Diffusion of innovation: the leaders' role in creating the organizational context for evidence-based practice.
Successfully leading change represents one of the most, if not the most, challenging aspects of a leader's role. The traditional top-down command and control structures and processes present in healthcare institutions and nursing are the enemies of effective change. Transitioning from traditional structures to structures that are more of a partnership between point-of-service staff and administrators is the foundation for creating an evidence-based practice culture.
Crow
Gregory
G
Tim Porter-O'Grady Associates, San Francisco, CA, USA. greg31@pacbell.net
D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D004644:Emotions; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D009718:Nurse Administrators / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology*; D015399:Nursing Research / Q000193:education / Q000458:organization & administration*; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009742:Nursing Theory; D015279:Organizational Culture; D009936:Organizational Innovation; D009937:Organizational Objectives