Fit for purpose: selecting and adapting innovations for aged care.

IF 1.1 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Carol Davy, Alice Windle, Gillian Harvey
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引用次数: 0

Abstract

Aim: This review examines how innovation attributes can affect the implementation of innovations in aged care organizations.

Introduction: Aged care organizations are increasingly implementing new care models and types of technology to improve care quality and sustain operational viability. However, selecting and implementing these innovations is complex, as integrating new practices within established systems requires careful consideration. Identifying specific attributes of innovations that influence implementation outcomes is essential to enhancing sustainability and success.

Methods: We conducted a secondary data analysis of a comprehensive scoping review on factors affecting innovation implementation in aged care. Key innovation attributes based on Greenhalgh's Diffusion of Innovation in Service Organizations model were used as a framework for analysis.

Results: Of the 192 studies in the original scoping review, 122 provided insights into innovation attributes that influence implementation. Key attributes identified included the innovation's impact on workloads, its relevance to roles, and the level of staff knowledge and confidence to adopt within their context. Additionally, the included studies highlighted the importance of sufficient ongoing support, compatibility with existing organizational values and systems, and the innovation's adaptability to specific care settings. Balancing these innovation attributes presents unique opportunities and challenges within the aged care sector.

Conclusion: Our findings indicate that successful innovation implementation in aged care requires a nuanced understanding of the innovation attributes that may improve the likelihood of successful implementation. This secondary review offers a practical framework for evaluating innovation suitability, supporting decision-makers in selecting innovations that align with the specific needs and context of aged care settings.

Spanish abstract: http://links.lww.com/IJEBH/A383.

适合目的:选择和适应创新的老年护理。
目的:本研究检视创新属性如何影响养老机构的创新实施。导言:老年护理机构越来越多地实施新的护理模式和技术类型,以提高护理质量和维持运营可行性。然而,选择和实施这些创新是复杂的,因为在已建立的系统中集成新的实践需要仔细考虑。确定影响实施结果的创新的具体属性对于提高可持续性和成功至关重要。方法:对影响老年护理创新实施的因素进行二次数据分析。采用基于Greenhalgh服务组织创新扩散模型的关键创新属性作为分析框架。结果:在原始范围审查的193项研究中,123项研究提供了影响实施的创新属性的见解。确定的关键属性包括创新对工作量的影响、与角色的相关性,以及员工在其环境中采用的知识和信心水平。此外,纳入的研究强调了足够的持续支持,与现有组织价值观和系统的兼容性以及创新对特定护理环境的适应性的重要性。平衡这些创新属性为老年护理行业带来了独特的机遇和挑战。结论:我们的研究结果表明,在老年护理中成功实施创新需要对创新属性有细致的理解,这可能会提高成功实施创新的可能性。这一次要审查提供了一个实用的框架,评估创新的适用性,支持决策者在选择创新,符合具体需求和背景的老年护理设置。西班牙文摘要:http://links.lww.com/IJEBH/A383。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
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