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Differences in Innovative Behavior Among Hospital-Based Registered Nurses

Dy Bunpin, Jose J. III RN, PhD; Chapman, Susan RN, PhD, FAAN; Blegen, Mary RN, PhD, FAAN; Spetz, Joanne PhD

JONA: The Journal of Nursing Administration: March 2016 - Volume 46 - Issue 3 - p 122–127
doi: 10.1097/NNA.0000000000000310

BACKGROUND: The 2010 Institute of Medicine report, ‘The Future of Nursing: Leading Change, Advancing Health’, advocated for nurses to innovate in their practice, research, and education. However, little is known about the innovative behavior of registered nurses or whether there are differences in innovative behavior among registered nurses.

OBJECTIVE: The purpose of this article is to describe the innovative behavior of hospital-based registered nurses and understand the differences in innovative behavior when registered nurses are categorized into various demographic groups.

METHODS: A survey of 251 hospital-based registered nurses from 9 hospitals in California was administered to assess demographic characteristics and innovative behavior, measured through Scott and Bruce’s Individual Innovative Behavior Scale.

RESULTS: Hospital-based registered nurses, on average, reported moderate levels of innovative behavior. There were statistically significant differences in innovative behavior when registered nurses were categorized according to specialty certification, role, level of education, hospital size, and hospital innovativeness.

CONCLUSIONS: To support innovative behavior, organizations should provide opportunities for specialty certification and increasing levels of education.

Author Affiliations: Chief Nurse (Dr Dy Bunpin), Surgical and Procedural Care, San Francisco VAMC, California; Professor, School of Nursing, Department of Social and Behavioral Sciences (Dr Chapman); Professor Emerita, School of Nursing (Dr Blegen); Professor, School of Medicine, Institute for Health Policy Studies (Dr Spetz), University of California San Francisco.

The authors declare no conflicts of interest.

Correspondence: Dr Dy Bunpin, San Francisco VAMC, 4150 Clement St, San Francisco, CA 94121 (

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