Aligning Leadership Across Systems and Organizations to Develop a Strategic Climate for Evidence-Based Practice Implementation
Top Cited Papers
- 18 March 2014
- journal article
- Published by Annual Reviews in Annual Review of Public Health
- Vol. 35 (1), 255-274
- https://doi.org/10.1146/annurev-publhealth-032013-182447
Abstract
There has been a growing impetus to bridge the gap between basic science discovery, development of evidence-based practices (EBPs), and the availability and delivery of EBPs in order to improve the public health impact of such practices. To capitalize on factors that support implementation and sustainment of EBPs, it is important to consider that health care is delivered within the outer context of public health systems and the inner context of health care organizations and work groups. Leaders play a key role in determining the nature of system and organizational contexts. This article addresses the role of leadership and actions that leaders can take at and across levels in developing a strategic climate for EBP implementation within the outer (i.e., system) and inner (i.e., organization, work group) contexts of health care. Within the framework of Edgar Schein's “climate embedding mechanisms,” we describe strategies that leaders at the system, organization, and work group levels can consider and apply to develop strategic climates that support the implementation and sustainment of EBP in health care and allied health care settings.Keywords
This publication has 94 references indexed in Scilit:
- Framework of policy recommendations for implementation of evidence-based practice: a systematic scoping reviewBMJ Open, 2013
- Role of Built Environments in Physical Activity, Obesity, and Cardiovascular DiseaseCirculation, 2012
- Systems Antecedents for Dissemination and ImplementationHealth Education & Behavior, 2011
- Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service SectorsAdministration and Policy in Mental Health and Mental Health Services Research, 2010
- Outcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research AgendaAdministration and Policy in Mental Health and Mental Health Services Research, 2010
- Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation scienceImplementation Science, 2009
- Statewide adoption and initial implementation of contingency management for substance-abusing adolescents.Journal of Consulting and Clinical Psychology, 2008
- Implementation of Evidence-Based Practices for Treatment of Alcohol and Drug Disorders: The Role of the State AuthorityThe Journal of Behavioral Health Services & Research, 2008
- Diffusion of Innovations in Service Organizations: Systematic Review and RecommendationsThe Milbank Quarterly, 2004
- Improving the Quality of Health Care in the United Kingdom and the United States: A Framework for ChangeThe Milbank Quarterly, 2001