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Organizational Culture and Climate for Promoting Innovativeness

Joseph, M. Lindell PhD, RN

JONA: The Journal of Nursing Administration: March 2015 - Volume 45 - Issue 3 - p 172–178
doi: 10.1097/NNA.0000000000000178

OBJECTIVE: The aim of this study is to explore the experiences of nurse leaders and nurses in a hospital whose patient care mission was stated as innovation.

BACKGROUND: Nurses are critically positioned to provide creative and innovative solutions that make a difference in the lives of patients, organizations, communities, and the profession.

METHODS: This 2-phase qualitative study used a content analysis and thematic analysis approach to describe experiences and to generate a beginning conceptual framework of the experience.

RESULTS: Results from phase 1 and phase 2 of this study demonstrate that innovativeness in nursing is a multifaceted phenomenon consisting of workplace antecedents followed by a social process.

CONCLUSIONS: Nursing innovation requires organizational commitment to allow employees to inquire and question organizational practices and issues on behalf of the mission, patient care, and nursing practice.

Author Affiliation: Assistant Professor (Clinical) and MSN/CNL Program Coordinator, College of Nursing, The University of Iowa.

Grant funding was provided by Theta Epsilon, UCF Chapter of Sigma Theta Tau.

The author declares no conflicts of interest.

Correspondence: Dr Joseph, The University of Iowa, College of Nursing, 50 Newton Rd, Rm 466 CNB, Iowa City, IA 52242 (

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