Fleiszer Andrea R, Semenic Sonia E, Ritchie Judith A, Richer Marie-Claire, Denis Jean-Louis
Ingram School of Nursing, McGill University, Montreal, Quebec, Canada.
Women's Health Mission, McGill University Health Centre (MUHC), Montreal, Quebec, Canada.
J Adv Nurs. 2015 Jul;71(7):1484-98. doi: 10.1111/jan.12633. Epub 2015 Feb 24.
To report on an analysis of the concept of the sustainability of healthcare innovations.
While there have been significant empirical, theoretical and practical contributions made towards the development and implementation of healthcare innovations, there has been less attention paid to their sustainability. Yet many desired healthcare innovations are not sustained over the long term. There is a need to increase clarity around the concept of innovation sustainability to guide the advancement of knowledge on this topic.
Concept analysis.
We included literature reviews, theoretical and empirical articles, books and grey literature obtained through database searching (ABI/INFORM, Academic Search Complete, Business Source Complete, CINAHL, Embase, MEDLINE and Web of Science) from 1996-May 2014, reference harvesting and citation searching.
We examined sources according to terms and definitions, characteristics, preconditions, outcomes and boundaries to evaluate the maturity of the concept.
This concept is partially mature. Healthcare innovation sustainability remains a multi-dimensional, multi-factorial notion that is used inconsistently or ambiguously and takes on different meanings at different times in different contexts. We propose a broad conceptualization that consists of three characteristics: benefits, routinization or institutionalization, and development. We also suggest that sustained innovations are influenced by a variety of preconditions or factors, which are innovation-, context-, leadership- and process-related.
Further conceptual development is essential to continue advancing our understanding of the sustainability of healthcare innovations, especially in nursing where this topic remains largely unexplored.
报告对医疗保健创新可持续性概念的分析。
虽然在医疗保健创新的开发和实施方面已经取得了重大的实证、理论和实践贡献，但对其可持续性的关注较少。然而，许多理想的医疗保健创新并不能长期持续。有必要提高创新可持续性概念的清晰度，以指导该主题知识的进步。
概念分析。
我们纳入了通过数据库搜索（ABI/INFORM、学术搜索完整版、商业资源完整版、护理学与健康领域数据库、Embase、医学期刊数据库和科学引文索引）从1996年至2014年5月获得的文献综述、理论和实证文章、书籍及灰色文献，参考文献收集和引文检索。
我们根据术语和定义、特征、前提条件、结果和边界来审查资料来源，以评估该概念的成熟度。
这个概念部分成熟。医疗保健创新的可持续性仍然是一个多维度、多因素的概念，使用不一致或模糊，并且在不同时间、不同背景下有不同含义。我们提出了一个广泛的概念化，包括三个特征：益处、常规化或制度化以及发展。我们还表明，持续的创新受到各种前提条件或因素的影响，这些因素与创新、背景、领导力和过程相关。
进一步的概念发展对于继续推进我们对医疗保健创新可持续性的理解至关重要，特别是在护理领域，这个主题在很大程度上仍未得到探索。
