Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, Oregon, USA.
Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
J Health Organ Manag. 2024 Oct 10;ahead-of-print(ahead-of-print):114-129. doi: 10.1108/JHOM-06-2024-0256.
Innovation is widely desired within healthcare organizations, yet the efficacy of programs aimed at fostering it remain largely unassessed, with little consideration given to their effects on employee experience. The Veterans Health Administration (VA) innovators network (iNET) was established to provide organizational support to improve and reimagine patient care and processes across the VA. We evaluated participant perspectives on how iNET impacted workplace experience and fostered innovation.
DESIGN/METHODOLOGY/APPROACH: Semi-structured interviews were conducted using purposive sampling to maximize diversity for program roles and site characteristics, reviewed using a rapid matrixed approach, then analyzed using a hybrid inductive/deductive approach that applied a theoretical framework of innovation supportive domains.
21 project investees, 16 innovation specialists and 13 leadership champions participated from 15 sites nationally. Most participants reported strongly positive impacts including feeling re-energized, appreciating new experiences and expanded opportunities for connecting with others, sense of renewed purpose, better relationships with leadership and personal recognition. Negative experiences included time constraints and logistical challenges. Participants' experiences mapped frequently onto theorized domains of supporting a curious culture, creating idea pathways and porous boundaries, fostering/supporting catalytic leadership and supporting (role) diverse teams. The program's delivery of ready resources was critically supportive though at times frustrating.
ORIGINALITY/VALUE: Participants' experiences support the conclusion that iNET fosters innovation and positively impacts participating employees. In the post-pandemic context of unprecedented challenges of healthcare worker burnout and stress, effective innovation training programs should be considered as a tool to improve worker experience and retention as well as patient care.
创新在医疗保健组织中受到广泛期望,但旨在促进创新的计划的效果在很大程度上仍未得到评估,很少考虑其对员工体验的影响。退伍军人健康管理局 (VA) 的创新者网络 (iNET) 的建立是为了提供组织支持,以改善和重塑 VA 内的患者护理和流程。我们评估了参与者对 iNET 如何影响工作场所体验和促进创新的看法。
设计/方法/方法:采用目的抽样进行半结构化访谈,以最大限度地提高项目角色和地点特征的多样性,使用快速矩阵方法进行审查,然后使用一种混合归纳/演绎方法进行分析,该方法应用了创新支持领域的理论框架。
来自全国 15 个地点的 21 名项目投资者、16 名创新专家和 13 名领导冠军参与了调查。大多数参与者报告了强烈的积极影响,包括感到重新充满活力、欣赏新的体验和扩大与他人联系的机会、重新感受到目标感、与领导层的关系更好以及个人得到认可。负面体验包括时间限制和后勤挑战。参与者的体验经常映射到支持好奇文化、创造创意途径和多孔边界、培养/支持催化领导力以及支持(角色)多元化团队的理论领域。该计划提供的现成资源是至关重要的支持,但有时也令人沮丧。
原创性/价值:参与者的经验支持这样的结论,即 iNET 促进创新并对参与的员工产生积极影响。在医疗保健工作者倦怠和压力空前挑战的后大流行背景下,应该将有效的创新培训计划视为改善员工体验和保留以及患者护理的工具。