Jan
27

User-Led Innovation: Front-line Practitioners Take the Lead

Filed Under (Uncategorized) by on 27-01-2012

 

In my last post, I mentioned the “workaround” culture of nursing.  Those who study consumer habits for the technology industry have recognized that we are all engaged in a workaround culture of sorts, in which every consumer functions as a de facto designer.  No matter how many focus groups they hold, product manufacturers continue to release new gadgets that we end up modifying in interesting, unanticipated ways.

Actually, some experts on innovation say that consumers are the new innovators.  Eric Von Hippel, a longtime advocate of “user-led innovation” (as opposed to innovation that is merely “user-driven”), studied consumers in the UK and concluded that they spend twice as much as companies in product development and adaptation efforts or their own.  In an interview appearing in Innovation Management, von Hippel explains, “Historically it was thought that producers were the innovators.  Because, of course, they can spread the cost, and justify the cost, of doing research and development. But when you look at it, every market starts insignificantly, so for example in skateboards it’s the kids who develop them and it is the company, say a Mattel, that jumps on board later when the user has a product. The user innovates.”

I remember watching a kid skateboard down an imposing staircase in central London.  He landed, with a crack that could be heard across the Thames, directly on his head.  Unbelievably, he picked himself up and wobbled away.  And became, forever after, an object lesson for my son, who was 9 years old at the time and deeply impressionable (for which I am eternally grateful).

Needless to say, the boys who first took up The Board and invented this exciting entertainment may not be the best example to employ when talking with healthcare leaders about “user-led innovation.” Fortunately, the authors of “Unlocking the Power of Innovation” in The Online Journal of Nursing Issues speak of user-led innovation in a manner commensurate with the seriousness of the healthcare arena.  The article offers a  fine overview of the nature of nurse-generated innovation and what will have to change inside the culture of healthcare organizations in order for nurse-driven innovation to thrive.

Here are some key points from “Unlocking the Power”:

  1. Healthcare is “a quality driven, but risk-averse field.”  In other words, it hasn’t been the most hospitable environment for innovation.
  2. An infusion of methods developed by other disciplines will help.  Since healthcare is relatively new to the science of innovation, healthcare leaders “must look to other fields, such as social science, engineering, and business” for methods and structures that unlock innovation within the organization.
  3. Innovation is measured by impact.  A great idea is not yet an “innovation.”  To qualify as an innovation, a nurse’s “workaround” at the bedside must be passed along, gain traction, attract champions, be piloted on a broader scale.  As Clayton Christensen (“The Innovator’s Dilemma”) explains, “innovation is something different that has impact (my emphasis).”  And impact is only attained with help from others.  You don’t have to be an engineer to come up with the idea of a self-disinfecting bandage, let’s say, but you’ll probably need an engineer’s expertise to make that idea a workable reality.
  4. Innovation needs a support structure.  The article concludes by calling for the creation of “innovation communities” — i.e. support systems that offer the “divergent thinker” a structure and a set of tools for multiplying the impact of a great idea.

 

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