Team learning and innovation in nursing teams: Results of a comprehensive research project
ABSTRACT Background/Objective: Noncompliance to implementation of innovations is a problem in nursing teams. In literature, team learning is proposed as a facilitator for change. Still, studies reporting the effects of team learning activities on the implementation of innovations in nursing teams are scarce. To address this gap in literature, this study explored the influence of team learning on the implementation of two innovations. Methods: A literature and three empirical studies were performed to address the research questions of this project. Cross-sectional surveys were conducted between 2008-2011 with a sample of 1111 nurses, representing 79 nursing teams from The Netherlands and Belgium.
Article: Unlocking the Power of Innovation[Show abstract] [Hide abstract]
ABSTRACT: The goal of this article is to provide a practical guide to unlocking the power of innovation within the nursing community. First the three intersecting components of the innovation process (the innovation itself, creativity, and the environment) are explored. Next conceptual perspectives, drawn from the work of both von Hippel and Christensen, are reviewed. This is followed by a description of innovation methods with particular emphasis on IDEO’s innovative processes and the Transforming Care at the Bedside initiative. Finally, specific examples of organizational structures to support innovation within healthcare institutions and across healthcare communities are highlighted. Throughout the article examples of healthcare innovation will be highlighted to illustrate the principles described in the article.
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ABSTRACT: Implementation of innovations is a complex and intensive procedure in which different strategies can be successful. In nursing, strategies often focus on intrinsic motivation, competencies and attitudes of individual nurses while ignoring the social context. Since nurses often work in teams, identifying relevant team characteristics and successful team directed strategies may contribute to the implementation of innovations. The literature was searched for evidence. A literature review was performed including key words related to nursing teams, innovations, team characteristics and team-directed strategies. On-line databases were searched (MEDLINE, CINAHL, PsycINFO, ERIC database and Cochrane reviews CENTRAL). The journal Quality and Safety in Healthcare (QSHC) was hand searched. Methodological quality was assessed. Initially, 323 titles were found. Screening of titles and abstracts and full texts resulted in nine articles meeting the inclusion criteria. The methodological quality of the studies was generally low. The innovations included different types of practices. Fifteen different team characteristics were labeled according to six features of successful teams. Twenty-one different team-directed strategies were identified and inductively categorized. Few studies and little evidence were found for the relevance of team characteristics and team directed strategies in the implementation of nursing innovations. Feedback was most frequently used as a strategy. Leadership could be labeled as a team characteristic as well as a team directed strategy. Further research should be of good methodological quality and focusing on patient outcomes and time and costs invested in strategy delivery. This increases scientific knowledge on nursing implementation strategies focusing on leadership.International journal of nursing studies 05/2009; 46(9):1256-64. DOI:10.1016/j.ijnurstu.2009.01.005 · 2.25 Impact Factor
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ABSTRACT: Evidence is not always used in practice, and many examples of problematic implementation of research into practice exist. The aim of this paper is to provide an introduction and overview of current developments in implementation science and to apply these to nursing. We discuss a framework for implementation, describe common implementation determinants, and provide a rationale for choosing implementation strategies using the available evidence from nursing research and general health services research. Common determinants for implementation relate to knowledge, cognitions, attitudes, routines, social influence, organization, and resources. Determinants are often specific for innovation, context, and target groups. Strategies focused on individual professionals and voluntary approaches currently dominate implementation research. Strategies such as reminders, decision support, use of information and communication technology (ICT), rewards, and combined strategies are often effective in encouraging implementation of evidence and innovations. Linking determinants to theory-based strategies, however, can facilitate optimal implementation plans. An analytical, deliberate process of clarifying implementation determinants and choosing strategies is needed to improve situations where suboptimal care exists. Use of theory and evidence from implementation science can facilitate evidence-based implementation. More research, especially in the area of nursing, is needed. This research should be focused on the effectiveness of innovative strategies directed to patients, individual professionals, teams, healthcare organizations, and finances. Implementation of evidence-based interventions is crucial to professional nursing and the quality and safety of patient care.Journal of Nursing Scholarship 02/2008; 40(4):302-10. DOI:10.1111/j.1547-5069.2008.00243.x · 1.77 Impact Factor