Barriers and facilitators for the implementation of co-created nursing innovations in a Dutch university hospital

Myrthe van der Zanden*, Onno Helder, Heleen Westland, Erwin Ista

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Introduction: Escalating global nursing shortages require solutions for efficient care, fewer injuries and lost workdays. When commercial solutions are lacking, innovations developed through co-creation can be a viable alternative. However, many co-created nursing innovations are ineffectively implemented. Understanding the barriers and facilitators for the successful implementation of co-created nursing innovations is crucial. Objective: This study explored nurses’ perceived determinants influencing the implementation of co-created nursing innovations. Methods: We conducted a qualitative study using semi-structured interviews with nurses at a Dutch university hospital who were working with co-created nursing innovations. The Theoretical Domains Framework (TDF) was employed to identify the barriers and facilitators. Data analysis followed a deductive theoretical thematic analysis approach based on the 14 TDF domains. Determinants were labeled as a barrier, facilitator, or both. Results: Of the 14 TDF domains, 9 appeared relevant, including Intention, Professional Role and Identity, and Knowledge. The absence of a “superuser,” lack of storage space, and negative experiences during use were perceived as barriers to the implementation of nursing innovations. The importance of time-saving features, user-friendliness, reminders to use the innovation, and team enthusiasm were perceived as facilitators. Conclusions: Participants confirmed that the Social Influences domain, combined with Behavioral Regulation and Knowledge, were barriers to implementation, while Intentions and Reinforcements and Rewards were seen as facilitators.

Original languageEnglish
Article number444
Pages (from-to)190-200
Number of pages11
JournalJBI evidence implementation
Volume23
Issue number2
Early online date28 Jun 2024
DOIs
Publication statusPublished - 1 Apr 2025

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