Gifford Wendy, Graham Ian D, Ehrhart Mark G, Davies Barbara L, Aarons Gregory A
School of Nursing, Faculty of Health Sciences, University of Ottawa, ON, Canada.
Centre for Practice-Changing Research, Ottawa Hospital Research Institute.
J Healthc Leadersh. 2017 Mar 29;9:15-23. doi: 10.2147/JHL.S125558. eCollection 2017.
Leadership in health care is instrumental to creating a supportive organizational environment and positive staff attitudes for implementing evidence-based practices to improve patient care and outcomes. The purpose of this study is to demonstrate the alignment of the Ottawa Model of Implementation Leadership (O-MILe), a theoretical model for developing implementation leadership, with the Implementation Leadership Scale (ILS), an empirically validated tool for measuring implementation leadership. A secondary objective is to describe the methodological process for aligning concepts of a theoretical model with an independently established measurement tool for evaluating theory-based interventions.
Modified template analysis was conducted to deductively map items of the ILS onto concepts of the O-MILe. An iterative process was used in which the model and scale developers (n=5) appraised the relevance, conceptual clarity, and fit of each ILS items with the O-MILe concepts through individual feedback and group discussions until consensus was reached.
All 12 items of the ILS correspond to at least one O-MILe concept, demonstrating compatibility of the ILS as a measurement tool for the O-MILe theoretical constructs.
The O-MILe provides a theoretical basis for developing implementation leadership, and the ILS is a compatible tool for measuring leadership based on the O-MILe. Used together, the O-MILe and ILS provide an evidence- and theory-based approach for developing and measuring leadership for implementing evidence-based practices in health care. Template analysis offers a convenient approach for determining the compatibility of independently developed evaluation tools to test theoretical models.
医疗保健领域的领导力有助于营造支持性的组织环境，并使员工形成积极态度，以实施循证实践来改善患者护理及治疗效果。本研究旨在证明渥太华实施领导力模型（O-MILe）（一种用于培养实施领导力的理论模型）与实施领导力量表（ILS）（一种经过实证验证的用于衡量实施领导力的工具）之间的一致性。第二个目标是描述将理论模型的概念与独立建立的用于评估基于理论的干预措施的测量工具进行匹配的方法过程。
进行了修改后的模板分析，以将ILS的项目演绎映射到O-MILe的概念上。采用了迭代过程，模型和量表开发者（n = 5）通过个人反馈和小组讨论，评估每个ILS项目与O-MILe概念的相关性、概念清晰度和契合度，直至达成共识。
ILS的所有12个项目都至少对应一个O-MILe概念，表明ILS作为O-MILe理论结构的测量工具具有兼容性。
O-MILe为培养实施领导力提供了理论基础，而ILS是基于O-MILe测量领导力的兼容工具。O-MILe和ILS一起使用，为培养和测量医疗保健中实施循证实践的领导力提供了一种基于证据和理论的方法。模板分析为确定独立开发的评估工具与测试理论模型的兼容性提供了一种便捷方法。
