title: Spreading nursing unit innovation in large hospital systems.
abstract: 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.
authors.affiliation: The RAND Corporation, Santa Monica, California 90401, USA. mpearson@rand.org
authors.forename: Marjorie L
authors.initials: ML
authors.lastname: Pearson
authors.forename: Valda V
authors.initials: VV
authors.lastname: Upenieks
authors.forename: Tracy
authors.initials: T
authors.lastname: Yee
authors.forename: Jack
authors.initials: J
authors.lastname: Needleman
mesh_terms: D004059:Diffusion of Innovation; D006284:Health Plan Implementation; D006801:Humans; D007373:Interinstitutional Relations; D009096:Multi-Institutional Systems; D009732:Nursing Care / Q000458:organization & administration / Q000639:trends*; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D009936:Organizational Innovation; D014481:United States