The sustainability of healthcare innovations: a concept analysis

Fleiszer, Andrea R.; Semenic, Sonia E.; Ritchie, Judith A.; Richer, Marie‐Claire; Denis, Jean‐Louis

doi:10.1111/jan.12633

Cited by 166Health Policy Implementation ScienceHealth Sciences Research and EducationHealthcare Quality and Management

The sustainability of healthcare innovations: a concept analysis

Fleiszer, Andrea R., Semenic, Sonia E., Ritchie, Judith A., Richer, Marie‐Claire, Denis, Jean‐Louis·2015·Journal of Advanced Nursing

DOI 10.1111/jan.12633

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Abstract

Aim: To report on an analysis of the concept of the sustainability of healthcare innovations. Background: While there have been significant empirical, theoretical and practical contributions made towards the development and implementation of healthcare innovations, there has been less attention paid to their sustainability. Yet many desired healthcare innovations are not sustained over the long term. There is a need to increase clarity around the concept of innovation sustainability to guide the advancement of knowledge on this topic. Design: Concept analysis. Data sources: We included literature reviews, theoretical and empirical articles, books and grey literature obtained through database searching (ABI/INFORM, Academic Search Complete, Business Source Complete,CINAHL, Embase,MEDLINE and Web of Science) from 1996–May 2014, reference harvesting and citation searching. Methods: We examined sources according to terms and definitions, characteristics, preconditions, outcomes and boundaries to evaluate the maturity of the concept. Results: This concept is partially mature. Healthcare innovation sustainability remains a multi‐dimensional, multi‐factorial notion that is used inconsistently or ambiguously and takes on different meanings at different times in different contexts. We propose a broad conceptualization that consists of three characteristics: benefits, routinization or institutionalization, and development. We also suggest that sustained innovations are influenced by a variety of preconditions or factors, which are innovation‐, context‐, leadership‐ and process‐related. Conclusion: Further conceptual development is essential to continue advancing our understanding of the sustainability of healthcare innovations, especially in nursing where this topic remains largely unexplored.

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Most prior sustainability studies included small, homogeneous samples and based conclusions mostly on qualitative retrospective assessments rather than statistical tests of association.
“However, this knowledge is greatly limited because most studies included small, homogeneous samples, and their conclusions were mostly based on qualitative retrospective assessments of individuals’ beliefs about what led to sustainment success or failure, rather than based on statistical tests of their association [17–22].”
From Using qualitative comparative analysis to uncover multiple pathways to program sustainment: implications for community-based youth substance misuse prevention (2022) · cites this paper as [17]
Sustaining the effects of any intervention beyond the course of a research project is challenging.
“Sustaining the effects of any intervention beyond the course of a research project is challenging.”
From Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing. (2023) · cites this paper as [53]
Sustainable interventions should have perceived benefits or value to participants; they need to be embedded into the habitual practices of individuals, organisations and systems; and the intervention needs to evolve to fit with individual and organisational needs over time.
“Sustainable interventions should have perceived benefits or value to participants; they need to be embedded into the habitual practices of individuals, organisations and systems; and the intervention needs to evolve to fit with individual and organisational needs over time.”
From Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing. (2023) · cites this paper as [53]
Leadership and contextual factors influence sustainability.
“Leadership and contextual factors also influence sustainability.”
From Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing. (2023) · cites this paper as [53]
Reported influences on sustainability include characteristics of the innovation and the individuals involved, leadership, capacity, processes, and context.
“Reported influences on sustainability include characteristics of the innovation and the individuals involved, leadership, capacity, processes, and context [2, 9, 13, 14].”
From Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members (2022) · cites this paper as [13]

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Gillam, S., & Cosford, P. A. (2021) · CRC Press eBooks · doi:10.1201/9780429084164-7 · Cited by 4 · see citing works

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The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
Shelton, R. C., Cooper, B. R., & Stirman, S. W. (2018) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-040617-014731 · Cited by 806 · see citing works
Developing a comprehensive definition of sustainability
Moore, J. E., Mascarenhas, A., Bain, J., & Straus, S. E. (2017) · Implementation Science · doi:10.1186/s13012-017-0637-1 · Cited by 630 · see citing works
The sustainability of public health interventions in schools: a systematic review
Herlitz, L., Macintyre, H. L., Osborn, T. G., & Bonell, C. P. (2020) · Implementation Science · doi:10.1186/s13012-019-0961-8 · Cited by 454 · see citing works
Sustainability of professionals’ adherence to clinical practice guidelines in medical care: a systematic review
Ament, S. M. C., de Groot, J. J. A., Maessen, J. M. C., Dirksen, C. D., van der Weijden, T., & Kleijnen, J. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-008073 · Cited by 178 · see citing works
Identifying relevant concepts and factors for the sustainability of evidence-based practices within acute care contexts: a systematic review and theory analysis of selected sustainability frameworks
Penno, L. N., Davies, B., Graham, I. D., Backman, C., MacDonald, I., Bain, J., Johnson, A. M., Moore, J. E., & Squires, J. E. (2019) · Implementation Science · doi:10.1186/s13012-019-0952-9 · Cited by 95 · see citing works
Advancing the pragmatic measurement of sustainment: a narrative review of measures
Moullin, J. C., Sklar, M., Green, A., Dickson, K. S., Stadnick, N. A., Reeder, K., & Aarons, G. A. (2020) · Implementation Science Communications · doi:10.1186/s43058-020-00068-8 · Cited by 72 · see citing works
Advancing Complexity Theory as a Qualitative Research Methodology
Gear, C., Eppel, E., & Koziol‐McLain, J. (2018) · International Journal of Qualitative Methods · doi:10.1177/1609406918782557 · Cited by 81 · see citing works
Nursing unit leaders' influence on the long-term sustainability of evidence-based practice improvements
Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M.-C., & Denis, J.-L. (2016) · Journal of Nursing Management · doi:10.1111/jonm.12320 · Cited by 77 · see citing works
Self-citation
Exploring factors associated with the uneven utilization of telemedicine in Norway: a mixed methods study
Alami, H., Gagnon, M. P., Wootton, R., Fortin, J. P., & Zanaboni, P. (2017) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-017-0576-4 · Cited by 77 · see citing works
An organizational perspective on the long-term sustainability of a nursing best practice guidelines program: a case study
Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M., & Denis, J. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-1192-6 · Cited by 75 · see citing works
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Some Multidimensional Unintended Consequences of Telehealth Utilization: A Multi-Project Evaluation Synthesis
Alami, H., Gagnon, M., & Fortin, J. (2019) · International Journal of Health Policy and Management · doi:10.15171/ijhpm.2019.12 · Cited by 58 · see citing works
Sustainable inventory management in blood banks considering health equity using a combined metaheuristic-based robust fuzzy stochastic programming
Sohrabi, M., Zandieh, M., & Shokouhifar, M. (2022) · Socio-Economic Planning Sciences · doi:10.1016/j.seps.2022.101462 · Cited by 65 · see citing works
Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review
Moon, S., Hogden, A., & Eljiz, K. (2022) · BMJ Open Quality · doi:10.1136/bmjoq-2022-002057 · Cited by 68 · see citing works
A unit-level perspective on the long-term sustainability of a nursing best practice guidelines program: An embedded multiple case study
Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M., & Denis, J. (2015) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2015.09.004 · Cited by 57 · see citing works
Self-citation
Aquatic therapy for children with Duchenne muscular dystrophy: a pilot feasibility randomised controlled trial and mixed-methods process evaluation
Hind, D., Parkin, J., Whitworth, V., Rex, S., Young, T. A., Hampson, L. V., Sheehan, J., Maguire, C., Cantrill, H., Scott, E., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21270 · Cited by 53 · see citing works
The Challenges of a Complex and Innovative Telehealth Project: A Qualitative Evaluation of the Eastern Quebec Telepathology Network
Alami, H., Fortin, J., Gagnon, M., Pollender, H., Têtu, B., & Tanguay, F. (2017) · International Journal of Health Policy and Management · doi:10.15171/ijhpm.2017.106 · Cited by 50 · see citing works
Sustainability of innovations in healthcare: A systematic review and conceptual framework for professional pharmacy services
Crespo-González, C., Benrimoj, S. I., Scerri, M., & García‐Cárdenas, V. (2020) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2020.01.015 · Cited by 51 · see citing works
The design and implementation of an obstetric triage system for unscheduled pregnancy related attendances: a mixed methods evaluation
Kenyon, S. L., Hewison, A., Dann, S.-A., Easterbrook, J., Hamilton-Giachritsis, C. E., Beckmann, A., & Johns, N. (2017) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-017-1503-5 · Cited by 46 · see citing works
Providers' Perceptions of Caring for Pediatric Patients in Community Hospital Emergency Departments: A Mixed‐methods Analysis
Goldman, M. P., Wong, A. H.-W., Bhatnagar, A., Emerson, B. L., Brown, L., & Auerbach, M. A. (2018) · Academic Emergency Medicine · doi:10.1111/acem.13509 · Cited by 45 · see citing works
Defining sustainability in practice: views from implementing real-world innovations in health care
Urquhart, R., Kendell, C., Cornelissen, E., Madden, L. L., Powell, B. J., Kissmann, G., Richmond, S. A., Willis, C. D., & Bender, J. L. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-4933-0 · Cited by 41 · see citing works
Understanding the dynamics of sustainable change: A 20-year case study of integrated health and social care
Klinga, C., Hasson, H., Sachs, M. A., & Hansson, J. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3061-6 · Cited by 40 · see citing works
Heart Failure Management in Nursing Homes: A Scoping Literature Review
Heckman, G. A., Shamji, A. K., Ladha, R., Stapleton, J. E., Boscart, V., Boxer, R. S., Martin, L. B., Crutchlow, L., & McKelvie, R. S. (2018) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2018.04.006 · Cited by 38 · see citing works
Evaluation of reconfigurations of acute stroke services in different regions of England and lessons for implementation: a mixed-methods study
Fulop, N., Ramsay, A. I. G., Hunter, R. M., McKevitt, C., Perry, C., Turner, S., Boaden, R., Papachristou, I., Rudd, A. G., Tyrrell, P. J., et al. (2019) · Health Services and Delivery Research · doi:10.3310/hsdr07070 · Cited by 31 · see citing works
Factors influencing the long-term sustainment of quality improvements made in addiction treatment facilities: a qualitative study
Stumbo, S. P., Ford, J. H., & Green, C. A. (2017) · Addiction Science & Clinical Practice · doi:10.1186/s13722-017-0093-x · Cited by 28 · see citing works
Factors influencing sustainability and scale-up of rural primary healthcare memory clinics: perspectives of clinic team members
Morgan, D., Kosteniuk, J., O’Connell, M. E., Seitz, D., Elliot, V., Bayly, M., Chow, A. F., & Cameron, C. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07550-0 · Cited by 20 · see citing works
Evidence‐based practice integration in hospital wards—The complexities and challenges in achieving evidence‐based practice in clinical nursing
Renolen, Å., Hjälmhult, E., Høye, S., Danbolt, L. J., & Kirkevold, M. (2019) · Nursing Open · doi:10.1002/nop2.259 · Cited by 27 · see citing works
Strategic leadership and management factors driving sustainability in health-care organizations in Thailand
