Therefore, if nurses do not receive enough innovation training or lack opportunities to cultivate their innovation
skills, then it would be difficult for them to generate innovative ideas, which may further affect their willingness to follow and adopt innovations. In addition, nurses consider the safety and effectiveness of innovative products and services when implementing them. Evidence-based nursing is a method to verify whether innovative products and services are safe and effective. Nonetheless, Tsai et al. (2010) reported that nurses typically lack motivation to adopt evidence-based nursing, which requires long-term verification to ensure the safety and effectiveness of relevant services and products. Writing reports requires the collection of relevant data. According to Mu et al. (2013), time constraints could be a reason for such a lack of evidence-based nursing motivation. Changet al. (2012) also suggested that without incentives and under nurse-labour shortage conditions, nurses are reluctant to undertake evidence-based nursing which involves extra work. The technology acceptance model proposed by Daviset al. (1989) might also explain why nurses lack motivation;some nurses might perceive an innovative product or service as not being useful or they might determine the innovative product or service to be prone to problems in the future. Such perceptions might cause other nurses to become unwilling to use newly developed services or products;thus, customers are unlikely to recognise a clear difference
between medical service quality and medical service experience.