Development and Validation of Implementation Climate Measures

描述（由申请人提供）：本研究将制定可能影响循证实践实施的组织氛围、领导力和提供者行为的措施。尽管在制定干预措施方面进行了大量投资，但在制定有效干预措施与有效执行之间仍存在很大差距。组织环境可能是有效执行的一个关键障碍，因此是制定和改进执行战略的一个重要目标。然而，很少有可靠和有效的措施来评估组织环境支持或限制有效执行的程度。虽然一般的组织文化和气候的全球措施是可用的，拟议的研究重点是战略气候。战略氛围是指一个组织的政策、实践、程序和奖励制度在多大程度上加强了对特定目标的优先级排序。当应用于EBP实施时，有效的“实施氛围”可以捕捉到员工认为组织重视、奖励和支持实施EBP等创新的程度。当员工看到组织重视EBP及其实施时，更有可能产生有效的实施结果。组织文献还表明了两个密切相关的结构，实施领导和实施公民行为的重要性。心理健康和社会服务管理人员在其团队的成功中发挥着关键作用，包括激励和支持工作人员以及支持组织变革。就像气候可以专注于特定的战略目标一样，领导力也可以支持特定的战略需求。当领导者传达EBP实施的优先级时，他们的“实施领导力”是形成实施氛围的直接前提。另一个结构，“实施公民行为”，代表员工努力超越所需的遵守，以支持EBP的实施。拟议的研究将制定一套措施，可用于评估实施气候，实施领导和实施公民行为。所提出的措施将通过提供可靠和有效的措施来评估实施环境，实施领导和实施公民行为，从而推进实施科学，这些措施可能会影响有效的EBP实施和维持。这些措施还通过对组织背景进行预先评估和促进制定加速有效执行的战略来支持执行工作。本研究将评估的因素结构，可靠性，并构建广告标准相关的有效性的措施，然后通过验证跨三个公共部门的服务设置：心理健康，儿童福利和酒精/药物服务的因素结构评估的概括性。

DESCRIPTION (provided by applicant): This study will develop measures of organizational climate, leadership, and provider behaviors likely to impact the implementation of evidence-based practices. Despite significant investments in intervention development, there is a large gap between the development of effective interventions and effective implementation. Organizational context can be a critical barrier for effective implementation, and thus is an important target for developing and improving implementation strategies. However, there are few reliable and valid measures to assess the degree to which organizational context either supports or limits effective implementation. Although global measures of general organizational culture and climate are available, the focus of the proposed research is on strategic climate. Strategic climate involves the extent to which the policies, practices, procedures, and reward systems in an organization reinforce the prioritization of a specific goal. When applied to EBP implementation, an effective "implementation climate" captures the extent to which employees perceive that the implementation of an innovation, such as EBP, is valued, rewarded, and supported by the organization. When employees see that an organization values EBPs and their implementation, effective implementation outcomes are more likely to result. The organizational literature also suggests the importance of two closely related constructs, implementation leadership and implementation citizenship behavior. Mental health and social service managers play a critical role in the success of their teams, including motivating and supporting staff and supporting organizational change. In the same way that climates can be focused on specific strategic goals, leadership can also support specific strategic imperatives. When leaders communicate the priority of EBP implementation, their "implementation leadership" is a direct antecedent to the formation of an implementation climate. Another construct, "implementation citizenship behavior," represents employee efforts to go beyond required compliance to support EBP implementation. The proposed study will develop a suite of measures that can be used to assess implementation climate, implementation leadership, and implementation citizenship behavior. The proposed measures would advance implementation science by providing reliable and valid measures to assess implementation climate, implementation leadership, and implementation citizenship behavior, constructs likely to impact effective EBP implementation and sustainment. The measures also support implementation practice by providing a pre-assessment of organizational context and enabling the development of strategies to accelerate effective implementation. This study will assess the factor structure, reliability, and construct ad criterion-related validity of the measures, and then assess generalizability by validating the factor structure across three public sector service settings: mental health, child welfare, and alcohol/drug services.