Sperling Daniel, Shadmi Efrat, Drach-Zahavy Anat, Luz Shirly
The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Ministry of Health (Israel), Jerusalem, Israel.
Front Psychol. 2022 Aug 23;13:872131. doi: 10.3389/fpsyg.2022.872131. eCollection 2022.
Nurse champions are front-line practitioners who implement innovation and reconstruct policy.
To understand through a network theory lens the factors that facilitate nurse champions' engagement with radical projects, representing their actions as street-level bureaucrats (SLBs).
A personal-network survey was employed. Ninety-one nurse champions from three tertiary medical centers in Israel participated.
Given high network density, high levels of advice play a bigger role in achieving high radicalness compared with lower levels advice. High network density is also related to higher radicalness when networks have high role diversity.
Using an SLB framework, the findings suggest that nurse champions best promote adoption of innovation and offer radical changes in their organizations through professional advice given by colleagues in their field network. Healthcare organizations should establish the structure and promote the development of dense and heterogeneous professional networks to realize organizations' goals and nurses' responsibility to their professional employees, patients, and society.
护士倡导者是实施创新和重构政策的一线从业者。
通过网络理论视角理解促进护士倡导者参与激进项目的因素，将他们的行为视为街头官僚（SLB）。
采用个人网络调查。来自以色列三个三级医疗中心的91名护士倡导者参与其中。
鉴于网络密度高，与低水平建议相比，高水平建议在实现高激进性方面发挥更大作用。当网络具有高角色多样性时，高网络密度也与更高的激进性相关。
使用街头官僚框架，研究结果表明，护士倡导者通过其领域网络中的同事提供的专业建议，最能促进创新的采用并在其组织中带来激进变革。医疗保健组织应建立结构并促进密集且异质的专业网络的发展，以实现组织目标以及护士对其专业员工、患者和社会的责任。