Suriyankietkaew, S., & Kungwanpongpun, P. (2021) · Journal of Health Organization and Management · doi:10.1108/jhom-05-2021-0165 · Cited by 25 · see citing works
Investigating sustainable development for the COVID-19 vaccine supply chain: a structural equation modelling approach
Mukherjee, S., Baral, M. M., Chittipaka, V., Pal, S. K., & Nagariya, R. (2022) · Journal of Humanitarian Logistics and Supply Chain Management · doi:10.1108/jhlscm-08-2021-0079 · Cited by 24 · see citing works
Retracted
Evaluating the Sustainability of Community-Based Long-Term Care Programmes: A Hybrid Multi-Criteria Decision Making Approach
Song, B., Sun, Q., Li, Y., & Que, C. (2016) · Sustainability · doi:10.3390/su8070657 · Cited by 24 · see citing works
Multilevel Barriers and Facilitators to Sustainability of a Universal Trauma-Informed School-Based Mental Health Intervention Following an Efficacy Trial: A Qualitative Study
Arnold, K. T., Porter, K. M. P., Frattaroli, S., Durham, R. E., Clary, L. K., & Mendelson, T. (2021) · School Mental Health · doi:10.1007/s12310-020-09402-w · Cited by 25 · see citing works
Utilizing complexity theory to explore sustainable responses to intimate partner violence in health care
Gear, C., Eppel, E., & Koziol‐McLain, J. (2017) · Public Management Review · doi:10.1080/14719037.2017.1364407 · Cited by 19 · see citing works
Sustaining an intervention for physical health promotion in community mental health services: A multisite case study
Carstensen, K., Kousgaard, M. B., & Burau, V. (2018) · Health & Social Care in the Community · doi:10.1111/hsc.12671 · Cited by 18 · see citing works
Assessing long-term sustainment of clinic participation in NIATx200: Results and a new methodological approach
Ford, J. H., Stumbo, S. P., & Robinson, J. M. (2018) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2018.06.012 · Cited by 18 · see citing works
Innovation in Nursing Practice
Rylee, T. L., & Cvanagh, S. J. (2022) · Advances in Nursing Science · doi:10.1097/ans.0000000000000464 · Cited by 18 · see citing works
Mapping hospital antimicrobial stewardship programmes in the Gulf Cooperation Council states against international standards: a systematic review
Hashad, N., Perumal, D., Stewart, D. C., & Tonna, A. P. (2020) · Journal of Hospital Infection · doi:10.1016/j.jhin.2020.09.004 · Cited by 18 · see citing works
Examining the sustainability potential of a multisite pilot to integrate alcohol screening and brief intervention within three primary care systems
King, D. K., Gonzalez, S. J., Hartje, J. A., Hanson, B. L., Edney, C., Snell, H., Zoorob, R. J., & Roget, N. A. (2018) · Translational Behavioral Medicine · doi:10.1093/tbm/ibx020 · Cited by 17 · see citing works
A Slippery Slope When Using an Evidence-Based Intervention Out of Context. How Professionals Perceive and Navigate the Fidelity-Adaptation Dilemma—A Qualitative Study
Zetterlund, J., Schwarz, U. V. T., Hasson, H., & Neher, M. (2022) · Frontiers in Health Services · doi:10.3389/frhs.2022.883072 · Cited by 18 · see citing works
Development, successes, and potential pitfalls of multidisciplinary chronic disease management clinics in a family health team: a qualitative study
Brooks, L., Elliott, J. B., Stolee, P., Boscart, V., Gimbel, S., Holisek, B., Randle, J. M., & Heckman, G. A. (2023) · BMC Family Practice · doi:10.1186/s12875-023-02073-x · Cited by 16 · see citing works
Building Sustainable Professional Development Programs: Applying Strategies From Implementation Science to Translate Evidence Into Practice
Baldwin, C. D., Chandran, L., & Gusic, M. E. (2017) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000151 · Cited by 16 · see citing works
L’implantation de la télésanté et la pérennité de son utilisation au Canada : quelques leçons à retenir
Alami, H., Lamothe, L., Fortin, J., & Gagnon, M.-P. (2016) · European Research in Telemedicine / La Recherche Européenne en Télémédecine · doi:10.1016/j.eurtel.2016.10.001 · Cited by 16 · see citing works
Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing.
