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Assessing the organizational context for EBP implementation: the development and validity testing of the
Mark G Ehrhart1, Gregory A Aarons2,3, Lauren R Farahnak4,5,6
1Department of Psychology, San Diego State University, San Diego, CA, USA. mehrhart@mail.sdsu.edu.
This study developed the Implementation Climate Scale (ICS), an 18-item measure to assess organizational support for evidence-based practices (EBP). The ICS helps evaluate climate for EBP implementation in healthcare settings.
Area of Science:
- Health Services Research
- Organizational Psychology
- Implementation Science
Background:
- Recognizing the importance of organizational environment for evidence-based practices (EBP) implementation.
- Identifying a gap in measurement tools for EBP implementation climate, especially in public sector health.
- Highlighting the need for practical tools for researchers and managers to assess and improve EBP implementation.
Purpose of the Study:
- To develop and validate a practical measure of EBP implementation climate.
- To create a tool that captures key aspects of the organizational context crucial for EBP success.
- To provide a reliable instrument for assessing strategic climate for EBP implementation.
Main Methods:
- Developed items based on existing literature and expert consultation.
- Utilized exploratory and confirmatory factor analysis on data from 630 clinicians in 32 US mental health agencies.
- Assessed reliability, aggregation support, and construct validity of the developed measure.
Main Results:
- Identified a six-dimensional factor structure for the Implementation Climate Scale (ICS): focus on EBP, educational support, recognition, rewards, selection for EBP, and selection for openness.
- Confirmed the factor structure using confirmatory factor analysis.
- Demonstrated reliability, validity, and suitability for work group-level aggregation.
Conclusions:
- The ICS is a brief, pragmatic 18-item measure of strategic climate for EBP implementation.
- It assesses six dimensions indicating organizational prioritization and valuation of EBP implementation.
- The ICS can be used by researchers and organizations to understand and improve EBP implementation outcomes.
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