The Importance Of Leadership And Implementing The.
Metrics details. Leadership is important in the implementation of innovation in business, health, and allied health care settings. Yet there is a need for empirically validated organizational interventions for coordinated leadership and organizational development strategies to facilitate effective evidence-based practice EBP implementation.
This paper describes the initial feasibility, acceptability, and perceived utility of the Leadership and Organizational Change for Implementation LOCI intervention.
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A transdisciplinary team of investigators and community stakeholders worked together to develop and test a leadership and organizational strategy to promote effective leadership for implementing EBPs. Supervisors were randomly assigned to the 6-month LOCI intervention or to a two-session Importancs webinar control condition provided by a well-known leadership training organization.
We utilized mixed methods with quantitative surveys and qualitative data collected via surveys and a focus group with LOCI trainees.
Quantitative and qualitative analyses support the LOCI training and organizational strategy intervention in regard to feasibility, acceptability, and perceived utility, as well as impact on leader and supervisee-rated outcomes. The LOCI leadership and organizational change for implementation intervention is a feasible and acceptable strategy that has utility to improve staff-rated leadership for EBP implementation.
INTRODUCTION
Further studies are needed to conduct rigorous tests of the proximal and distal impacts of LOCI on leader behaviors, implementation leadership, organizational context, and implementation outcomes. The results of this study suggest that LOCI may be a viable strategy to support organizations in preparing for the implementation and sustainment of EBP. Peer Review reports. The implementation of evidence-based practices EBPs [ 12 The Importance Of Leadership And Implementing The is important for health and allied health organizations and providers [ 3 ]. First-level leaders are in a position to facilitate EBP implementation [ 9 ] and may often be promoted based on clinical expertise with little support or training in effective leadership of workplace change efforts such as EBP implementation.
Further, organizational structures and processes can be developed to support first-level leaders in EBP implementation initiatives. In this study, we describe the results of a pilot study of the Leadership and Organizational Change for Implementation LOCI intervention, designed to improve leadership and organizational supports to facilitate the implementation and sustainment of EBPs. First-level leadership is important in health and allied health services. For example, Corrigan and colleagues [ 10 ] found a positive association between allied health program leadership and client satisfaction and quality of life. Stronger transformational leadership has been associated with positive work attitudes in both for-profit and non-profit organizations [ 11 - 14 ]. More positive leadership in human service organizations is associated with higher staff organizational commitment [ 15 ].
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Positive unit level leadership is associated with positive organizational climate, which, in turn, is associated with more positive clinician ratings of provider-client alliance [ 16 ]. Effective leadership also supports implementation of task-shifting in surgical units [ 17 ]. Finally, more positive first-level leadership is associated with more positive provider attitudes toward adopting EBPs [ 18 ]. Empirical evidence supports the importance of the role of leaders in the implementation Implemenitng [ 19 - 22 ]. Studies of surgical teams have demonstrated that effective leadership can set the stage for positive team functioning and psychological safety and inclusion that facilitates effective implementation and sustainment of innovative health care procedures [ 23 - 25 ].
Effective leadership supports implementation of person-centered care in nursing homes [ 26 ] Impirtance hand hygiene in hospital settings The Importance Of Leadership And Implementing The 27 ]. Transformational leadership is important for developing a climate for innovation and positive attitudes toward EBP during large-scale implementation [ 28 ].]
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