Finucane, A. M., Hulbert-Williams, N. J., Swash, B., Spiller, J. A., Wright, B., Milton, L., & Gillanders, D. (2023) · Palliative Medicine · doi:10.1177/02692163221143817 · Cited by 15 · see citing works
Exploring the Sustainability of Age-Friendly Initiatives in a Canadian Province
Menec, V. H., Newall, N. E. G., Milgrom, R., & Camps, D. (2021) · The Gerontologist · doi:10.1093/geront/gnab080 · Cited by 15 · see citing works
Designing a program evaluation for a medical‐dental service for adults with autism and intellectual disabilities using the RE‐AIM framework
Lai, J., Klag, M., & Shikako‐Thomas, K. (2019) · Learning Health Systems · doi:10.1002/lrh2.10192 · Cited by 15 · see citing works
Quality assurance as a foundational element for an integrated system of dementia care
Heckman, G. A., Crutchlow, L., Boscart, V., Hillier, L. M., Franco, B. B., Lee, L. S., Molnar, F., Seitz, D. P., & Stolee, P. (2019) · International Journal of Health Care Quality Assurance · doi:10.1108/ijhcqa-07-2018-0187 · Cited by 15 · see citing works
A conceptualisation of scale-up and sustainability of social innovations in global health: a narrative review and integrative framework for action
Niang, M., Alami, H., Gagnon, M., & Dupéré, S. (2023) · Global Health Action · doi:10.1080/16549716.2023.2230813 · Cited by 16 · see citing works
A model operationalizing sustainability in global nursing
Edwards, R. L., Markaki, A., Shirey, M. R., & Patrician, P. A. (2020) · Nursing Outlook · doi:10.1016/j.outlook.2020.01.006 · Cited by 14 · see citing works
A Health Care Project Management Office's Strategies for Continual Change and Continuous Improvement
Lavoie‐Tremblay, M., Aubry, M., Richer, M., & Cyr, G. (2017) · The Health Care Manager · doi:10.1097/hcm.0000000000000185 · Cited by 14 · see citing works
Self-citation
Increasing sustainability in co-design projects: A qualitative evaluation of a co-design programme in New Zealand
Maher, L. M., Hayward, B., Hayward, P., & Walsh, C. (2017) · Patient Experience Journal · doi:10.35680/2372-0247.1150 · Cited by 13 · see citing works
Sustainment of Innovations in Palliative Care: A Survey on Lessons Learned From a Nationwide Quality Improvement Program
de Veer, A. J. E., Fleuren, M. A. H., Voss, H., & Francke, A. L. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.07.035 · Cited by 12 · see citing works
Sustaining acute speech–language therapists’ implementation of recommended aphasia practices: A mixed methods follow‐up evaluation of a cluster RCT
Shrubsole, K., Rogers, K. D., & Power, E. (2021) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.12684 · Cited by 12 · see citing works
Exploring factors that influence the spread and sustainability of a dysphagia innovation: an instrumental case study
Ilott, I., Gerrish, K., Eltringham, S. A., Taylor, C., & Pownall, S. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1653-6 · Cited by 12 · see citing works
A multifaceted intervention for evidence-based pressure ulcer prevention
Sving, E., Fredriksson, L., Mamhidir, A., Högman, M., & Gunningberg, L. (2020) · International Journal of Evidence-Based Healthcare · doi:10.1097/xeb.0000000000000239 · Cited by 12 · see citing works
Sustainable Healthcare Systems
Osorio‐González, C. S., Hegde, K., Brar, S. K., Ramírez, A. A., & Surampalli, R. Y. (2020) · Sustainability · doi:10.1002/9781119434016.ch18 · Cited by 12 · see citing works
Health Environment and Sustainable Development
Martínez, P. A., Martínez-Jiménez, P., & Perea-Moreno, A.-J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19138175 · Cited by 11 · see citing works
Maximizing value in healthcare partnerships: A case examining an inter‐organizational relationship in the public and non‐profit sectors
Carlini, J., Lehman, K., Dharmesti, M., & Knox, K. (2023) · Journal of Philanthropy and Marketing · doi:10.1002/nvsm.1796 · Cited by 12 · see citing works
Sustainability of a rural volunteer program (Nav-CARE): a case study
Duggleby, W., Pesut, B., Warner, G., Nekolaichuk, C., Hällström, L., Elliott, B., Swindle, J., & Ghosh, S. (2020) · Rural and Remote Health · doi:10.22605/rrh6112 · Cited by 11 · see citing works
