ArticleJBI evidence implementation2025
Barriers and facilitators for the implementation of co-created nursing innovations in a Dutch university hospital.
Article in JBI evidence implementation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The Level and Associated Factors of Creative Deviance of Clinical Nurses.Nursing open · 2026Observational
- Impact of Bottom-Up Cocreation of Nursing Technological Innovations: Explorative Interview Study Among Hospital Nurses and Managers.JMIR human factors · 2025Article
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Authors and funding
4 authors.
Funding
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Abstract
introductionEscalating 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.
objectiveThis study explored nurses' perceived determinants influencing the implementation of co-created nursing innovations.
methodsWe 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.
resultsOf 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.
conclusionsParticipants 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. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A235.
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