The importance of organizational climate and implementation strategy at the introduction of a new working tool in primary health care
2010 (English)In: Journal of Evaluation in Clinical Practice, ISSN 1356-1294, Vol. 16, no 6, 1326-1332 p.Article in journal (Refereed) Published
Rationale, aims and objectives The transmission of research findings into routine care is a slow and unpredictable process. Important factors predicting receptivity for innovations within organizations have been identified, but there is a need for further research in this area. The aim of this study was to describe contextual factors and evaluate if organizational climate and implementation strategy influenced outcome, when a computer-based concept for lifestyle intervention was introduced in primary health care (PHC). Method The study was conducted using a prospective intervention design. The computer-based concept was implemented at six PHC units. Contextual factors in terms of size, leadership, organizational climate and political environment at the units included in the study were assessed before implementation. Organizational climate was measured using the Creative Climate Questionnaire (CCQ). Two different implementation strategies were used: one explicit strategy, based on Rogers theories about the innovation-decision process, and one implicit strategy. After 6 months, implementation outcome in terms of the proportion of patients who had been referred to the test, was measured. Results The CCQ questionnaire response rates among staff ranged from 67% to 91% at the six units. Organizational climate differed substantially between the units. Managers scored higher on CCQ than staff at the same unit. A combination of high CCQ scores and explicit implementation strategy was associated with a positive implementation outcome. Conclusions Organizational climate varies substantially between different PHC units. High CCQ scores in combination with an explicit implementation strategy predict a positive implementation outcome when a new working tool is introduced in PHC.
Place, publisher, year, edition, pages
Blackwell Publishing Ltd , 2010. Vol. 16, no 6, 1326-1332 p.
implementation, life style, organizational climate, primary health care
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-65943DOI: 10.1111/j.1365-2753.2009.01336.xISI: 000285763900048OAI: oai:DiVA.org:liu-65943DiVA: diva2:400782
This is the authors’ version of the following article: Siw Carlfjord, A Andersson and Per Nilsen, The importance of organizational climate and implementation strategy at the introduction of a new working tool in primary health care, 2010, JOURNAL OF EVALUATION IN CLINICAL PRACTICE, (16), 6, 1326-1332. which has been published in final form at: http://dx.doi.org/10.1111/j.1365-2753.2009.01336.x Copyright: Blackwell Publishing Ltd http://eu.wiley.com/WileyCDA/Brand/id-35.html2011-02-282011-02-282013-09-30