Sustainability determinants of the Burkinabe performance-based financing project
Seppey, M., Somé, P., & Ridde, V. (2021) · Journal of Health Organization and Management · doi:10.1108/jhom-04-2020-0137 · Cited by 10 · see citing works
Integrating technology with work practices in primary care: challenges to sustainable organizing “from within”
Brandenberger, I. A., Hasu, M., & Nerland, M. B. (2023) · The Learning Organization · doi:10.1108/tlo-01-2023-0009 · Cited by 15 · see citing works
Trialists perspectives on sustaining, spreading, and scaling-up of quality improvement interventions
Laur, C. V., Corrado, A. M., Grimshaw, J., & Ivers, N. M. (2021) · Implementation Science Communications · doi:10.1186/s43058-021-00137-6 · Cited by 11 · see citing works
“Now is the time for institutions to be investing in growing exercise programs as part of standard of care”: a multiple case study examining the implementation of exercise oncology interventions
Czosnek, L., Rankin, N. M., Cormie, P., Murnane, A., Turner, J., Richards, J. A., Rosenbaum, S., & Zopf, E. M. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-07844-x · Cited by 10 · see citing works
Indicators to measure implementation and sustainability of nursing best practice guidelines: A mixed methods analysis
Aloisio, L. D., Graham, N. D., Grinspun, D. R., Naik, S. R., Coughlin, M., Medeiros, C., McConnell, H., Sales, A. E., McNeill, S., Santos, W. J., et al. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e19983 · Cited by 10 · see citing works
Exploring, Diversifying and Debating Sustainable Health (Care) Approaches
de Hoop, E., Loeber, A., & Essink, D. R. (2022) · Sustainability · doi:10.3390/su14031698 · Cited by 11 · see citing works
Total Quality and Innovation Management in Healthcare (TQIM-H) for an Effective Innovation Development: A Conceptual Framework and Exploratory Study
Tonjang, S., & Thawesaengskulthai, N. (2022) · Applied System Innovation · doi:10.3390/asi5040070 · Cited by 10 · see citing works
Exploring the long‐term sustainability of school‐based nutrition and food programs: What works, where and why?
Fathi, L. I., Yang, D., Walker, J. L., Robinson, M., Littlewood, R., & Truby, H. (2024) · Health Promotion Journal of Australia · doi:10.1002/hpja.847 · Cited by 12 · see citing works
How to extend pilot innovation in public services: A case of children's social care innovation
Currie, G., Lynch, A., Swan, J. A., Alderson, H., Friel, S., Harrop, C., Johnson, R., Kerridge, G., Smart, D., McGovern, R., et al. (2024) · Public Administration · doi:10.1111/padm.13028 · Cited by 11 · see citing works
Understanding How Newly Implemented Rehabilitation Best Practices Are Sustained: A Realist Review
Ataman, R., Ahmed, S., Zidan, A., & Thomas, A. (2022) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2022.05.016 · Cited by 9 · see citing works
Healthy Here: A Promising Referral System Model for Community–Clinical Linkages to Prevent Chronic Disease
Cruz, T. H., FitzGerald, C. A., Quintana, V., Barnes, J., Sanchez, K. E., Hirschl, M., Lavender, A., & Caswell, L. (2022) · Health Promotion Practice · doi:10.1177/15248399221111192 · Cited by 9 · see citing works
Influence of participation in a quality improvement collaborative on staff perceptions of organizational sustainability
Ford, J. H., & Gilson, A. M. (2021) · BMC Health Services Research · doi:10.1186/s12913-020-06026-3 · Cited by 10 · see citing works
Using qualitative comparative analysis to uncover multiple pathways to program sustainment: implications for community-based youth substance misuse prevention
Cooper, B. R., Hill, L. G., Parker, L., Jenkins, G. J., Shrestha, G., & Funaiole, A. (2022) · Implementation Science Communications · doi:10.1186/s43058-022-00303-4 · Cited by 7 · see citing works
“[17] note, “sustainability is likely contingent on the interplay of multiple factors at different levels of analysis, points in time and settings, and that these interactive effects make it difficult to establish the relative importance of individual factors”.”
