%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Durand, F.
%A Ridde, Valéry
%A Toure, L.
%A Coulibaly, A.
%T The moderating role of support for innovation in sub-Saharan African healthcare teams : a multilevel perspective
%D 2024
%L fdi:010087427
%G ENG
%J Current Psychology
%@ 1046-1310
%K Participative safety ; Trust ; Innovation ; Adaptivity
%K MALI ; AFRIQUE SUBSAHARIENNE
%M ISI:000935293500001
%N 2
%P 1446-1456
%R 10.1007/s12144-023-04341-6
%U https://www.documentation.ird.fr/hor/fdi:010087427
%> https://www.documentation.ird.fr/intranet/publi/2023-04/010087427.pdf
%V 43
%W Horizon (IRD)
%X In Mali, where the healthcare system is severely underfunded, service delivery is often in such a state of crisis that adaptivity is essential for the continued performance and resilience of staff. The aim of this study is to enhance understanding of the correlates of team-level support for innovation. Specifically, this study investigates the central role played by team-level support for innovation in the relationship between individual-level trust and adaptivity. It also investigates whether innovation support affects the relationship linking team-level participative safety and team-level adaptivity. A single-source, mono-method, multilevel, and cross-sectional study was undertaken in Mali using validated questionnaires with healthcare providers in community healthcare centers. As expected, results indicate that team-level support for innovation positively moderates the relationship between individual-level trust and adaptivity. However, contrary to expectations, results also show that team-level support for innovation negatively moderates the positive relationship between participative safety and team-level adaptivity. This study contributes to extant literature by showing that team-level support for innovation affects adaptivity differently depending on whether it is at the individual- or team-level. While strong team-level support for innovation fosters a positive relationship between trust and individual-level adaptivity, efforts directed at supporting innovation at the team level may have a less positive impact on team adaptivity in a resource-scarce environment. Our results also suggest that managers and leaders in Malian community health centers should instill a climate of participative safety in their teams as well as foster trust behaviors in individuals if individual-level adaptivity is to be encouraged.
%$ 056