Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation
Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation
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DOI：
10.1186/s13012-014-0192-y
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发表时间：
2015-01-16
影响因子：
7.2
通讯作者：
Hurlburt, Michael S.
中科院分区：
文献类型：
--
作者：
Aarons, Gregory A.;Ehrhart, Mark G.;Hurlburt, Michael S.
背景：领导力对于商业、健康和联合医疗保健环境中创新的实施非常重要。然而，需要经过经验验证的组织干预措施来协调领导力和组织发展战略，以促进有效的循证实践（EBP）实施。本文描述了领导力和组织变革实施 (LOCI) 干预措施的初步可行性、可接受性和感知效用。由调查人员和社区利益相关者组成的跨学科团队共同开发和测试领导力和组织策略，以促进实施 EBP 的有效领导力。方法：参与者是来自三个不同机构的 12 名心理健康服务团队领导及其工作人员 (n = 100)，这些机构为美国加利福尼亚州的儿童和家庭提供心理健康服务。主管被随机分配接受为期 6 个月的 LOCI 干预或由知名领导力培训机构提供的为期两节的领导力网络研讨会控制条件。我们采用混合方法，包括定量调查和通过调查以及 LOCI 受训者焦点小组收集的定性数据。结果：定量和定性分析支持 LOCI 培训和组织战略干预的可行性、可接受性和感知效用，以及对领导者和受监督者评估结果的影响。结论：LOCI 领导力和组织变革实施干预是一种可行且可接受的策略，可用于提高 EBP 实施的员工评估领导力。需要进一步的研究来严格测试 LOCI 对领导者行为、实施领导力、组织环境和实施结果的近端和远端影响。这项研究的结果表明，LOCI 可能是支持组织准备实施和维持 EBP 的可行策略。
Background: Leadership is important in the implementation of innovation in business, health, and allied health care settings. Yet there is a need for empirically validated organizational interventions for coordinated leadership and organizational development strategies to facilitate effective evidence-based practice (EBP) implementation. This paper describes the initial feasibility, acceptability, and perceived utility of the Leadership and Organizational Change for Implementation (LOCI) intervention. A transdisciplinary team of investigators and community stakeholders worked together to develop and test a leadership and organizational strategy to promote effective leadership for implementing EBPs.Methods: Participants were 12 mental health service team leaders and their staff (n = 100) from three different agencies that provide mental health services to children and families in California, USA. Supervisors were randomly assigned to the 6-month LOCI intervention or to a two-session leadership webinar control condition provided by a well-known leadership training organization. We utilized mixed methods with quantitative surveys and qualitative data collected via surveys and a focus group with LOCI trainees.Results: Quantitative and qualitative analyses support the LOCI training and organizational strategy intervention in regard to feasibility, acceptability, and perceived utility, as well as impact on leader and supervisee-rated outcomes.Conclusions: The LOCI leadership and organizational change for implementation intervention is a feasible and acceptable strategy that has utility to improve staff-rated leadership for EBP implementation. Further studies are needed to conduct rigorous tests of the proximal and distal impacts of LOCI on leader behaviors, implementation leadership, organizational context, and implementation outcomes. The results of this study suggest that LOCI may be a viable strategy to support organizations in preparing for the implementation and sustainment of EBP.