Background
Accelerating knowledge translation to improve cardiovascular outcomes and health services: opportunities for bridging science and clinical practice
Lauck, S., Saarijärvi, M., Sousa, I. D., Straiton, N., Borregaard, B., & Lewis, K. B. (2023) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvad077 · Cited by 9 · see citing works
Exploring the sustainability of virtual care interventions: A scoping review
Austin, T., Tahsin, F., Larsen, D., BAKER, R. G., & Gray, C. S. (2025) · PLOS Digital Health · doi:10.1371/journal.pdig.0000893 · Cited by 8 · see citing works
Conditions organisationnelles et systémiques à l’implication des citoyens-patients dans le développement de la télésanté au Québec
Alami, H., Gagnon, M., & Fortin, J. (2019) · Santé Publique · doi:10.3917/spub.191.0125 · Cited by 8 · see citing works
A Novel Implementation Strategy in Residential Care Settings to Promote EBP: Direct Care Provider Perceptions and Development of a Conceptual Framework
Slaughter, S. E., Bampton, E. A., Erin, D. F., Ickert, C., Jones, C. A., & Estabrooks, C. A. (2017) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12224 · Cited by 8 · see citing works
Improving Youth Access to Mental Health Support through a Youth–Adult Partnership
Ross, L., & Connors, L. C. (2018) · Journal of Youth Development · doi:10.5195/jyd.2018.514 · Cited by 8 · see citing works
Toward the sustainability of health care innovations to “transform our world”: current status and the road ahead
Chicoine, G., & Straus, S. E. (2025) · International Journal of Evidence-Based Healthcare · doi:10.1097/xeb.0000000000000496 · Cited by 7 · see citing works
Using Needs Analysis to Foster Sustainability of Business English Courses: A Case Study of a University in the South of Chile
Lasekan, O. A., Moraga, A., & Pachava, V. (2023) · Sustainability · doi:10.3390/su152216074 · Cited by 7 · see citing works
Sustaining a nursing best practice guideline in an acute care setting over 10 years: A mixed methods case study
Penno, L. N., Graham, I. D., Backman, C., Fuentes-Plough, J., Davies, B., & Squires, J. E. (2022) · Frontiers in Health Services · doi:10.3389/frhs.2022.940936 · Cited by 7 · see citing works
Enhancing Knowledge and InterProfessional care for Heart Failure (EKWIP-HF) in long-term care: a pilot study
Heckman, G. A., Boscart, V., Huson, K., Costa, A. P., Harkness, K. I., Hirdes, J. P., Stolee, P., & McKelvie, R. S. (2017) · Pilot and Feasibility Studies · doi:10.1186/s40814-017-0153-8 · Cited by 7 · see citing works
Analysis of factors influencing innovative behaviors of intensive care unit nurses using a random forest model-a multicentre cross-sectional study
Ge, W., Cao, Z.-M., Zhu, X., & Zhu, S. (2025) · BMC Nursing · doi:10.1186/s12912-025-04052-2 · Cited by 6 · see citing works
One health–sustainability intersections: an umbrella systematic review with a new integrated definition of sustainability and a meta-conceptual framework
Dar, O. A., Akhbari, M., Akhbari, A., Zahid, H., Claron, M., Spicer, N., Nacer, H., & Khan, M. (2025) · One Health Outlook · doi:10.1186/s42522-025-00187-z · Cited by 7 · see citing works
Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations
Lim, Z. Z. B., Kadir, M. M., Ginting, M. L., Vrijhoef, H. J., Yoong, J., & Wong, C. H. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182111160 · Cited by 6 · see citing works
