Research progress on innovative behavior intervention for clinical nurses_West China Medical Journal

Authors：

YUAN Ying ¹ , ZHANG Chunli ² , ZHANG Xiaomei ³ , WANG Jiaojiao ¹ , YAN Fang ¹ ,  LIN Ling ¹

1. Department of Hand Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430000, P. R. China;
2. Nursing Department, Huanggang Central Hospital, Huanggang, Hubei 438000, P. R. China;
3. Nursing Department, Wuhan Mental Health Center, Wuhan, Hubei 430000, P. R. China;

Corresponding?author：

LIN Ling, Email: 460221069@qq.com

Keywords：

Clinical nurse; information technology; innovation behavior; nursing quality; change theory

DOI：

10.7507/1002-0179.202312097

Video：

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The innovative behavior of clinical nurses is of great significance for the professional development of nurses and the improvement of nursing service quality. This research topic has received continuous attention from domestic and foreign scholars. There is still significant room for improvement in the level of innovative behavior among clinical nurses in China. Constructing effective interventions to enhance innovative behavior among clinical nurses in China is an urgent requirement to promote the development of nursing informatization and nursing quality. This article reviews the intervention forms, theoretical support, effectiveness, and limitations of innovative behaviors among clinical nurses both domestically and internationally. It proposes prospects for future intervention plans, aiming to provide ideas and references for nursing managers to develop tailored, scientific, and effective intervention strategies.

Citation： YUAN Ying, ZHANG Chunli, ZHANG Xiaomei, WANG Jiaojiao, YAN Fang, LIN Ling. Research progress on innovative behavior intervention for clinical nurses. West China Medical Journal, 2024, 39(4): 665-670. doi: 10.7507/1002-0179.202312097 Copy

