Nursing innovation: The joint effects of championship behaviors, project types, and initiation levels

Research output: Contribution to journalArticlepeer-review


Background: Frontline nurse champions are key innovation-implementation agents. Despite the growing interest in nurse champions’ innovation, whether project novelty is a product of championship behavior (e.g., expressing confidence in the innovation's success and network building), the project's contextual characteristics (project type and initiation level), or their joint effects, remains unsolved. Purpose: To develop and test an interactionist model of project novelty in nursing. Methods: A cross-sectional design with a multisource approach to data collection. Findings: Results demonstrated a direct effect of project type, a two-way interaction effect of level of initiation and project type, a two-way interaction effect of championship and project type, and a three-way interaction effect of project type, initiation level, and championship on project's novelty. Discussion: Bottom-up service and administrative projects require champions’ championship behaviors to foster novelty, whereas for bottom-up quality-improvement projects, such behaviors can harm project novelty. For human-resource projects and for top-down projects, championship behaviors do not matter.

Original languageEnglish
Pages (from-to)404-418
Number of pages15
JournalNursing Outlook
Issue number4
StatePublished - 1 Jul 2019

Bibliographical note

Funding Information:
This study was funded by a grant from the Israel National Institute for Health Policy Research ( 2014/95/A ). The funding organization had no involvement in the study design, the collection, analysis, and interpretation of the data, the writing of the report or in the decision to submit the paper for publication.

Publisher Copyright:
© 2019 Elsevier Inc.


  • Championship
  • Health care
  • Hospital
  • Innovation
  • Level of initiation
  • Novelty
  • Nursing
  • Project type

ASJC Scopus subject areas

  • Nursing (all)


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