title: A theoretical framework to support research of health service innovation.
abstract: OBJECTIVE
  Health service managers and policy makers are increasingly concerned about the sustainability of innovations implemented in health care settings. The increasing demand on health services requires that innovations are both effective and sustainable; however, research in this field is limited, with multiple disciplines, approaches and paradigms influencing the field. These variations prevent a cohesive approach, and therefore the accumulation of research findings, in the development of a body of knowledge. The purpose of this paper is to provide a thorough examination of the research findings and provide an appropriate theoretical framework to examine sustainability of health service innovation.
  
  
  METHODS
  This paper presents an integrative review of the literature available in relation to sustainability of health service innovation and provides the development of a theoretical framework based on integration and synthesis of the literature.
  
  
  RESULTS
  A theoretical framework serves to guide research, determine variables, influence data analysis and is central to the quest for ongoing knowledge development. This research outlines the sustainability of innovation framework; a theoretical framework suitable for examining the sustainability of health service innovation.
  
  
  CONCLUSIONS
  If left unaddressed, health services research will continue in an ad hoc manner, preventing full utilisation of outcomes, recommendations and knowledge for effective provision of health services. The sustainability of innovation theoretical framework provides an operational basis upon which reliable future research can be conducted.
authors.affiliation: Queensland University of Technology, School of Nursing, Victoria Park Road, Kelvin Grove, Qld 4059, Australia. Email:.
authors.forename: Amanda
authors.initials: A
authors.lastname: Fox
authors.affiliation: Queensland University of Technology, School of Nursing, Victoria Park Road, Kelvin Grove, Qld 4059, Australia. Email:.
authors.forename: Glenn
authors.initials: G
authors.lastname: Gardner
authors.affiliation: Queensland University of Technology, School of Nursing, Victoria Park Road, Kelvin Grove, Qld 4059, Australia. Email:.
authors.forename: Sonya
authors.initials: S
authors.lastname: Osborne
mesh_terms: D004059:Diffusion of Innovation; D017598:Efficiency, Organizational; D006296:Health Services; D006302:Health Services Research; D008962:Models, Theoretical