Aarons Gregory A, Ehrhart Mark G, Farahnak Lauren R, Hurlburt Michael S
Department of Psychiatry, University of California, La Jolla, San Diego, CA, USA.
Child and Adolescent Services Research Center, San Diego, CA, USA.
Implement Sci. 2015 Jan 16;10:11. doi: 10.1186/s13012-014-0192-y.
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. 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.
Participants were 12 mental health service team leaders and their staff (n = 100) from three different agencies that provide mental health services to children and families in California, USA. Supervisors were randomly assigned to the 6-month LOCI intervention or to a two-session leadership 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. 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.
领导力在商业、健康及相关医疗保健环境中的创新实施过程中至关重要。然而，需要经过实证验证的组织干预措施，以制定协调一致的领导力和组织发展战略，促进有效的循证实践（EBP）实施。本文描述了实施领导力与组织变革（LOCI）干预措施的初步可行性、可接受性及感知效用。一个由研究人员和社区利益相关者组成的跨学科团队共同努力，开发并测试了一种领导力和组织战略，以促进实施循证实践的有效领导力。
参与者为来自美国加利福尼亚州为儿童和家庭提供心理健康服务的三个不同机构的12名心理健康服务团队领导及其工作人员（n = 100）。主管被随机分配到为期6个月的LOCI干预组，或由一家知名领导力培训组织提供的两期领导力网络研讨会对照组。我们采用混合方法，通过定量调查以及通过对LOCI学员进行调查和焦点小组收集定性数据。
定量和定性分析支持LOCI培训及组织战略干预在可行性、可接受性、感知效用方面的效果，以及对领导和下属评价结果的影响。
实施LOCI领导力与组织变革干预是一种可行且可接受的战略，有助于提高员工对实施循证实践的领导力评价。需要进一步研究对LOCI对领导行为、实施领导力、组织环境和实施结果的近端和远端影响进行严格测试。本研究结果表明，LOCI可能是一种可行的战略，可支持组织为循证实践的实施和维持做好准备。
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