• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

实施氛围的意义和测量。

The meaning and measurement of implementation climate.

机构信息

Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, North Carolina, USA.

出版信息

Implement Sci. 2011 Jul 22;6:78. doi: 10.1186/1748-5908-6-78.

DOI:10.1186/1748-5908-6-78
PMID:21781328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3224582/
Abstract

BACKGROUND

Climate has a long history in organizational studies, but few theoretical models integrate the complex effects of climate during innovation implementation. In 1996, a theoretical model was proposed that organizations could develop a positive climate for implementation by making use of various policies and practices that promote organizational members' means, motives, and opportunities for innovation use. The model proposes that implementation climate--or the extent to which organizational members perceive that innovation use is expected, supported, and rewarded--is positively associated with implementation effectiveness. The implementation climate construct holds significant promise for advancing scientific knowledge about the organizational determinants of innovation implementation. However, the construct has not received sufficient scholarly attention, despite numerous citations in the scientific literature. In this article, we clarify the meaning of implementation climate, discuss several measurement issues, and propose guidelines for empirical study.

DISCUSSION

Implementation climate differs from constructs such as organizational climate, culture, or context in two important respects: first, it has a strategic focus (implementation), and second, it is innovation-specific. Measuring implementation climate is challenging because the construct operates at the organizational level, but requires the collection of multi-dimensional perceptual data from many expected innovation users within an organization. In order to avoid problems with construct validity, assessments of within-group agreement of implementation climate measures must be carefully considered. Implementation climate implies a high degree of within-group agreement in climate perceptions. However, researchers might find it useful to distinguish implementation climate level (the average of implementation climate perceptions) from implementation climate strength (the variability of implementation climate perceptions). It is important to recognize that the implementation climate construct applies most readily to innovations that require collective, coordinated behavior change by many organizational members both for successful implementation and for realization of anticipated benefits. For innovations that do not possess these attributes, individual-level theories of behavior change could be more useful in explaining implementation effectiveness.

SUMMARY

This construct has considerable value in implementation science, however, further debate and development is necessary to refine and distinguish the construct for empirical use.

摘要

背景

气候在组织研究中有着悠久的历史,但很少有理论模型能整合创新实施过程中气候的复杂影响。1996 年,提出了一个理论模型,即组织可以通过利用各种促进组织成员创新使用的手段、动机和机会的政策和实践,为实施创造积极的氛围。该模型提出,实施氛围——即组织成员感知到创新使用是被期望、支持和奖励的程度——与实施效果呈正相关。实施氛围这一概念为推进关于创新实施的组织决定因素的科学知识具有重要意义。然而,尽管在科学文献中被多次引用,该概念并未得到足够的学术关注。在本文中,我们澄清了实施氛围的含义,讨论了几个测量问题,并提出了实证研究的指导方针。

讨论

实施氛围在两个重要方面不同于组织氛围、文化或背景等概念:首先,它具有战略重点(实施),其次,它是特定于创新的。衡量实施氛围具有挑战性,因为该概念在组织层面运作,但需要从组织内的许多预期创新使用者那里收集多维感知数据。为了避免构念有效性的问题,必须仔细考虑实施氛围措施的组内一致性评估。实施氛围意味着在气候感知方面具有高度的组内一致性。然而,研究人员可能会发现区分实施氛围水平(实施氛围感知的平均值)和实施氛围强度(实施氛围感知的可变性)是有用的。重要的是要认识到,实施氛围概念最适用于需要许多组织成员集体、协调行为改变的创新,以便成功实施并实现预期的效益。对于不具备这些属性的创新,个体层面的行为改变理论可能更有助于解释实施效果。

总结

该概念在实施科学中具有很大的价值,然而,为了进一步完善和区分该概念以进行实证使用,还需要进行进一步的辩论和发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b8a/3224582/b51b40fdbe0b/1748-5908-6-78-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b8a/3224582/b51b40fdbe0b/1748-5908-6-78-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b8a/3224582/b51b40fdbe0b/1748-5908-6-78-1.jpg

