{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:19:07Z","timestamp":1787797147109,"version":"build-2784847793"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>HOPtimise is an organisational innovation in paediatric oncology in the province of Qu\u00e9bec (Canada) destined to improve and reinforce best nursing practices through digital training using a serious game and create dashboards focused on indicators sensitive to the quality of care. This complex intervention is led by a quality improvement committee, a joint committee of user partners (former patients and family members) and healthcare providers. The present study aims to demonstrate how innovation and training are co\u2010created with multiple stakeholders. The involvement of patients and their families is at the core of the innovation's design. The aim of this study was to create and elaborate on the components of the logic model of the innovation in order to make it easily understandable for any stakeholder, to set the central roles and activities of the innovative process and to be able to verify the progress of the elaboration and the implementation of the innovation afterwards. The study also intended to generate guidance for future complex interventions in nursing practice improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      This study has a qualitative, descriptive and participatory design with a mixed data collection destined to create the logic model of the innovation. The qualitative methods used are organised through a three\u2010step timeline: the elaboration of the logic model, the verification phase and validation. Data collection methods involved two focus groups, each one at a different phase of the process (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099 and\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096), semi\u2010structured interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094) and verification checklists (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099) conducted from June 2022 to June 2024. Data collection guides are based on the Porteus (2009) method for the elaboration of a logic model. Through the process,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915 participants took part in at least one data collection (either focus group or interviews).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      With a 2\u2010year and\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915 multistakeholder study, the team obtained a logic model of organisational innovation. The HOPtimise logic model is a necessary tool to communicate with all stakeholders from various backgrounds. The study shows that the logic model was clear enough to all the participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915). As a result, this logic model is a strong base to stabilise the roles and activities of those stakeholders in the elaboration and implementation of the innovation. Indeed, it allowed the building of a stable quality improvement committee. Finally, the logic model became a baseline for the process of identifying barriers and implementation strategies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The HOPtimise logic model is representative of the complexity of the organisational innovation and the organisational challenges that the project will encounter, and is a necessary tool for evaluation of its implementation in terms of its co\u2010constructive nature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Public Contribution<\/jats:title>\n                    <jats:p>This study is a co\u2010creation and is family\u2010centred. It involved the engagement and participation of user partners and organisational members. The research team interacted with them during the three steps of the elaboration of the logic model. They provided opinion and expertise on the content of the innovation, its components, the activities needed to reach the outcomes and implementation strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70761","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T11:42:22Z","timestamp":1784029342000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018HOPtimise\u2019 Logic Model: An Organisational Innovation to Improve Nursing Practices in Paediatric Oncology in Qu\u00e9bec"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8470-9029","authenticated-orcid":false,"given":"Martin","family":"Blanc","sequence":"first","affiliation":[{"name":"CHU de Qu\u00e9bec\u2010Universit\u00e9 Laval Research Center Qu\u00e9bec Quebec Canada"},{"name":"Sant\u00e9 des Populations et Pratiques Optimales en Sant\u00e9 Qu\u00e9bec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie\u2010Pierre","family":"Gagnon","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Universit\u00e9 Laval Qu\u00e9bec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphney","family":"St\u2010Germain","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec\u2010Universit\u00e9 Laval Research Center Qu\u00e9bec Quebec Canada"},{"name":"Faculty of Nursing Universit\u00e9 Laval Qu\u00e9bec Quebec Canada"},{"name":"Reproduction Sant\u00e9 de la M\u00e8re et de l'Enfant Qu\u00e9bec Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boutheina","family":"Mejri","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec\u2010Universit\u00e9 Laval Research Center Qu\u00e9bec Quebec Canada"},{"name":"Sant\u00e9 des Populations et Pratiques Optimales en Sant\u00e9 Qu\u00e9bec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Gagn\u00e9","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec\u2010Universit\u00e9 Laval Research Center Qu\u00e9bec Quebec Canada"},{"name":"Sant\u00e9 des Populations et Pratiques Optimales en Sant\u00e9 Qu\u00e9bec Quebec Canada"},{"name":"Faculty of Nursing Universit\u00e9 Laval Qu\u00e9bec Quebec Canada"},{"name":"Nursing Service Qu\u00e9bec Hospital \u2013 CHUL Qu\u00e9bec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Bean","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec\u2010Universit\u00e9 Laval Research Center Qu\u00e9bec Quebec Canada"},{"name":"Sant\u00e9 des Populations et Pratiques Optimales en Sant\u00e9 Qu\u00e9bec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gratianne","family":"Vaisson","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec\u2010Universit\u00e9 Laval Research Center Qu\u00e9bec Quebec Canada"},{"name":"Sant\u00e9 des Populations et Pratiques Optimales en Sant\u00e9 Qu\u00e9bec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"Comit\u00e9 consultatif des statistiques canadiennes sur le cancer, Statistiques canadiennes sur le cancer 2019","year":"2019"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/27527530231190371"},{"key":"e_1_2_14_4_1","unstructured":"CureAll Framework: WHO Global Initiative for Childhood Cancer. 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