Using the theory of institutional isomorphism to create a conceptual framework of the governance of clinical research in relation to National Mutual Acceptance

The objective of this paper is to develop a conceptual framework, based on the corporate governance theory of institutional isomorphism, to explain key drivers of the varied research governance practices in Victorian hospitals in relation to the newly introduced National Mutual Acceptance (NMA). The paper commences with a brief discussion of the clinical and economic importance of clinical research. This is followed by a conceptualisation of four pillars in research governance. The following step overlays the constructs of institutional isomorphic theory: organisational legitimacy, organisational fields and the mechanisms of coercive, mimetic and normative isomorphism, on the governance pillars. This conceptual crossover identifies potential areas that, in addition to regulatory obligations, may influence the level of organisational engagement with NMA objectives. In so doing the model provides meaning and significance to different corporate approaches to the governance of clinical research in organisational address of the implications of the National Mutual Acceptance