相似文献

1
The meaning and measurement of implementation climate.实施氛围的意义和测量。
Implement Sci. 2011 Jul 22;6:78. doi: 10.1186/1748-5908-6-78.
2
Context matters: measuring implementation climate among individuals and groups.情境很重要:测量个体和群体的实施氛围。
Implement Sci. 2014 Apr 17;9:46. doi: 10.1186/1748-5908-9-46.
3
Determinants of implementation effectiveness: adapting a framework for complex innovations.实施效果的决定因素:适配复杂创新的框架
Med Care Res Rev. 2007 Jun;64(3):279-303. doi: 10.1177/1077558707299887.
4
Linking molar organizational climate and strategic implementation climate to clinicians' use of evidence-based psychotherapy techniques: cross-sectional and lagged analyses from a 2-year observational study.将母子组织氛围和战略实施氛围与临床医生使用循证心理治疗技术联系起来:来自 2 年观察性研究的横断面和滞后分析。
Implement Sci. 2018 Jun 25;13(1):85. doi: 10.1186/s13012-018-0781-2.
5
Meausures of organizational characteristics associated with adoption and/or implementation of innovations: A systematic review.与创新采用和/或实施相关的组织特征的衡量:一项系统综述。
BMC Health Serv Res. 2017 Aug 23;17(1):591. doi: 10.1186/s12913-017-2459-x.
6
Determining the predictors of innovation implementation in healthcare: a quantitative analysis of implementation effectiveness.确定医疗保健领域创新实施的预测因素:实施效果的定量分析。
BMC Health Serv Res. 2015 Jan 22;15:6. doi: 10.1186/s12913-014-0657-3.
7
Assessing the organizational context for EBP implementation: the development and validity testing of the Implementation Climate Scale (ICS).评估循证实践实施的组织背景:实施氛围量表(ICS)的开发与效度测试。
Implement Sci. 2014 Oct 23;9:157. doi: 10.1186/s13012-014-0157-1.
8
Randomized trial of the leadership and organizational change for implementation (LOCI) strategy in substance use treatment clinics.随机试验领导力和组织变革实施策略(LOCI)在物质使用治疗诊所中的应用。
J Subst Use Addict Treat. 2024 Oct;165:209437. doi: 10.1016/j.josat.2024.209437. Epub 2024 Jun 10.
9
Association between organizational climate and perceptions and use of an innovation in Swedish primary health care: a prospective study of an implementation.瑞典初级卫生保健中组织氛围与创新观念及应用之间的关联:一项实施的前瞻性研究
BMC Health Serv Res. 2015 Sep 10;15:364. doi: 10.1186/s12913-015-1038-2.
10
Measures of organizational culture, organizational climate, and implementation climate in behavioral health: A systematic review.行为健康领域中组织文化、组织氛围及实施氛围的衡量:一项系统综述。
Implement Res Pract. 2021 Jun 21;2:26334895211018862. doi: 10.1177/26334895211018862. eCollection 2021 Jan-Dec.

引用本文的文献

1
Testing a multi-faceted strategy to support the implementation of ACEs screenings in primary care: results of a stepped-wedge pilot trial.测试一项多方面策略以支持在初级保健中实施不良童年经历(ACEs)筛查:一项阶梯式楔形试点试验的结果
Implement Sci Commun. 2025 Sep 1;6(1):92. doi: 10.1186/s43058-025-00771-4.
2
Supporting Cardiovascular Risk Factor Management in Primary Care Clinics: The Relationship Between External Linkages and Organizational Change Preparedness.支持基层医疗诊所的心血管危险因素管理:外部联系与组织变革准备之间的关系
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251356551. doi: 10.1177/21501319251356551. Epub 2025 Aug 11.
3

