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Innovation is usually understood as a conscious development and implementation of new products or services. This article takes its starting point in a case study that shows how 'innovation' in reality happens as small step 'bricolage' -as a 'do-it-yourself' problemsolving activity taking place in daily work situations. Consequently, an experiment was carried out with the purpose of testing if, how and with what results the 'bricolage' can be better integrated with the organisation's more formal innovation procedures.

Institutional-based approaches to trust can explain how trust logics can exist in a societal context as compared to logics of distrust. Strong institutions in the form of regulative, normative and cognitive structures can enable and inspire trust-relations among people at the interpersonal and inter-organizational level. We suggest, however, that the actor-dimension of institutional-based trust is an underexplored issue in the literature. Quoting Fligstein, institutional theory needs to explain how ‘some social actors are better at producing desired social outcomes than are others’ (Fligstein, 1997: 398). While Fligstein refers to actors who engage in ‘robust or local action’ we argue that actors who engage in (robust, local) sensemaking activities are better at (re)producing institutional-based trust. Particularly in situations when institutions are relatively unstable, unfamiliar to the actors and ambiguous, sensemaking strategies directed towards exploring the institutional foundations of trust at a local level can be an important basis of interpersonal trust-relations. First, based on a summary of studies of institutional-based trust we argue that an unresolved issue is how institutions more precisely form the basis for trust-relations. Second, we explore how sensemaking may serve as a bridge between institutional contexts and interpersonal trust processes. Based on Weber and Glynn’s (2006) model of relations between institutions and sensemaking, we argue that institutions are ‘emerging’ rather than ‘impacting’. The relevance of this view of sensemaking for bridging institutional-based and interpersonal trust processes is illustrated by reviewing a case study on how trust is created in a politically turbulent and foreign environment.

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Purpose Although the digital era has given rise to major transformations in many industries, health care has been remarkably resistant to radical innovations coming outside the field. The purpose of this paper is to explore and explain how new ventures aim to break institutional arrangements (i.e. regulations, normative rules, and cultural-cognitive beliefs) protecting the field by introducing digitally enabled service innovations into health care markets. Design/methodology/approach The study is qualitative and interpretative in nature and utilizes case study as a research strategy. The paper is based on data that were collected through narrative interviews and document analysis from seven new ventures participating in a start-up accelerator program. Findings Results indicate that service innovations that require a change in the institutional structures of the health care system are enacted through three highly iterative key processes: institutional sensemaking that creates an understanding of prevailing institutional arrangements and that constructs meaning for institutional change efforts, theorization of change through linguistic device, and modifications of institutions by building legitimacy and mobilizing external constituencies. Practical implications The findings provide practical insights into how new ventures struggle, navigate, and negotiate on specific alternatives related to institutional change while pursuing the introduction of innovations to market. Originality/value This research extends the institutional perspective on service innovation by zooming into micro-level processes of institutional change driven by new ventures. The study develops the theory of institutional entrepreneurship by highlighting cognitive processes of change, and suggests incorporating “institutional thinking” more tightly into the study and management of service innovation.

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