■护士经常创新以应对运营故障,法规,程序,和/或其他阻止他们提供高质量患者护理的工作流程障碍。不幸的是,大多数护士创新不会传播到更广泛的受众,剥夺其他护士利用已经在其他地方开发的解决方案。从社会和福利的角度来看,这种扩散不足是有问题的。本文的目的是了解如何减少护士创新的扩散不足。
■我们对荷兰最大的学术医院的医疗创客空间进行了定性案例研究。该医疗创客空间报告了异常高的护士创新扩散率。我们的数据收集包括现场观察,档案数据,辅助数据,对主要线人进行了15次深入采访。定性编码程序以及演绎推理和归纳推理的组合用于分析数据。
■我们的数据显示,组织,监管,和市场壁垒阻止护士以预期的方式进一步发展和传播他们的创新。也就是说,因为护士期望将最初的解决方案转变为可以与他人共享的创新将太耗时和困难,他们不会继续进一步发展。我们研究的医疗创客空间通过开发一个主要接管创新和扩散过程的创新生态系统来充分解决这个问题。
■我们提供了一个医疗创客空间,和更广泛意义上的创新支持系统,可以设计为更充分地解决护士创新-扩散差距。我们确定的实际解决方案的两个主要要素是:(1)支持系统应促进其他人可以领导创新的发展和传播;(2)支持系统应促进参与者将其功能专长整合到创新生态系统中。我们有两个理论贡献。首先,我们有助于从心理学角度理解护士创新-扩散过程中的障碍.第二,我们发现,生态系统的观点有利于发展扩散更频繁发生的创新支持系统。
Nurses frequently innovate in response to operational failures, regulations, procedures, and/or other workflow barriers that prevent them from delivering high-quality patient care. Unfortunately, most nurse innovations do not diffuse to a broader audience, depriving other nurses from taking advantage of solutions that have already been developed elsewhere. This under-diffusion is problematic from a societal and welfare point of view. The goal of this paper is to understand how diffusion shortage of nurse innovations can be reduced.
We develop a qualitative case study of a medical makerspace at the largest academic hospital in the Netherlands. This medical makerspace reported unusually high rates of nurse innovation diffusion. Our data collection includes on-site observations, archival data, secondary data, and fifteen in-depth interviews with key informants. Qualitative coding procedures and a combination of deductive and inductive reasoning are used to analyze the data.
Our data show that personal, organizational, regulatory, and market barriers prevent nurses from further developing and diffusion their innovations in an anticipatory manner. That is, because nurses expect that transforming an initial solution into an innovation that can be shared with others will be too time consuming and difficult they do not proceed with the further development. The medical makerspace that we investigated adequately addresses this problem by developing an innovation ecosystem that largely takes over the innovation and diffusion process.
We provide a concrete example of how a medical makerspace, and innovation support systems in a broader sense, can be designed to more adequately address the nurse innovation-diffusion gap. The two main elements of the practical solution that we identified are: (1) Support systems should facilitate that others may lead the development and diffusion of innovations and (2) The support system should promote that actors integrate their functional specializations within an innovation ecosystem. We make two theoretical contributions. First, we contribute to understanding barriers in the nurse innovation-diffusion process from a psychological point. Second, we identified that an ecosystem perspective is beneficial to develop innovation support systems in which diffusion occurs more often.