Länsisalmi Hannakaisa, Kivimäki Mika, Aalto Pirjo, Ruoranen Raija
Finnish Institute of Occupational Health, Helsinki, Finland.
Nurs Sci Q. 2006 Jan;19(1):66-72; discussion 65. doi: 10.1177/0894318405284129.
Research on innovations in healthcare organizations published between 1994 and 2004 are here reviewed and summarized. The majority of the 31 identified studies dealt with the adoption of innovations and new practices and were cross-sectional designs applying quantitative methods, or multiple case studies applying qualitative methods. Five pathways for future research are recommended: (a) Multilevel approaches studying innovation simultaneously on individual, group, and organizational levels; (b) a combination of quantitative and qualitative data; (c) use of longitudinal designs (innovation both as the dependent and independent variable); (d) application of experimental designs in interventions; and (e) exploration of innovation generation and structural innovations.
本文回顾并总结了1994年至2004年间发表的关于医疗保健组织创新的研究。在31项已确定的研究中,大多数研究涉及创新和新实践的采用,采用的是应用定量方法的横断面设计,或应用定性方法的多案例研究。建议未来研究的五条途径:(a) 在个体、群体和组织层面同时研究创新的多层次方法;(b) 定量和定性数据的结合;(c) 使用纵向设计(将创新作为因变量和自变量);(d) 在干预措施中应用实验设计;(e) 探索创新产生和结构性创新。