PDF(Pubmed)
Abstract：
UNASSIGNED: Although studies have demonstrated that implementation leadership and climate are important constructs in predicting evidence-based practice (EBP) implementation, concrete descriptions of how they operate during organizational implementation efforts are lacking. This case study fills that gap through an in-depth description of an organization with effective implementation leadership that successfully built a strong implementation climate. This case study provides an illustration of implementation leadership and climate in tangible, replicable terms to assist managers, practitioners, and researchers in addressing the organizational context in their own implementation projects.
UNASSIGNED: A single organization, intrinsic case study was employed to paint a multifaceted picture of how one organization leveraged implementation leadership to strengthen a climate for the successful implementation of digital measurement-based care. The case was drawn from a cluster-randomized trial designed to test the effects of a leadership-focused implementation strategy on youth-level fidelity and clinical outcomes of digital measurement-based care. Following the completion of the trial, case study activities commenced. Descriptive summaries of multiple data sources (including quantitative data on implementation leadership and climate, coaching call and organizational alignment meeting recordings and notes, and development plans) were produced and revised iteratively until consensus was reached. Leadership actions were analyzed for corresponding dimensions of implementation leadership and climate.
UNASSIGNED: Specific actions organizational leaders took, as well as the timing specific strategies were enacted, to create a climate for implementation are presented, along with lessons learned from this experience.
UNASSIGNED: This case study offers concrete steps organizational leaders took to create a consistent and aligned message that the implementation of a specific EBP was a top priority in the agency. The general approach taken to create an implementation climate provides several lessons for leaders, especially for EBPs that have broad implications across an organization.
Using treatments with known positive impact in community-based mental health programs is challenging. Many studies suggest leaders of these programs can help. Similarly, certain features of community-based programs can also be helpful. This case study of an outpatient mental health clinic provides rich descriptions of actions leaders took that shaped the environment in their program and helped improve the use of a treatment with known positive impact. This case study can serve as a practical guide for leaders to reference when aiming to improve the use of treatments with known impact in their own programs.
UNASSIGNED: A single organization, intrinsic case study was employed to paint a multifaceted picture of how one organization leveraged implementation leadership to strengthen a climate for the successful implementation of digital measurement-based care. The case was drawn from a cluster-randomized trial designed to test the effects of a leadership-focused implementation strategy on youth-level fidelity and clinical outcomes of digital measurement-based care. Following the completion of the trial, case study activities commenced. Descriptive summaries of multiple data sources (including quantitative data on implementation leadership and climate, coaching call and organizational alignment meeting recordings and notes, and development plans) were produced and revised iteratively until consensus was reached. Leadership actions were analyzed for corresponding dimensions of implementation leadership and climate.
UNASSIGNED: Specific actions organizational leaders took, as well as the timing specific strategies were enacted, to create a climate for implementation are presented, along with lessons learned from this experience.
UNASSIGNED: This case study offers concrete steps organizational leaders took to create a consistent and aligned message that the implementation of a specific EBP was a top priority in the agency. The general approach taken to create an implementation climate provides several lessons for leaders, especially for EBPs that have broad implications across an organization.
Using treatments with known positive impact in community-based mental health programs is challenging. Many studies suggest leaders of these programs can help. Similarly, certain features of community-based programs can also be helpful. This case study of an outpatient mental health clinic provides rich descriptions of actions leaders took that shaped the environment in their program and helped improve the use of a treatment with known positive impact. This case study can serve as a practical guide for leaders to reference when aiming to improve the use of treatments with known impact in their own programs.
摘要：
■尽管研究表明，实施领导力和气候是预测循证实践（EBP）实施的重要结构，缺乏对它们在组织实施工作期间如何运作的具体描述。本案例研究通过对具有有效实施领导力的组织的深入描述来填补这一空白，该组织成功地建立了强大的实施氛围。这个案例研究提供了一个具体的实施领导和气候的例证，可复制的条款来帮助经理，从业者,和研究人员在他们自己的实施项目中解决组织背景问题。
■一个组织，内部案例研究用于描绘一个组织如何利用实施领导来加强成功实施基于数字测量的护理的氛围的多层面图景。该案例来自一项集群随机试验，旨在测试以领导力为中心的实施策略对青少年水平的保真度和基于数字测量的护理的临床结果的影响。审判结束后,案例研究活动开始。多个数据源的描述性摘要(包括关于实施领导力和气候的定量数据，辅导电话和组织调整会议录音和笔记，和发展计划)反复产生和修订，直到达成共识。针对实施领导和气候的相应维度分析了领导行动。
■组织领导人采取的具体行动，以及制定了具体的时间策略，创造一个实施的氛围，以及从这次经历中吸取的教训。
本案例研究提供了组织领导者采取的具体步骤，以创建一个一致和一致的信息，即特定EBP的实施是该机构的首要任务。为创造实施氛围而采取的一般方法为领导人提供了一些教训，特别是对于在整个组织中具有广泛影响的EBP。
在基于社区的心理健康计划中使用具有已知积极影响的治疗方法具有挑战性。许多研究表明，这些项目的领导者可以提供帮助。同样，基于社区的程序的某些功能也可以有所帮助。这个门诊精神卫生诊所的案例研究提供了领导者采取的行动的丰富描述，这些行动在他们的计划中塑造了环境，并帮助改善了具有已知积极影响的治疗方法的使用。这个案例研究可以作为领导者参考的实用指南，旨在改善在自己的计划中具有已知影响的治疗方法的使用。
■一个组织，内部案例研究用于描绘一个组织如何利用实施领导来加强成功实施基于数字测量的护理的氛围的多层面图景。该案例来自一项集群随机试验，旨在测试以领导力为中心的实施策略对青少年水平的保真度和基于数字测量的护理的临床结果的影响。审判结束后,案例研究活动开始。多个数据源的描述性摘要(包括关于实施领导力和气候的定量数据，辅导电话和组织调整会议录音和笔记，和发展计划)反复产生和修订，直到达成共识。针对实施领导和气候的相应维度分析了领导行动。
■组织领导人采取的具体行动，以及制定了具体的时间策略，创造一个实施的氛围，以及从这次经历中吸取的教训。
本案例研究提供了组织领导者采取的具体步骤，以创建一个一致和一致的信息，即特定EBP的实施是该机构的首要任务。为创造实施氛围而采取的一般方法为领导人提供了一些教训，特别是对于在整个组织中具有广泛影响的EBP。
在基于社区的心理健康计划中使用具有已知积极影响的治疗方法具有挑战性。许多研究表明，这些项目的领导者可以提供帮助。同样，基于社区的程序的某些功能也可以有所帮助。这个门诊精神卫生诊所的案例研究提供了领导者采取的行动的丰富描述，这些行动在他们的计划中塑造了环境，并帮助改善了具有已知积极影响的治疗方法的使用。这个案例研究可以作为领导者参考的实用指南，旨在改善在自己的计划中具有已知影响的治疗方法的使用。
