Advancing theory development: exploring the leadership-climate relationship as a mechanism of the implementation of cultural competence.

Advancing theory development: exploring the leadership-climate relationship as a mechanism of the implementation of cultural competence.
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DOI:
10.1186/s13012-017-0666-9
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发表时间:
2017-11-14
期刊:
Implementation science : IS
影响因子:
--
通讯作者:
Kong Y
Kong Y
中科院分区:
其他
文献类型:
--
作者:
Guerrero EG;Fenwick K;Kong Y

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领导风格和特定的组织氛围已成为在组织中实施有针对性做法的关键机制。借鉴相关理论,我们提出文化胜任力的实施氛围反映了变革型领导如何促进卫生保健组织中文化响应性实践的组织实施。使用2013年收集的112个成瘾治疗项目中427名员工的多层次数据,验证性因素分析显示,我们对文化能力实施环境(克隆巴赫阿尔法 = .88)和三个结果:知识(克隆巴赫阿尔法 = .88)、服务(克隆巴赫阿尔法 = .86)和人员(克隆巴赫阿尔法 = .86)实践的测量数据足够合适。多水平路径分析的结果表明,员工对变革型领导的感知与文化能力的实施氛围之间存在正相关关系(标准化间接效应 = .057,自举效应 < .001)。我们还发现变革型领导与每一种文化胜任实践之间存在正的间接效应:知识(标准化间接效应 = .006,自举 = .004)、服务(标准化间接效应 = .019,自举 < .001)和人员(标准化间接效应 = .014,自举 = .005)。这些发现有助于实施科学。他们建立在领导理论的基础上,并提供了气候在成瘾健康服务组织实施文化能力方面的中介作用的证据。
Leadership style and specific organizational climates have emerged as critical mechanisms to implement targeted practices in organizations. Drawing from relevant theories, we propose that climate for implementation of cultural competence reflects how transformational leadership may enhance the organizational implementation of culturally responsive practices in health care organizations. Using multilevel data from 427 employees embedded in 112 addiction treatment programs collected in 2013, confirmatory factor analysis showed adequate fit statistics for our measure of climate for implementation of cultural competence (Cronbach’s alpha = .88) and three outcomes: knowledge (Cronbach’s alpha = .88), services (Cronbach’s alpha = .86), and personnel (Cronbach’s alpha = .86) practices. Results from multilevel path analyses indicate a positive relationship between employee perceptions of transformational leadership and climate for implementation of cultural competence (standardized indirect effect = .057, bootstrap p < .001). We also found a positive indirect effect between transformational leadership and each of the culturally competent practices: knowledge (standardized indirect effect = .006, bootstrap p = .004), services (standardized indirect effect = .019, bootstrap p < .001), and personnel (standardized indirect effect = .014, bootstrap p = .005). Findings contribute to implementation science. They build on leadership theory and offer evidence of the mediating role of climate in the implementation of cultural competence in addiction health service organizations.
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