Experiences with continuous quality improvement work based on the Occupational Therapy Intervention Process Model
Sirkka, M., Larsson-Lund, M., & Zingmark, K. (2022) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2022.2121756 · Cited by 6 · see citing works
Factors Explaining Program Sustainability: A Study of the Implementation of a Social Services Program in Sweden
Åhlfeldt, E., Isaksson, D., & Winblad, U. (2023) · Health & Social Care in the Community · doi:10.1155/2023/1458305 · Cited by 11 · see citing works
Sustainability of an outcome measure in outpatient stroke rehabilitation: A realist evaluation
Ataman, R., Ahmed, S., Berta, W. B., & Thomas, A. (2024) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13972 · Cited by 5 · see citing works
Sustainability of evidence-based practices in the management of infants with bronchiolitis in hospital settings - a PREDICT study protocol
Ramsden, V., Babl, F. E., Dalziel, S. R., Middleton, S., Oakley, E. A., Haskell, L., Lithgow, A., Orsini, F., Schembri, R., Wallace, A., et al. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08450-z · Cited by 5 · see citing works
FACTORS AFFECTING THE SUSTAINABILITY OF LEAN IN HEALTHCARE: A SYSTEMATIC LITERATURE REVIEW
Wagner, R., Hattingh, T., & Meijer, H. (2022) · The South African Journal of Industrial Engineering · doi:10.7166/33-3-2813 · Cited by 5 · see citing works
Defining social innovation for post-secondary educational institutions: a concept analysis
Benzies, K., Nicholas, D. B., Hayden, A., Barnas, T., de Koning, A., Bharwani, A. M., Armstrong, J. S., & Day, J. (2024) · Humanities and Social Sciences Communications · doi:10.1057/s41599-024-03236-6 · Cited by 5 · see citing works
Perspectives of paediatric hospital staff on factors influencing the sustainability and spread of a safety quality improvement programme
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Authors: Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M., & Denis, J.
Affiliations: McGill University (CA)
McGill University Health Centre (CA)
École Nationale d'Administration Publique (CA)
Corresponding author: Fleiszer, Andrea R.
ORCID: Fleiszer, Andrea R.
Semenic, Sonia E.
Denis, Jean‐Louis
Venue: Journal of Advanced Nursing
Publisher: Wiley
Published: 2015-02-24
Volume: 71
Issue: 7
Pages: 1484-1498
ISSN: 0309-2402 (ISSN-L)
1365-2648
DOI: 10.1111/jan.12633
OpenAlex: W2164235841
Cited by: 166
References: 95
Citations by year: 2026: 10 · 2025: 14 · 2024: 20 · 2023: 16 · 2022: 23 · 2021: 25 · 2020: 15 · 2019: 7 · 2018: 11 · 2017: 17 · 2016: 4 · 2015: 4
FWCI: 2.17
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Advanced Nursing (publishedVersion)
PubMed (publishedVersion)
Funders: The McGill University Health Centre Research Institute
Centre FERASI
Fonds de recherche du Québec - santé
McGill University
Canadian Nurses’ Foundation
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
Keywords: healthcare innovation, innovation sustainability, conceptual analysis, routinization, institutionalization, leadership
MeSH terms: Delivery of Health Care, Organizational Innovation, Program Evaluation

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The sustainability of healthcare innovations: a concept analysis

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