1.	任利華, 陳華, 孫宏玉, 等. 護理創新創業社會實踐課程的建設及實施效果. 中華護理教育, 2022, 19(6): 513-517.
2.	國家衛生健康委員會, 國家中醫藥管理局. 進一步改善護理服務行動計劃(2023-2025年). 中國護理管理, 2023, 23(7): 961-963.
3.	Czarnecki M. Nurse initiated collaboration and innovation lead to positive patient outcomes. Pain Manag Nurs, 2021(2): 22.
4.	顏婷婷, 寧佩, 徐雅南, 等. 護士創新行為的研究進展. 護理學雜志, 2022, 37(18): 102-105.
5.	Barr TL, Malloch K, Ackerman MH, et al. A blueprint for nursing innovation centers. Nurs Outlook, 2021, 69(6): 969-981.
6.	Yakusheva O, Munro-Kramer ML, Love R, et al. Part 4: value-informed nursing practice depends on nursing innovation. Nurs Outlook, 2022, 70(4): 566-569.
7.	Dy Bunpin JJ 3rd, Chapman S, Blegen M, et al. Differences in innovative behavior among hospital-based registered nurses. J Nurs Adm, 2016, 46(3): 122-127.
8.	楊莉, 葉紅芳, 孫倩倩, 等. 1386名臨床護士創新行為現狀及其影響因素分析. 護理學報, 2022, 29(2): 57-61.
9.	畢亞平, 王革, 龐佳坭, 等. 規范化培訓護士反饋尋求行為與創新行為的相關性研究. 護理學雜志, 2022, 37(24): 35-38.
10.	江潤嬌, 李小玲, 陳敏芝, 等. 護士信息素養及循證護理能力對創新行為的影響研究. 護理學雜志, 2023, 38(17): 77-80.
11.	鮑海琴, 汪張毅, 趙浩梅, 等. 天津市5所三級甲等醫院護士信息素養在創新行為與組織創新氛圍中的中介效應分析. 職業與健康, 2023, 39(6): 798-802,807.
12.	龐晨, 耿榮娟, 樊寬魯. 臨床護士品格優勢和工作重塑在職業認同與創新行為間的鏈式中介效應. 護理學雜志, 2023, 38(12): 63-66.
13.	Prochnow JA, Meiers SJ, Scheckel MM. Improving patient and caregiver new medication education using an innovative teach-back toolkit. J Nurs Care Qual, 2019, 34(2): 101-106.
14.	Stallings DE, Duetsch JR, Gustin TS, et al. An interdisciplinary telemedicine innovation to enhance pediatric diabetes care in rural communities: a proposed practice initiative. J Spec Pediatr Nurs, 2023, 28(2): e12405.
15.	Alva ML, Hoerger TJ, Jeyaraman R, et al. Impact of the YMCA of the USA diabetes prevention program on medicare spending and utilization. Health Aff (Millwood), 2017, 36(3): 417-424.
16.	張子云, 何細飛, 江燕, 等. 基于ADDIE教學模型的護理創新培訓及效果. 護理學雜志, 2019, 34(10): 73-75.
17.	Scott SG, Bruce RA. Determinants of innovative behavior: a path model of individual innovation in the workplace. Acad Manag J, 1994, 37(3): 580-607.
18.	Kessel M, Hannemann-Weber H, Kratzer J. Innovative work behavior in healthcare: the benefit of operational guidelines in the treatment of rare diseases. Health Policy, 2012, 105(2/3): 146-153.
19.	包玲, 王琳, 章雅青. 護士創新行為量表的研制及信度和效度檢驗. 上海交通大學學報(醫學版), 2012, 32(8): 1079-1082,1087.
20.	Opfermann J, Dayal A, Abo A, et al. Innovation at a children’s hospital: personal protective equipment efforts during the pandemic. Surg Innov, 2021, 28(2): 189-197.
21.	Lu Z, Wang W, Florez-Arango JF, et al. A framework to develop an immersive virtual reality simulation tool for postpartum hemorrhage management nurse training. Nurs Educ Perspect, 2023: 8.
22.	朱雪燕, 徐可, 王娟, 等. 創新小組活動模式提升新護士創新行為的效果. 溫州醫科大學學報, 2019, 49(8): 619-621.
23.	黎茂璐, 駱惠玉, 徐珍華, 等. 福建省臨床護士創新能力現狀及影響因素分析. 中國護理管理, 2023, 23(5): 749-753.
24.	郭文靜, 龐雪蓮, 劉曄, 等. 護士自主學習能力在信息素養與創新行為間的中介作用. 護理學雜志, 2022, 37(12): 57-59.
25.	張藝, 王建寧, 黃秋霞, 等. 授權型領導與臨床護士創新行為的相關性研究. 護理學雜志, 2022, 37(3): 59-61.
26.	楊旭. 護士精神薪酬滿意度、組織承諾和工作投入與創新行為的關系研究. 青島: 青島大學, 2021.
27.	劉晶. 護士創新行為與護士組織創新氛圍及心理彈性的相關性研究. 護理研究, 2019, 33(11): 1860-1865.
28.	周丹丹, 蘇菲, 宋甜, 等. 在校護生組織創新氛圍感知現狀及影響因素分析. 中國護理管理, 2019, 19(10): 1508-1512.
29.	陳劍, 陳罡. 麻醉護士創新行為傾向及其影響因素研究. 中國臨床護理, 2022, 14(2): 73-76.
30.	韋欣, 溫弗樂, 吳覺敏, 等. 我國三級甲等中醫醫院護士創新行為現況調查. 解放軍護理雜志, 2020, 37(1): 14-17.
31.	Cusson RM, Meehan C, Bourgault A, et al. Educating the next generation of nurses to be innovators and change agents. J Prof Nurs, 2020, 36(2): 13-19.
32.	Schoville R, Ross T, Anderson C. The courage to teach nursing innovation: innovation education, content, and strategies. Nurse Educ, 2023, 48(4): E137-E138.
33.	Gold HT, Pirraglia E, Huang ES, et al. Cost and healthcare utilization analysis of culturally sensitive, shared medical appointment model for Latino children with type 1 diabetes. Pediatr Diabetes, 2021, 22(5): 816-822.
34.	何晴, 王靜, 郭妍, 等. 三級甲等醫院護理工作環境和職業延遲滿足對護士創新行為影響的研究. 護理管理雜志, 2023, 23(9): 711-716.
35.	Snow F. Creativity and innovation: an essential competency for the nurse leader. Nurs Adm Q, 2019, 43(4): 306-312.
36.	American Nurses Association. ANA Innovation Award. Florida: American Nurses Association, 2019.
37.	許航, 馬曉靜, 代濤. 基于創新擴散理論視角的我國社區健康管理服務政策擴散研究. 中國全科醫學, 2022, 25(16): 1995-2002.
38.	Dearing JW, Cox JG. Diffusion of innovations theory, principles, and practice. Health Aff (Millwood), 2018, 37(2): 183-190.
39.	Lim ZZB, Mohamed Kadir M, Ginting ML, et al. Early implementation of a patient-centered medical home in singapore: a qualitative study using theory on diffusion of innovations. Int J Environ Res Public Health, 2021, 18(21): 11160.
40.	李超平, 時勘. 變革型領導的結構與測量. 心理學報, 2005, 37(6): 803-811.
41.	Al-Thawabiya A, Singh K, Al-Lenjawi BA, et al. Leadership styles and transformational leadership skills among nurse leaders in Qatar, a cross-sectional study. Nurs Open, 2023, 10(6): 3440-3446.
42.	Smith KA, Morassaei S, Ruco A, et al. An evaluation of the impact for healthcare professionals after a leadership innovation fellowship program. J Med Imaging Radiat Sci, 2022, 53(4S): S137-S144.
43.	Mollahadi M, Mokhtari Nouri J, Moradian ST. Role model nursing leaders in COVID-19 crisis. BMJ Lead, 2021, 5(4): 258-263.
44.	Gebreheat G, Teame H, Costa EI. The impact of transformational leadership style on nurses’ job satisfaction: an integrative review. SAGE Open Nurs, 2023, 9: 23779608231197428.
45.	Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol, 2001, 52: 1-26.
46.	侯曉艷. 注冊護士院外移動護理應用軟件使用意愿影響因素研究. 武漢: 華中科技大學, 2022.

