Recalling the curriculum revolution: innovation with research.
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Within the healthcare services industry, innovation is offered as a process for ameliorating issues, improving services, and getting the most out of scarce resources. Medical Services in the Army, Navy, Air Force, Veterans Administration, and the Public Health Service have formed a Federal Healthcare Innovation Network (FHIN) to optimize the use of this management tool. In this article, the concept of innovation in healthcare services management and delivery is reviewed, initiatives in innovation within the five federal healthcare services are discussed, and the promises innovation holds for improved healthcare delivery are addressed.
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The appropriateness of a reward system depends, in part, on the developmental level of the staff. Based on a model developed at Shadyside Hospital, Pittsburgh, PA, called the Transformational Model for the Practice of Professional Nursing, we have determined that the potential for innovation becomes a highly valued reward for a healthy, well-developed nursing unit. Project Wildfish illustrates the energy, commitment, and enthusiasm that innovation can inspire.
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A theoretical framework is proposed for understanding how the innovative use of behavioral science evidence is both produced and diffused among members of the global legal community. Using case law analyses and interviews with key individuals involved in selected cases, we examine how battered woman syndrome (BWS) is produced and diffused between and among Australia, Canada, England, and the United States. The following diffusion mechanisms are proposed: (1) The availability and accessibility of credible dissemination sources; (2) characteristics of the overall practice environment operating in each legal culture; (3) the attitudes and knowledge of attorneys and judges about the use of scientific evidence; (4) political and social support for the use of the evidence in the legal culture; and (5) the level of structural equivalence, communication, and "neighbor effects" between and among legal cultures. Each mechanism is discussed and supplemented with information from interviews with individuals involved in key cases involving BWS evidence.
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