Date of Degree


Document Type


Degree Name





Arlene Farren

Committee Members

Donna Nickitas

William Gallo

Sherry Baron

Christine Elnitsky

Subject Categories

Interprofessional Education | Occupational and Environmental Health Nursing | Other Nursing | Other Public Health | Theory, Knowledge and Science


Sustainability, Diffusion of Innovation, Safe Patient Handling, Sustainability Factors, Nursing Staff Injuries


Healthcare organizations invest significant economic, physical, and human resources to implement changes and expect sustained benefits for their investments in the long term. The primary aim of the study was to gain a better understanding of sustainability and five factors (champions, leadership support, policy, resources, and training and education) that might predict long-term sustainability within the context of one Safe Patient Handling and Mobility (SPHM) program implemented in a large, nationwide system more than 7 years ago. The secondary aim was to examine the number of nursing staff injuries, the most notable positive outcome of the program immediately post implementation. Rogers' Diffusion of Innovation theory (DOI) was the theoretical rationale. Data were collected using mailed surveys to 73 SPHM Coordinators, which included three instruments. This research explored predictive factors of sustainability among the five factors and results showed importance for all with three--champions, resources, and training and education--contributing most significantly as predictors for long-term sustainability. The study supported the importance of DOI processes and elements and provided new information about the role of sustainability in the confirmation stage of the DOI.