The implementation leadership scale (ILS): development of a brief measure of unit level implementation leadership
The implementation leadership scale (ILS): development of a brief measure of unit level implementation leadership
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DOI：
10.1186/1748-5908-9-45
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发表时间：
2014-04-14
影响因子：
7.2
通讯作者：
Farahnak, Lauren R.
中科院分区：
文献类型：
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作者：
Aarons, Gregory A.;Ehrhart, Mark G.;Farahnak, Lauren R.
工作背景：在医疗保健和相关医疗保健环境中，支持有效实施循证实践（EBP）的领导力是一个关键问题。然而，没有经过经验验证的衡量标准来评估执行领导作用。本文介绍了发展，因素结构，和初始的信度和收敛和判别效度的一个非常简短的措施，执行领导力量表（ILS）：参与者是459名心理健康临床医生工作在93个不同的门诊心理健康计划在南加州，美国。作为美国国立卫生研究院的两项研究的一部分，初步项目的开发得到了支持，这两项研究的重点是发展执行领导能力培训和制定执行措施。临床医生工作组/团队级别的数据被随机分配用于探索性因素分析（n = 229; k = 46个团队）或验证性因素分析（n = 230; k = 47个团队）。验证性因素分析控制的多层次，嵌套的数据结构。信度和效度分析，然后进行了全sample. Results：探索性因素分析，导致在12个项目的规模与四个分量表代表积极主动的领导，知识型领导，支持型领导，和毅力的领导。实证因素分析支持一个先验的高阶因素结构与分量表有助于一个单一的高阶执行领导因素。该量表表现出良好的内部一致性的信度以及收敛和判别validity.Conclusions：ILS是一个简短而有效的措施，单位层面的领导EBP的实施。ILS的可用性将使研究人员能够评估战略领导力的实施，以促进对领导力的理解，作为实施组织环境的预测。ILS还有望成为领导者和组织发展的工具，以改善EBP的实施。
Background: In healthcare and allied healthcare settings, leadership that supports effective implementation of evidenced-based practices (EBPs) is a critical concern. However, there are no empirically validated measures to assess implementation leadership. This paper describes the development, factor structure, and initial reliability and convergent and discriminant validity of a very brief measure of implementation leadership: the Implementation Leadership Scale (ILS).Methods: Participants were 459 mental health clinicians working in 93 different outpatient mental health programs in Southern California, USA. Initial item development was supported as part of a two United States National Institutes of Health (NIH) studies focused on developing implementation leadership training and implementation measure development. Clinician work group/team-level data were randomly assigned to be utilized for an exploratory factor analysis (n = 229; k = 46 teams) or for a confirmatory factor analysis (n = 230; k = 47 teams). The confirmatory factor analysis controlled for the multilevel, nested data structure. Reliability and validity analyses were then conducted with the full sample.Results: The exploratory factor analysis resulted in a 12-item scale with four subscales representing proactive leadership, knowledgeable leadership, supportive leadership, and perseverant leadership. Confirmatory factor analysis supported an a priori higher order factor structure with subscales contributing to a single higher order implementation leadership factor. The scale demonstrated excellent internal consistency reliability as well as convergent and discriminant validity.Conclusions: The ILS is a brief and efficient measure of unit level leadership for EBP implementation. The availability of the ILS will allow researchers to assess strategic leadership for implementation in order to advance understanding of leadership as a predictor of organizational context for implementation. The ILS also holds promise as a tool for leader and organizational development to improve EBP implementation.