Learn Page 3 of 4https://class.waldenu.edu/webapps/bbgs-deep-links- BBLEARN/app/course/rubric?course_id=_16998532_1&rubric_i d=_3280044_1 least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Response is e#ectively written in standard, edited English.
  • 146. credible sources. Response is e#ectively written in standard, edited English. or no credible sources are cited. Second Response 16 (16%) - 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are
  • 147. fully answered, if posed. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates 14 (14%) - 15 (15%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear,
  • 148. concise opinions and ideas that are supported by two or more credible sources. Response is e#ectively 12 (12%) - 13 (13%) Response is on topic and may have some depth. Responses posted in the discussion may lack e#ective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise
  • 149. opinions and ideas, and a few or no credible sources are cited. 0 (0%) - 11 (11%) Response may not be on topic and lacks depth. Responses posted in the discussion lack e#ective professional communication. Responses to faculty questions are missing. No credible sources are cited. 10/2/22, 4:35 PMRubric Detail – Blackboard Learn Page 4 of 4https://class.waldenu.edu/webapps/bbgs-deep-links- BBLEARN/app/course/rubric?course_id=_16998532_1&rubric_i d=_3280044_1
  • 150. synthesis and understanding of learning objectives. Response is e#ectively written in standard, edited English. written in standard, edited English. Participation 5 (5%) - 5 (5%) Meets requirements for participation by posting on three di#erent days. 0 (0%) - 0 (0%) 0 (0%) - 0 (0%) 0 (0%) - 0 (0%) Does not meet requirements for participation by posting on 3 di#erent days. Total Points: 100
  • 151. Name: NURS_6050_Module04_Week08_Discussion_Rubric EXIT Discussion 2 WK 8: The Role of the RN/APRN in Policy- Making Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role. What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy- maker to your list? Do you think it would be a very prominent component of the word cloud? Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation. To Prepare: · Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making. · Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process. By Day 3 of Week 8 Post an explanation of at least two opportunities that exist for
  • 152. RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples. https://www.nursingworld.org/practice-policy/advocacy/ https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf https://www.congress.gov https://eds.s.ebscohost.com/eds/detail/detail?vid=0&sid=b574b6 f6-8433-4258-ac0e- e6e9ddd29687%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0 ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=9704071863&db=bth https://eds.s.ebscohost.com/eds/detail/detail?vid=0&sid=048431 f3-de42-469e-bcfe- 95ab412b8a8c%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0 ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=edsovi.10.1111.jep.1 2350&db=edsovi https://eds.s.ebscohost.com/eds/detail/detail?vid=0&sid=66312e f3-5943-41f0-84dd- 64d395986d10%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0 ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=95431226&db=bth