Daniel Weberg - Leadership for Evidence-Based Innovation in Nursing and Health Professions

The rectangles are labeled with the following four sources of data: continuous monitoring, big data analytics, wearables, and electronic medical records.

The rectangles are labeled with the following four sources of data: continuous monitoring, big data analytics, wearables, and electronic medical records.

The four rectangles are labeled as follows: patient generated, innovation process, failure, and evidence based.

The four rectangles are labeled as follows: patient generated, innovation process, failure, and evidence based.

The four rectangles are labeled as follows: networks, distributed, team based, and evidence and innovation competencies.

The four rectangles are labeled as follows: networks, distributed, team based, and evidence and innovation competencies.

The illustration shows evidence, innovation, and leadership labeled in three circles overlapped with each other forming a gap at the center. The gap is labeled, high performance. The circles are enclosed in an outer circle lined with five rectangles labeled as follows: patient centered, technology, failure, patterns, and partnerships.

The four competencies are labeled in four curved arrows following one after another as follows: innovation-evidenceleadership dynamic, self-leadership, build innovation competency, and communicate and connect. The last arrow leads to an opened circle labeled, build momentum.

CAS model shows two groups of people: a group with 12 members and the other with four members. An interaction happens between the two groups. CRP model shows four groups of people. The groups consist of four, seven, four, and three members, respectively. The interaction happens among the members of each group and among the groups.

The levels involved in application of evidence are as follows: clinical practice guidelines and expert opinion, local dialogue with practitioners and patients, uptake or use of evidence in local context, and meaning or value of evidence co-created. These levels are labeled as social construction of evidence on the adjacent face of the prism. The top of the prism is labeled, innovation. The levels clinical practice guidelines and expert opinion and meaning or value of evidence co-created are in a cycle. The levels involved in condition specific evidence are as follows: mechanism-based reasoning, case reports, cohort studies, randomized controlled trials, and systematic reviews and meta-analysis. These levels are labeled as social dimension of knowledge production on the adjacent face of the prism. The mid-line connecting the bases of the prism is labeled, floor of evidence. The faces of the prism with the levels are labeled, traditional linear, hierarchical view of EBP. The adjacent faces are labeled, complex relational dynamic evidence and innovation.

The conversational space of the organization is enclosed between boundaries and represented by disoriented lines. The following factors are labeled within the space randomly with the factor, innovation, labeled at the top and the rest toward the base: transformation, ideology, values, norms, novelty, stability, ethics, meaning, process of shame, power relating, out group, and in group.

Unpredictable variables lead to external environmental forces, which further leads to evidentiary dynamic and organizational strategy. Organizational strategy leads to evidentiary dynamic and EBP foundation. Evidentiary dynamic also leads to EBP foundation which further leads to stimulus for new practice or product. Stimulus for new practice or product leads to innovation dynamic which further leads to back to evidentiary dynamic.

The three corners of the triangle point toward the following value-driven objectives: quality at one of the bottom corners, satisfaction at the top, and price on the other bottom corner. Each objective is defined as follows: quality: health-based script, healthy living, metrics of effectiveness, and care along the continuum; satisfaction: access to service, good service, safe environment, and continuum of effective service; price: integrated pricing, one price tag for all, shared risk, shared costs, and good resource use.

The illustration shows environment forces or complexity such as socio or policy, technology, and economics leading to the pathway of innovation. The pathway shows five non-concentric adjacent ovals labeled from the inner to the outer oval as follows: knowledge creation and research in the innermost oval leads to practice expertise in the adjacent oval which leads to an empty adjacent oval. The empty oval leads to culture of care in the adjacent oval which further leads to impact outcome or change in the outermost oval. There are gaps from the knowledge creation and research, practice expertise, and the empty oval leading to innovation that involves creation, advancing, and change. The pathway is cyclical and cybernetic as impact outcome or change in the outermost oval leads to knowledge creation and research in the innermost oval.

The illustration shows environment forces or complexity such as socio or policy, technology, and economics leading to the pathway of innovation. The pathway shows two non-concentric adjacent ovals labeled from the inner to the outer oval as follows: knowledge creation and research in the innermost oval leads to practice expertise in the adjacent oval. There is a gap in the knowledge creation and research stage. The gap and relevance, veracity, and applicability from practice expertise stage lead to small tests of effectiveness, compare approaches, and comparative effectiveness in the innovation stage that involves creation, advancing, and change.

The illustration shows environment forces or complexity such as socio or policy, technology, and economics leading to the pathway of innovation. The pathway shows an oval labeled practice expertise with a gap. The gap, and relevance and best practices from practice expertise stage lead to experience, collective wisdom, past practice, and practice principles in the innovation stage that involves creation, advancing, and change. The pathway is cyclical and cybernetic.

The illustration shows environment forces or complexity such as socio or policy, technology, and economics leading to the pathway of innovation. The pathway shows an oval labeled clinical or patient values with a gap. The gap, and beliefs or values, practices, and culture from clinical or patient values stage lead to norms and values, health practices, expectations, and experiences in the innovation stage that involves creation, advancing, and change. The pathway is cyclical and cybernetic.

The illustration shows environment forces or complexity such as socio or policy, technology, and economics leading to culture of innovation. Culture of innovation is listed in an oval as follows: predictive and adaptive, safe or risk or challenge, and create, adapt, and transform. Culture of care is listed in another oval within the culture of innovation oval as follows: creative norms and values, innovative behaviors and practices, excellence in safe care, and improve and advance health. A pathway is illustrated from culture of care toward culture of innovation, which is labeled cyclical and cybernetic.

The illustration shows environment forces or complexity such as socio or policy, technology, and economics leading to the pathway of innovation and drivers and impact. The pathway shows five non-concentric adjacent ovals labeled from the inner to the outer oval as follows: knowledge creation and research in the innermost oval leads to practice expertise in the adjacent oval which leads to an empty adjacent oval. The empty oval leads to culture of care in the adjacent oval which further leads to impact outcome or change in the outermost oval. There are gaps from the knowledge creation and research, practice expertise, and the empty oval leading to innovation that involves creation, advancing, and change, and drivers and impact that involves context, dynamic, processes, and product. The pathway is cyclical and cybernetic as impact outcome or change in the outermost oval leads to knowledge creation and research in the innermost oval.