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Development and Testing of the Relational and Structural Components of Innovativeness Across Academia and Practice
M Lindell Joseph1, Michele Williams, Karl Reinke
1Author Affiliations: Clinical Professor and Distinguished Scholar in Nursing, and Director of DNP & MSN Health Systems: Administration/Executive Leadership Programs (Dr Joseph), College of Nursing, The University of Iowa; Henry B. Tippie Faculty Research Fellow in Entrepreneurship and Associate Professor of Management and Entrepreneurship (Dr Williams), Tippie College of Business; PhD Student (Reinke), Management and Entrepreneurship Department, Tippie College of Business; Associate Director and Associate Clinical Professor (Dr Bair); and DNP in Anesthesia Nursing Program and Assistant Professor (Dr Chae), College of Nursing, The University of Iowa; Director, Nursing Research and Evidence-Based Practice (Dr Hanrahan), University of Iowa Hospitals and Clinics; and Associate Professor (Dr St. Marie), College of Nursing, The University of Iowa, Iowa City; Associate Dean for Academic Affairs (Dr Jenkins), University of Arizona, Tucson; Associate Chief Nursing Officer (Dr Albert), Research and Innovation, Zielony Nursing Institute; Clinical Nurse Specialist (Dr Albert), George M. and Linda H. Kaufman Center for Heart Failure Treatment and Recovery; and Heart, Vascular & Thoracic Institute and Consultive Staff (Dr Albert), Lerner Research Institute, Cleveland Clinic, Ohio; Corporate Director (Dr Gullatte), Nursing Research and Evidence Based Practice, Emory Healthcare; Adjunct Faculty (Dr Gullatte), Nell Hodgson Woodruff School of Nursing, Emory University; Nurse Scientist (Dr Rogers), DeKalb Operating Unit (DOU), Emory Healthcare; Senior Instructor (Dr Rogers), Nell Hodgson Woodruff School of Nursing, Emory University; and Clinical Track Associate Professor, Dean and Vice President for Academic Practice Partnerships, Executive Director for the Emory Nursing Learning Center and Nell Hodgson Woodruff School of Nursing, and Co-director of the Woodruff Health Sciences Center Interprofessional Education and Clinical Practice Office (Dr Swan), Emory University, Atlanta; Lead Advanced Practice Provider (Dr Holden), Emory Johns Creek Hospital, Johns Creek; and Magnet® Program Director for Emory Orthopedics and Spine Hospital, and Assistant Clinical Professor (Dr Woods), Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia; Nurse Scientist (Dr DeGuzman), University of Virginia Health, Charlottesville; Professor, Academic Director of Clinical Partnerships, and Assistant Department Chair of Acute and Specialty Care (Dr DeGennaro), University of Virginia School of Nursing, Charlottesville; Senior Vice President, Chief Nursing Executive, and James R. Klinenberg, MD, and Lynn Klinenberg Linkin Chair in Nursing in Honor of Linda Burnes Bolton (Dr Marshall), Cedars-Sinai, Los Angeles, California; and Data Manager (Hein) and Statistician Manager (Dr Perkhounkova), Office for Nursing Research and Scholarship, College of Nursing; and Tenured Full Professor Emeritus (Dr Huber), College of Nursing and College of Public Health, The University of Iowa, Iowa City.
Researchers created the Innovativeness Across Academia and Practice for Healthcare Progress Scale (IA-APHPS) to measure healthcare innovation conditions. This validated tool aids academic-practice partnerships in fostering innovation.
Area of Science:
- Healthcare innovation
- Academic-practice partnerships
- Scale development
Background:
- Academic-practice partnerships drive healthcare innovation.
- Limited evidence guides innovation strategy in these settings.
Purpose of the Study:
- Develop and validate a scale to measure conditions enabling healthcare innovation.
- Provide a tool for academic-practice settings.
Main Methods:
- Scale development with 16 subject matter experts.
- Pilot testing of the scale.
- Confirmatory factor analysis (CFA) on data from 477 participants.
Main Results:
- The Innovativeness Across Academia and Practice for Healthcare Progress Scale (IA-APHPS) was finalized.
- The IA-APHPS comprises 7 domains: 3 relational, 2 structural, and 2 impact.
- CFA confirmed good model fit (CFI=0.92, RMSEA=0.06).
Conclusions:
- The IA-APHPS is the first validated scale for healthcare innovation.
- It serves as a diagnostic tool for nurses.
- Facilitates innovative processes and outcomes in academic-practice partnerships.
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