Pearson Marjorie L, Upenieks Valda V, Yee Tracy, Needleman Jack
The RAND Corporation, Santa Monica, California 90401, USA.
J Nurs Adm. 2008 Mar;38(3):146-52. doi: 10.1097/01.NNA.0000310726.66160.d0.
Healthcare administrators increasingly face the challenge of how to spread innovation throughout their organizations. The authors present the results of an evaluation of the efforts of 3 major hospital systems to internally disseminate nursing unit change among medical-surgical units. The findings show that all 3 organizations carefully planned, coordinated, and implemented a spread process; none left dissemination to chance. Although clear differences were evident in the way they engineered their spread, many similarities also were found.
医疗保健管理人员越来越面临如何在其组织中推广创新的挑战。作者介绍了对3个主要医院系统在医疗外科病房内部传播护理单元变革的努力进行评估的结果。研究结果表明，所有3个组织都精心规划、协调并实施了传播过程；没有一个组织让传播听天由命。尽管它们在设计传播方式上存在明显差异，但也发现了许多相似之处。
