Developing a theory of change model for a learning and innovation network: A qualitative study

Area of Science:

• Nursing Education and Practice
• Healthcare Innovation
• Organizational Learning

Background:

• Learning and Innovation Networks (LINs) integrate practice, education, and research to enhance nursing care quality.
• A prior linear framework lacked practical detail on component interaction.
• This study aimed to refine the framework into a practical model.

Purpose of the Study:

• To develop a model translating mechanisms into output and impact for nursing learning and innovation environments.
• To inform practitioners and organizations on establishing effective learning and innovating settings.
• To build a practice-based model for shaping nursing communities.

Main Methods:

• A four-phase Theory of Change (ToC) approach was employed.
• Methods included focus groups with lecturer practitioners and thematic analysis.
• The ToC model was iteratively refined through paired interviews and feedback.

Main Results:

• The developed ToC model identifies essential preconditions: shared vision, support systems, and openness to change.
• It details mechanisms for activities leading to improved care quality via collaboration.
• The model highlights integrated practice, education, and research for implementing new methods.

Conclusions:

• This study provides a comprehensive overview of Learning and Innovation Networks (LINs).
• It elucidates the conditions and mechanisms through which LIN activities generate impact.
• The validated ToC model serves as a theoretical and practical guide for stakeholders.