1. 任利華, 陳華, 孫宏玉, 等. 護理創新創業社會實踐課程的建設及實施效果. 中華護理教育, 2022, 19(6): 513-517.
2. 國家衛生健康委員會, 國家中醫藥管理局. 進一步改善護理服務行動計劃(2023-2025年). 中國護理管理, 2023, 23(7): 961-963.
3. Czarnecki M. Nurse initiated collaboration and innovation lead to positive patient outcomes. Pain Manag Nurs, 2021(2): 22.
4. 顏婷婷, 寧佩, 徐雅南, 等. 護士創新行為的研究進展. 護理學雜志, 2022, 37(18): 102-105.
5. Barr TL, Malloch K, Ackerman MH, et al. A blueprint for nursing innovation centers. Nurs Outlook, 2021, 69(6): 969-981.
6. Yakusheva O, Munro-Kramer ML, Love R, et al. Part 4: value-informed nursing practice depends on nursing innovation. Nurs Outlook, 2022, 70(4): 566-569.
7. Dy Bunpin JJ 3rd, Chapman S, Blegen M, et al. Differences in innovative behavior among hospital-based registered nurses. J Nurs Adm, 2016, 46(3): 122-127.
8. 楊莉, 葉紅芳, 孫倩倩, 等. 1386名臨床護士創新行為現狀及其影響因素分析. 護理學報, 2022, 29(2): 57-61.
9. 畢亞平, 王革, 龐佳坭, 等. 規范化培訓護士反饋尋求行為與創新行為的相關性研究. 護理學雜志, 2022, 37(24): 35-38.
10. 江潤嬌, 李小玲, 陳敏芝, 等. 護士信息素養及循證護理能力對創新行為的影響研究. 護理學雜志, 2023, 38(17): 77-80.
11. 鮑海琴, 汪張毅, 趙浩梅, 等. 天津市5所三級甲等醫院護士信息素養在創新行為與組織創新氛圍中的中介效應分析. 職業與健康, 2023, 39(6): 798-802,807.
12. 龐晨, 耿榮娟, 樊寬魯. 臨床護士品格優勢和工作重塑在職業認同與創新行為間的鏈式中介效應. 護理學雜志, 2023, 38(12): 63-66.
13. Prochnow JA, Meiers SJ, Scheckel MM. Improving patient and caregiver new medication education using an innovative teach-back toolkit. J Nurs Care Qual, 2019, 34(2): 101-106.
14. Stallings DE, Duetsch JR, Gustin TS, et al. An interdisciplinary telemedicine innovation to enhance pediatric diabetes care in rural communities: a proposed practice initiative. J Spec Pediatr Nurs, 2023, 28(2): e12405.
15. Alva ML, Hoerger TJ, Jeyaraman R, et al. Impact of the YMCA of the USA diabetes prevention program on medicare spending and utilization. Health Aff (Millwood), 2017, 36(3): 417-424.
16. 張子云, 何細飛, 江燕, 等. 基于ADDIE教學模型的護理創新培訓及效果. 護理學雜志, 2019, 34(10): 73-75.
17. Scott SG, Bruce RA. Determinants of innovative behavior: a path model of individual innovation in the workplace. Acad Manag J, 1994, 37(3): 580-607.
18. Kessel M, Hannemann-Weber H, Kratzer J. Innovative work behavior in healthcare: the benefit of operational guidelines in the treatment of rare diseases. Health Policy, 2012, 105(2/3): 146-153.
19. 包玲, 王琳, 章雅青. 護士創新行為量表的研制及信度和效度檢驗. 上海交通大學學報(醫學版), 2012, 32(8): 1079-1082,1087.
20. Opfermann J, Dayal A, Abo A, et al. Innovation at a children’s hospital: personal protective equipment efforts during the pandemic. Surg Innov, 2021, 28(2): 189-197.
21. Lu Z, Wang W, Florez-Arango JF, et al. A framework to develop an immersive virtual reality simulation tool for postpartum hemorrhage management nurse training. Nurs Educ Perspect, 2023: 8.
22. 朱雪燕, 徐可, 王娟, 等. 創新小組活動模式提升新護士創新行為的效果. 溫州醫科大學學報, 2019, 49(8): 619-621.
23. 黎茂璐, 駱惠玉, 徐珍華, 等. 福建省臨床護士創新能力現狀及影響因素分析. 中國護理管理, 2023, 23(5): 749-753.
