Stilgenbauer Deborah J, Fitzpatrick Joyce J
Author Affiliations: Corporate Director of Finance (Dr Stilgenbauer), Nursing, Department of Finance, New York-Presbyterian Hospital, New York; Elizabeth Brooks Ford Professor of Nursing (Dr Fitzpatrick), Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
J Nurs Adm. 2019 Mar;49(3):150-155. doi: 10.1097/NNA.0000000000000729.
The purposes of the study were to describe levels of innovativeness in nurse executives, clinical directors, and nurse managers in acute care settings in the United States and to compare innovativeness between the groups.
Nurse leaders must navigate the complex ever-changing landscape of healthcare. New strategies are necessary for managing resources and improving patient outcomes.
A survey was posted in the American Organization of Nurse Executives newsletter using the Scales for Measurement of Innovativeness to measure innovativeness. The sample included 137 nurse leaders in executive and management positions in acute care settings.
The largest percentage of nurse leaders across all leadership roles fell into the innovativeness category of early majority. Of the total sample, only 2 individuals were categorized as innovators, and only 15 as early adopters. Fifty-one individuals were early majority; 49 were in the late majority; and 20 individuals were at the lowest category of innovativeness, that of laggards. Both nurse executives and clinical directors had significantly higher levels of innovativeness compared with nurse managers. Graduate-level education and certification were not associated with higher levels of innovativeness.
Understanding the levels and components of innovativeness may assist nurse leaders to affect change in themselves and their organizations.
本研究的目的是描述美国急症护理机构中护士高管、临床主任和护士长的创新水平，并比较各组之间的创新情况。
护士领导者必须应对医疗保健领域复杂多变的局面。管理资源和改善患者预后需要新的策略。
通过在美国护士高管组织的时事通讯中发布一项使用创新测量量表的调查来测量创新情况。样本包括137名急症护理机构中担任行政和管理职位的护士领导者。
在所有领导角色中，最大比例的护士领导者属于早期多数创新类别。在总样本中，只有2人被归类为创新者，只有15人是早期采用者。51人是早期多数；49人是晚期多数；20人处于创新的最低类别，即落后者。与护士长相比，护士高管和临床主任的创新水平显著更高。研究生教育水平和认证与更高的创新水平无关。
了解创新的水平和组成部分可能有助于护士领导者影响自身及所在组织的变革。
