Spreading Nursing Unit Innovation in Large Hospital Systems

Published In: The Journal of Nursing Administration, v. 38, no. 3, Mar. 2008, p. 146-152

Posted on RAND.org on December 31, 2007

by Marjorie L. Pearson, Valda V. Upenieks, Tracy Yee, Jack Needleman

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Healthcare administrators increasingly face the challenge of how to spread innovation throughout their organizations. The authors present the results of an evaluation of the efforts of 3 major hospital systems to internally disseminate nursing unit change among medical-surgical units. The findings show that all 3 organizations carefully planned, coordinated, and implemented a spread process; none left dissemination to chance. Although clear differences were evident in the way they engineered their spread, many similarities also were found.

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