title: Exploring the usefulness of two conceptual frameworks for understanding how organizational factors influence innovation implementation in cancer care.
abstract: Moving knowledge into practice and the implementation of innovations in health care remain significant challenges. Few researchers adequately address the influence of organizations on the implementation of innovations in health care. The aims of this article are to (1) present 2 conceptual frameworks for understanding the organizational factors important to the successful implementation of innovations in health care settings; (2) discuss each in relation to the literature; and (3) briefly demonstrate how each may be applied to 3 initiatives involving the implementation of a specific innovation-synoptic reporting tools-in cancer care. Synoptic reporting tools capture information from diagnostic tests, surgeries, and pathology examinations in a standardized, structured manner and contain only the information necessary for patient care. The frameworks selected were the Promoting Action on Research Implementation in Health Services framework and an organizational framework of innovation implementation; these frameworks arise from different disciplines (nursing and management, respectively). The constructs from each framework are examined in relation to the literature, with each construct applied to synoptic reporting tool implementation to demonstrate how each may be used to inform both practice and research in this area. By improving our understanding of existing frameworks, we enhance our ability to more effectively study and target implementation processes.
authors.affiliation: Knowledge Broker, Cancer Outcomes Research Program, Cancer Care Nova Scotia, and Interdisciplinary PhD Program, Dalhousie University, Halifax, NS B3H 2Y9. urquhartr@cdha.nshealth.ca
authors.forename: Robin
authors.initials: R
authors.lastname: Urquhart
authors.forename: Joan
authors.initials: J
authors.lastname: Sargeant
authors.forename: Eva
authors.initials: E
authors.lastname: Grunfeld
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D006751:Hospital Information Systems / Q000458:organization & administration; D006801:Humans; D017146:Models, Organizational; D009369:Neoplasms / Q000628:therapy*; D015279:Organizational Culture; D009936:Organizational Innovation