Development and Testing of the Relational and Structural Components of Innovativeness Across Academia and Practice for Healthcare Progress Scale

M Lindell Joseph; Michele Williams; Karl Reinke; Heather Bair; Sena Chae; Kirsten Hanrahan; Barbara St Marie; Peggy Jenkins; Nancy M Albert; Mary M Gullatte; Darlene M Rogers; Beth Ann Swan; Tina Holden; Elizabeth Woods; Pamela B DeGuzman; Gina DeGennaro; David Marshall; Maria Hein; Yelena Perkhounkova; Diane L Huber

doi:10.1097/NNA.0000000000001422

Development and Testing of the Relational and Structural Components of Innovativeness Across Academia and Practice for Healthcare Progress Scale

J Nurs Adm. 2024 May 1;54(5):260-269. doi: 10.1097/NNA.0000000000001422.

Affiliation

¹ Author 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.

PMID: 38630941
DOI: 10.1097/NNA.0000000000001422

Abstract

Objective: Using data from 5 academic-practice sites across the United States, researchers developed and validated a scale to measure conditions that enable healthcare innovations.

Background: Academic-practice partnerships are a catalyst for innovation and healthcare development. However, limited theoretically grounded evidence exists to provide strategic direction for healthcare innovation across practice and academia.

Methods: Phase 1 of the analytical strategy involved scale development using 16 subject matter experts. Phase 2 involved pilot testing the scale.

Results: The final Innovativeness Across Academia and Practice for Healthcare Progress Scale (IA-APHPS) consisted of 7 domains: 3 relational domains, 2 structural domains, and 2 impact domains. The confirmatory factor analysis model fits well with a comparative fit index of 0.92 and a root-mean-square error of approximation of 0.06 (n = 477).

Conclusion: As the 1st validated scale of healthcare innovation, the IA-APHPS allows nurses to use a diagnostic tool to facilitate innovative processes and outputs across academic-practice partnerships.