Lombardi Marilyn M, Spratling Regena G, Pan Wei, Shapiro Susan E
Duke University School of Nursing, Durham, North Carolina (Dr Lombardi); Georgia State University School of Nursing and Health Professions, Atlanta (Dr Spratling); Duke University School of Nursing, Durham, North Carolina (Dr Pan); and Clinical Professor (retired), Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Shapiro).
Qual Manag Health Care. 2018 Jan/Mar;27(1):1-7. doi: 10.1097/QMH.0000000000000157.
In an era of rising clinical costs and shrinking federal research dollars, the survival of the academic health center may depend on its capacity to cultivate high-impact innovations in care delivery on an accelerated basis. Yet, the health sciences literature offers little guidance regarding the key organizational determinants most likely to facilitate such innovation. We report on the conceptualization, development, and preliminary testing of a new 21-item Accelerated Healthcare Innovation Capacity scale for addressing that knowledge gap. Instrument development followed a standardized process, including expert panel testing of the new scale's content relevance validity. A sample (N = 53) of academic health center administrators, clinicians, and faculty affiliated with a single organization volunteered to complete the Accelerated Healthcare Innovation Capacity scale in survey form. Data were analyzed to evaluate scale reliability, internal consistency, and construct validity. High-expert agreement (overall S-CVI of 0.91) was obtained on content relevance validity. Cronbach α for the scale was 0.941. Exploratory factor analysis confirmed the theoretical soundness of the scale's conceptual framework, which showed high-impact health care innovation support to be a complex, multidimensional concept involving key facilitating factors across 3 major constructs-that is, Culture, Structure, and Policy-with implications for future research and managerial practice, particularly for staff development educators engaged in evaluating quality management and organizational change strategies.
在临床成本不断上升、联邦研究资金不断缩减的时代，学术健康中心的存续可能取决于其能否加速培育具有高影响力的医疗服务创新。然而，健康科学文献几乎没有就最有可能促进此类创新的关键组织决定因素提供指导。我们报告了一个新的包含21个条目的加速医疗创新能力量表的概念化、开发和初步测试情况，以填补这一知识空白。量表开发遵循标准化流程，包括对新量表内容相关性效度进行专家小组测试。一个由隶属于单一组织的学术健康中心管理人员、临床医生和教职员工组成的样本（N = 53）自愿以调查形式完成加速医疗创新能力量表。对数据进行分析以评估量表的信度、内部一致性和结构效度。在内容相关性效度方面获得了较高的专家共识（总体S-CVI为0.91）。该量表的Cronbach α系数为0.941。探索性因素分析证实了量表概念框架的理论合理性，该框架表明高影响力的医疗保健创新支持是一个复杂的多维概念，涉及3个主要结构中的关键促进因素，即文化、结构和政策，这对未来研究和管理实践具有启示意义，特别是对于从事评估质量管理和组织变革策略的员工发展教育工作者而言。
