Table 1 Sampling of Empirical Studies of Hospital Unit Innovation
From: Examining innovation in hospital units: a complex adaptive systems approach
Author, Date | Summary | Innovation Focus | Consideration of Complexity | Factors related to innovation |
|---|---|---|---|---|
Broberg and Edwards, 2012 | Qualitative/Participative design, user-driven innovation process to develop a novel concept of the spatial and organizational design of an outpatient department in a hospital | Generation | The outpatient department was a “complex sociotechnical system,” that influenced the innovation process in terms of culture and politics in the meeting between different professional domains. | Not included |
Su et al., 2011 | Action research study of an innovation initiative between the supply department and 155 internal units to reduce unit inventory costs | Generation | Not included, though future research suggests complexity theory may help to determine predictors of logistics innovation in hospitals | buyer-supplier relations |
Pearson et al., 2008 | Multi-site case study of the strategies used to spread four changes designed to facilitate a smooth, safe, and patient-centered shift change across multiple med-surg units in 3 hospitals | Adaptation and Spread | Not Included | Designation of spread organizers or managers, strategic selection of spread units, designation of nurse champions, clear senior leadership support, collaborative session, communication mechanisms, written spread materials, allocation of resources |
Jensen and Chandler, 1994 | Survey of 391 employees across 8 hospitals identifying how innovation and restrictive conformity influence personal outcomes | Generation and Adoption | Not included | Personal outcomes associated with innovation: Greater role clarity, organizational involvement, and satisfaction, and lower role conflict and willingness to leave the organization |