24. 郭文靜, 龐雪蓮, 劉曄, 等. 護士自主學習能力在信息素養與創新行為間的中介作用. 護理學雜志, 2022, 37(12): 57-59.
25. 張藝, 王建寧, 黃秋霞, 等. 授權型領導與臨床護士創新行為的相關性研究. 護理學雜志, 2022, 37(3): 59-61.
26. 楊旭. 護士精神薪酬滿意度、組織承諾和工作投入與創新行為的關系研究. 青島: 青島大學, 2021.
27. 劉晶. 護士創新行為與護士組織創新氛圍及心理彈性的相關性研究. 護理研究, 2019, 33(11): 1860-1865.
28. 周丹丹, 蘇菲, 宋甜, 等. 在校護生組織創新氛圍感知現狀及影響因素分析. 中國護理管理, 2019, 19(10): 1508-1512.
29. 陳劍, 陳罡. 麻醉護士創新行為傾向及其影響因素研究. 中國臨床護理, 2022, 14(2): 73-76.
30. 韋欣, 溫弗樂, 吳覺敏, 等. 我國三級甲等中醫醫院護士創新行為現況調查. 解放軍護理雜志, 2020, 37(1): 14-17.
31. Cusson RM, Meehan C, Bourgault A, et al. Educating the next generation of nurses to be innovators and change agents. J Prof Nurs, 2020, 36(2): 13-19.
32. Schoville R, Ross T, Anderson C. The courage to teach nursing innovation: innovation education, content, and strategies. Nurse Educ, 2023, 48(4): E137-E138.
33. Gold HT, Pirraglia E, Huang ES, et al. Cost and healthcare utilization analysis of culturally sensitive, shared medical appointment model for Latino children with type 1 diabetes. Pediatr Diabetes, 2021, 22(5): 816-822.
34. 何晴, 王靜, 郭妍, 等. 三級甲等醫院護理工作環境和職業延遲滿足對護士創新行為影響的研究. 護理管理雜志, 2023, 23(9): 711-716.
35. Snow F. Creativity and innovation: an essential competency for the nurse leader. Nurs Adm Q, 2019, 43(4): 306-312.
36. American Nurses Association. ANA Innovation Award. Florida: American Nurses Association, 2019.
37. 許航, 馬曉靜, 代濤. 基于創新擴散理論視角的我國社區健康管理服務政策擴散研究. 中國全科醫學, 2022, 25(16): 1995-2002.
38. Dearing JW, Cox JG. Diffusion of innovations theory, principles, and practice. Health Aff (Millwood), 2018, 37(2): 183-190.
39. Lim ZZB, Mohamed Kadir M, Ginting ML, et al. Early implementation of a patient-centered medical home in singapore: a qualitative study using theory on diffusion of innovations. Int J Environ Res Public Health, 2021, 18(21): 11160.
40. 李超平, 時勘. 變革型領導的結構與測量. 心理學報, 2005, 37(6): 803-811.
41. Al-Thawabiya A, Singh K, Al-Lenjawi BA, et al. Leadership styles and transformational leadership skills among nurse leaders in Qatar, a cross-sectional study. Nurs Open, 2023, 10(6): 3440-3446.
42. Smith KA, Morassaei S, Ruco A, et al. An evaluation of the impact for healthcare professionals after a leadership innovation fellowship program. J Med Imaging Radiat Sci, 2022, 53(4S): S137-S144.
43. Mollahadi M, Mokhtari Nouri J, Moradian ST. Role model nursing leaders in COVID-19 crisis. BMJ Lead, 2021, 5(4): 258-263.
44. Gebreheat G, Teame H, Costa EI. The impact of transformational leadership style on nurses’ job satisfaction: an integrative review. SAGE Open Nurs, 2023, 9: 23779608231197428.
45. Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol, 2001, 52: 1-26.
46. 侯曉艷. 注冊護士院外移動護理應用軟件使用意愿影響因素研究. 武漢: 華中科技大學, 2022.

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Research progress on innovative behavior intervention for clinical nurses

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