Department of Nursing, the University of Haifa, Haifa, Israel.
Department of Nursing, the University of Haifa, Haifa, Israel.
Nurs Outlook. 2019 Jul-Aug;67(4):404-418. doi: 10.1016/j.outlook.2019.02.001. Epub 2019 Feb 8.
Frontline nurse champions are key innovation-implementation agents. Despite the growing interest in nurse champions' innovation, whether project novelty is a product of championship behavior (e.g., expressing confidence in the innovation's success and network building), the project's contextual characteristics (project type and initiation level), or their joint effects, remains unsolved.
To develop and test an interactionist model of project novelty in nursing.
A cross-sectional design with a multisource approach to data collection.
Results demonstrated a direct effect of project type, a two-way interaction effect of level of initiation and project type, a two-way interaction effect of championship and project type, and a three-way interaction effect of project type, initiation level, and championship on project's novelty.
Bottom-up service and administrative projects require champions' championship behaviors to foster novelty, whereas for bottom-up quality-improvement projects, such behaviors can harm project novelty. For human-resource projects and for top-down projects, championship behaviors do not matter.
一线护士倡导者是关键的创新实施者。尽管人们对护士倡导者的创新越来越感兴趣，但项目新颖性是倡导行为（例如，对创新成功和网络建设表示信心）、项目的背景特征（项目类型和启动级别）还是它们的共同作用的产物，这一点仍未得到解决。
制定并检验护理中项目新颖性的互动模型。
采用横断面设计和多源数据收集方法。
结果表明项目类型具有直接影响，启动级别和项目类型之间存在双向交互作用，倡导和项目类型之间存在双向交互作用，项目类型、启动级别和倡导之间存在三项交互作用。
自下而上的服务和行政项目需要倡导者的倡导行为来促进新颖性，而对于自下而上的质量改进项目，这种行为可能会损害项目新颖性。对于人力资源项目和自上而下的项目，倡导行为并不重要。
