Page 216 -
P. 216

MANAGING KNOWLEDGE FOR INNOVATION   205

                            •  process power – the power derived from organizational decision-making pro-
                              cesses, procedures and political routines that enable or prevent certain groups
                              from participating in decision-making.
                            •  meaning power – the power that operates through the semantic and symbolic
                              aspects of organizational life (such as cultural norms and expectations) and
                              that legitimizes (or de-legitimizes) particular activities.

                            Linking these wider sources of power to the dynamics of networked innovation
                            has important implications. It tells us that building social networks can shape the
                            distribution of not just resources, but also of process power and meaning power
                            by creating new patterns of interdependencies between groups (Hardy et al.,
                            2003). Process power, then, results in part from an actor’s particular position in
                            the network and their ability to act as ‘obligatory passage points’ in the decision
                            process (Callon, 1980). For example, while the Medico team could not have
                            directly controlled decisions amongst medical staff over treatment standards,
                            they did acquire process power by abstracting and editing critical scientific and
                            educational materials (including the public website) and by moulding the infor-
                            mal channels through which different groups had access to information. The
                            careful selection of Medico Team members and opinion leaders (i.e. people who
                            could link the Medico project to the interests of different stakeholders) further
                            enhanced their process power.
                              However, the major strategy of Medico managers was to use meaning power
                            to legitimate new forms of collaboration and knowledge integration. The
                            innovation was framed, then, not in terms of Healthco’s own product, but in
                            terms of the importance of curing the prostate cancer disease by developing
                            brachytherapy as a treatment. The discourses of ‘community of care’ and ‘Cen-
                            tres of Excellence’ appealed to multiple professional interests and were crucial
                            in reframing, what were at one level blatant commercial goals, as medical goals.
                            This both lowered potential resistance and encouraged new networks to form
                            across groups, so further encouraging knowledge integration through the for-
                            mation of a new ‘community of practice’ around this particular form of cancer
                            treatment.
                              Paying attention to the different kinds of power, then, suggests that the abil-
                            ity to mobilize networked innovation depends on managing – in a ‘middle-
                            out’, rather than ‘top down’, sense – the generative relationship between power,
                            network formation and knowledge integration. This relationship, as played out
                            in the Medico case, is outlined in Figure 9.4. Hence we can see how Medico’s
                            cultivation of networks and the exercise of alternative sources of power (pro-
                            cess and meaning power) facilitated both knowledge integration and the further
                            generation of new networks, and contributed to successful innovation outcomes.
                            As Dougherty and Hardy (1996) put it, for organizations to become innova-
                            tive they must ‘reconfigure the power embedded in the organizational system –
                            in its resources, processes and meanings’. Of course, this relationship between
                            network building, power and knowledge integration is by no means smooth or










                                                                                             6/5/09   7:20:36 AM
                  9780230_522015_10_cha09.indd   205                                         6/5/09   7:20:36 AM
                  9780230_522015_10_cha09.indd   205
   211   212   213   214   215   216   217   218   219   220   221