Dimensions of innovation

Within a conceptual framework of three dimensions, this paper examines parallels between the process of innovation in ship-building and in nursing care. Major conclusions are:

1. A given innovation must include not only technological change but also embedding activities to ensure its fit into the adopting organization.
2. To ensure continuation of the innovating process, it is necessary to build innovative capacity, with leadership vested in some person or group.
3. System-wide innovation requires both an effective diffusion process and diffusion capacity, to disseminate knowledge about specific innovations and also about ways to build innovative capacity.
4. Building both innovative capacity and diffusion capacity must be seen as responsibilities of the entire organization or system.