Bridging Diffusion of Innovation and CNS Practice Frameworks Using Digital Chest Drainage: A Clinical Exemplar.
Objective: This article reconciles the NACNS practice domains framework to the Integrative Model of innovation diffusion to demonstrate how Clinical Nurse Specialists exercise their unique practice competencies to overcome technological, social, and learning environment barriers to knowledge transla...
| Publicado en: | Clinical Nurse Specialist: The Journal for Advanced Nursing Practice Vol. 40; no. 5; pp. 178 - 186 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | pictorial tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195928627&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195928627 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08876274 8CC jtl: Clinical Nurse Specialist: The Journal for Advanced Nursing Practice issn: 08876274 maglogo: N pubinfo: dt: Sep2026 vid: 40 iid: 5 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 195928627 195928627 195928627 10.1097/NUR.0000000000000976 195928627 ppf: 178 ppct: 8 formats: tig: atl: Bridging Diffusion of Innovation and CNS Practice Frameworks Using Digital Chest Drainage: A Clinical Exemplar. aug: au: Picard, Christopher Rebello, Lyndon Demmy, Jaquelynne Picard, Kelly Kruger, Calvin Grewal, Angie O'Dochartaigh, Domhnall Douma, Matthew J. Middleton, Stacey Norris, Colleen M. Montgomery, Carmel Kim, Dennis Culp, Greg affil: Clinical Nurse Specialist, Division of Trauma, Faculty of Nursing, University of Alberta, Island Health (Picard), Edmonton, AB sug: subj: Lung Drainage Nursing Social Structure Nursing Practice Nursing Knowledge Clinical Competence Diffusion of Innovation Conceptual Framework Clinical Nurse Specialists Psychosocial Factors Learning Environment, Clinical National Association of Clinical Nurse Specialists Nursing Models, Theoretical Social Factors Trauma Centers Implementation Science Nursing Practice, Evidence-Based Digital Technology Adaptation, Occupational Clinical Nurse Specialists Education Drainage Education Nursing Role ab: Objective: This article reconciles the NACNS practice domains framework to the Integrative Model of innovation diffusion to demonstrate how Clinical Nurse Specialists exercise their unique practice competencies to overcome technological, social, and learning environment barriers to knowledge translation using digital chest systems as a clinical exemplar. Description: A narrative synthesis of evidence from surgical and emerging nonsurgical literature was conducted. The National Association of Clinical Nurse Specialists (NACNS) competencies were compared with the Integrative Model domains—technology, social structure, and learning conditions. Key factors examined included evidence of clinical benefit, nurse and physician preferences, health system cost implications, and knowledge translation gaps. Outcome: We used the NACNS competency and integrated model of knowledge translation frameworks to examine digital drainage systems, which demonstrate clear clinical and operational advantages. We identified that digital chest drainage adoption in trauma is limited by entrenched orientations toward analog systems, weak social contagion, educational barriers, and inadequate marketing. Social factors, particularly peer influence and the need for local evidence, outweigh technological complexity in limiting diffusion. Conclusions: Technology-focused approaches alone are insufficient for widespread implementation of digital chest drainage in trauma care. Effective implementation strategies should prioritize clinician engagement, social learning, and systems-level value. Addressing siloed innovation through targeted knowledge translation strategies can bring high-performing technologies such as digital chest drainage into broader trauma care practice. pubtype: Academic Journal doctype: pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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