Assessing the Organizational Social Context (OSC) of mental health services: Implications for research and practice
Assessing the Organizational Social Context (OSC) of mental health services: Implications for research and practice
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DOI：
10.1007/s10488-007-0148-5
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发表时间：
2008-03-01
影响因子：
2.6
通讯作者：
Green, Philip
中科院分区：
文献类型：
--
作者：
Glisson, Charles;Landsverk, John;Green, Philip
提供心理健康服务的组织社会背景被认为影响循证做法的采纳和实施以及服务的质量和结果。充分发展的执行效力科学需要概念模型，其中包括组织的社会背景和评估社会背景的工具，这些工具已经在心理健康系统的广泛领域中进行了测试。本文描述了组织社会情境在服务和实施研究中的作用，并评估了一种被称为组织社会情境(OSC)的综合情境测量，该测量旨在评估文化、气候和工作态度的关键潜在结构。在一项对100家精神卫生诊所的1154名临床医生进行的全国性研究中，对OSC测量的心理测量学特性进行了评估，对临床医生的反应、量表可靠性的估计、临床医生之间的临床内一致性和临床间差异的指数进行了二阶验证性因素分析。最后，本文说明了如何使用全国性的常模来描述个体精神卫生诊所的OSC概况，并考察了组织层面的文化和氛围与临床医生层面的工作态度之间的跨层关联。
The organizational social context in which mental health services are provided is believed to affect the adoption and implementation of evidence-based practices (EBPs) as well as the quality and outcomes of the services. A fully developed science of implementation effectiveness requires conceptual models that include organizational social context and tools for assessing social context that have been tested in a broad cross-section of mental health systems. This paper describes the role of organizational social context in services and implementation research and evaluates a comprehensive contextual measure, labeled Organizational Social Context (OSC), designed to assess the key latent constructs of culture, climate and work attitudes. The psychometric properties of the OSC measure were assessed in a nationwide study of 1,154 clinicians in 100 mental health clinics with a second-order confirmatory factor analysis of clinician responses, estimates of scale reliabilities, and indices of within-clinic agreement and between-clinic differences among clinicians. Finally, the paper illustrates the use of nationwide norms in describing the OSC profiles of individual mental health clinics and examines the cross-level association of organizational-level culture and climate with clinician-level work attitudes.