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This research paper aims to explore how social intrapreneurs use serious games to generate social innovation. In particular, the study depicts the coproduction process between caregivers acting as intrapreneurs, patients and other stakeholders, and unveils the contributions of serious games and their key features in producing social innovation within healthcare facilities.

Through an original case study, the article analyzes a social innovation initiated by caregivers in the French care eco-system. Primary and secondary data were used to observe and examine the successful implementation of a serious game. Specifically, caregivers in hospital designed a game that helps children overcome the stress and anxiety inherent to their hospital journey.

Results unveil the role of social innovations as catalyst of social intrapreneurship and the coproduction of services. In the healthcare setting, serious games both participate in improving the stay of child in hospitals, and in facilitating the working conditions of caregivers.

This article brings together the theoretical background of social intrapreneurship, social innovation and serious games. The successful implementation of social innovation depends on the intrinsic features of social intrapreneurs, coupled with those pertaining to serious games. The positive outcome of social innovation benefits both internal and external stakeholders. Such innovation improves the end users' experience, as the latter participate in the coproduction of their own care.

The ability to create and sustain competitive advantages depends on cultivating employee’s capabilities. Entrepreneurial orientation (EO) can foster an organisation-wide culture of exploring new opportunities and creating new learnings. Sustainable competitive advantages should be based on long-term behavioural changes rather than ad hoc adjustments made for short-term gains, enabling employees to become a source of unique and inimitable advantages. This study aims to explore how each external environment impacts the dimensions of EO. The study also introduces environmental jolts as a dimension of the external environment.

The authors considered a sample of 39 organisations in IT companies from India to study the external environment’s effect on their EO. Using covariance-based structural equation modelling, the authors measured the impact of external environment variables on EO. A total of 250 responses were found suitable for analysis.

Certain crucial factors were identified through an extensive analysis of the relationships between individual factors of the external environment and EO. Technological opportunities showed a strong positive association with all factors of EO, whereas dynamism of the environment had a positive relationship with innovativeness and proactiveness. Environmental jolts showed a negative impact on innovativeness and risk-taking propensity.

EO has been developed and researched extensively in the Western context as a unidimensional construct. In the present study, the relationship between the external environment factors and each dimension of EO has been analysed individually, thus following a multidimensional approach. Moreover, environment jolts as a factor of the external environment have been introduced, and their effect on the dimension of EO has been studied. Finally, the implications of encouraging entrepreneurial behaviours to develop sustainable competitive advantages have been discussed.

The research explores the multidimensionality of the EO construct and also introduces environmental jolts as a dimension of the external environment.