The document discusses innovation in nursing. It defines innovation as the generation of new ideas or application of existing ideas to a new situation resulting in improvement. The need for innovation in nursing includes continuous improvement, fulfilling health demands, and replacing traditional methods. Characteristics of effective innovations include being relatively superior, compatible, observable/measurable, and trialable. The process of innovation involves assessment, defining objectives, planning, implementation, and evaluation. Examples of innovations in nursing education include simulation and online/distance learning, while innovations in clinical practice include electronic health records, mobile technologies, and evidence-based practice.