本文引用的文献

1
Translating research into evidence-based practice: the National Cancer Institute Community Clinical Oncology Program.将研究转化为循证实践:美国国家癌症研究所社区临床肿瘤学计划。
Cancer. 2010 Oct 1;116(19):4440-9. doi: 10.1002/cncr.25248.
2
Thirty years of safety climate research: reflections and future directions.安全氛围研究三十年:反思与未来方向。
Accid Anal Prev. 2010 Sep;42(5):1517-22. doi: 10.1016/j.aap.2009.12.019. Epub 2010 Jan 15.
3
Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science.
Clinician profiles of suicide prevention attitudes and confidence and their association with reported suicide prevention practices.
自杀预防态度与信心的临床医生概况及其与所报告的自杀预防实践的关联。
Psychol Serv. 2025 Jul 28. doi: 10.1037/ser0000981.
4
Multilevel Intervention to Support Tailored and Responsive HIV Pre-Exposure Prophylaxis Care in Rural North Carolina: Protocol for a Randomized Controlled Trial.北卡罗来纳州农村地区支持定制化和响应式HIV暴露前预防护理的多层次干预:一项随机对照试验方案
JMIR Res Protoc. 2025 Mar 21;14:e68085. doi: 10.2196/68085.
5
Exploring Organizational Differences in Perceptions of Implementation Climate and Leadership in Schools: A Mixed Methods Study of Autism EBP Implementation.探索学校中实施氛围与领导力认知的组织差异:一项关于自闭症循证实践实施的混合方法研究
Focus Autism Other Dev Disabl. 2023 Mar;38(1):17-31. doi: 10.1177/10883576221140149. Epub 2022 Dec 13.
6
Implementing Internet-Delivered Cognitive Behavioral Therapy for Depression and Anxiety in Adults: Systematic Review.为成人抑郁症和焦虑症实施互联网认知行为疗法:系统评价
J Med Internet Res. 2025 Jan 28;27:e47927. doi: 10.2196/47927.
7
Perioperative immunonutrition intervention on postoperative outcomes among gynecological cancer patients under enhanced recovery after surgery setting: A study protocol of explanatory mixed method study.围手术期免疫营养干预对手术加速康复模式下妇科癌症患者术后结局的影响:一项解释性混合方法研究的研究方案
PLoS One. 2024 Dec 31;19(12):e0315568. doi: 10.1371/journal.pone.0315568. eCollection 2024.
8
Team Time as a wellbeing intervention for NHS staff: a qualitative evaluation of implementation during the COVID-19 pandemic.团队时间作为国民保健服务体系工作人员的健康干预措施:对新冠疫情期间实施情况的定性评估
BMC Health Serv Res. 2024 Dec 18;24(1):1622. doi: 10.1186/s12913-024-12046-0.
9
Improving Lynch syndrome detection: a mixed-methods process evaluation of a hybrid type III effectiveness-implementation trial.改善林奇综合征检测:一项混合型III期有效性-实施试验的混合方法过程评估
BMC Health Serv Res. 2024 Dec 5;24(1):1552. doi: 10.1186/s12913-024-11857-5.
10
Integrating the Consolidated Framework for Implementation Research (CFIR) and Tensions into a Novel Conceptual Model for Telehealth Advancement in Healthcare Organizations.将实施研究综合框架(CFIR)与各种矛盾因素整合到一个用于医疗机构远程医疗发展的新型概念模型中。
J Healthc Leadersh. 2024 Nov 29;16:501-510. doi: 10.2147/JHL.S497875. eCollection 2024.
促进卫生服务研究成果在实践中的应用:推进实施科学的综合框架。
Implement Sci. 2009 Aug 7;4:50. doi: 10.1186/1748-5908-4-50.
4
Evidence-based practice implementation and staff emotional exhaustion in children's services.循证实践实施与儿童服务机构员工情绪耗竭
Behav Res Ther. 2009 Nov;47(11):954-60. doi: 10.1016/j.brat.2009.07.006. Epub 2009 Aug 5.
5
Dissemination of effective mental health treatment procedures: Maximizing the return on a significant investment.有效心理健康治疗程序的传播:最大限度地提高重大投资的回报。
Behav Res Ther. 2009 Nov;47(11):990-3. doi: 10.1016/j.brat.2009.07.002. Epub 2009 Jul 25.
6
The adoption of wraparound services among substance abuse treatment organizations serving criminal offenders: The role of a women-specific program.在为犯罪者提供服务的物质滥用治疗机构中采用全面服务:一个针对女性的专门项目的作用。
Drug Alcohol Depend. 2009 Aug 1;103 Suppl 1(Suppl 1):S82-90. doi: 10.1016/j.drugalcdep.2008.12.008. Epub 2009 Jan 31.
7
Organizational-level correlates of the provision of detoxification services and medication-based treatments for substance abuse in correctional institutions.监管机构提供戒毒服务和药物治疗物质滥用的组织相关因素。
Drug Alcohol Depend. 2009 Aug 1;103 Suppl 1(Suppl 1):S73-81. doi: 10.1016/j.drugalcdep.2008.11.005. Epub 2008 Dec 23.
8
Quality and strength of patient safety climate on medical-surgical units.外科病房患者安全氛围的质量与强度
Health Care Manage Rev. 2009 Jan-Mar;34(1):19-28. doi: 10.1097/01.HMR.0000342976.07179.3a.
9
Feasibility of promoting smoking cessation among methadone users using multimedia computer-assisted education.使用多媒体计算机辅助教育促进美沙酮使用者戒烟的可行性
J Med Internet Res. 2008 Nov 3;10(5):e33. doi: 10.2196/jmir.1089.
10
An evaluation of the psychometric properties of the Smoking Self-Efficacy Questionnaire (SEQ-12) among Chinese cardiac patients who smoke.对吸烟的中国心脏病患者中吸烟自我效能量表(SEQ-12)心理测量特性的评估。
Nicotine Tob Res. 2008 Aug;10(8):1311-8. doi: 10.1080/14622200802238928.