Abstract
BackgroundThe goal of this study is to extend research on evidence-based practice (EBP) implementation by examining the impact of organizational type (public versus private) and organizational support for EBP on provider attitudes toward EBP and EBP use. Both organization theory and theory of innovation uptake and individual adoption of EBP guide the approach and analyses in this study. We anticipated that private sector organizations would provide greater levels of organizational support for EBPs leading to more positive provider attitudes towards EBPs and EBP use. We also expected attitudes toward EBPs to mediate the association of organizational support and EBP use.MethodsParticipants were mental health service providers from 17 communities in 16 states in the United States (n = 170). Path analyses were conducted to compare three theoretical models of the impact of organization type on organizational support for EBP and of organizational support on provider attitudes toward EBP and EBP use.ResultsConsistent with our predictions, private agencies provided greater support for EBP implementation, and staff working for private agencies reported more positive attitudes toward adopting EBPs. Organizational support for EBP partially mediated the association of organization type on provider attitudes toward EBP. Organizational support was significantly positively associated with attitudes toward EBP and EBP use in practice.ConclusionThis study offers further support for the importance of organizational context as an influence on organizational support for EBP and provider attitudes toward adopting EBP. The study demonstrates the role organizational support in provider use of EBP in practice. This study also suggests that organizational support for innovation is a malleable factor in supporting use of EBP. Greater attention should be paid to organizational influences that can facilitate the dissemination and implementation of EBPs in community settings.
Highlights
The goal of this study is to extend research on evidence-based practice (EBP) implementation by examining the impact of organizational type and organizational support for evidence-based practices (EBPs) on provider attitudes toward EBP and EBP use
Consistent with expectations, the mean score for organizational support of EBPs and attitudes toward EBPs was lower in public sector organizations than in private sector organizations
Public and private sector organizations differed by gender composition and age
Summary
The goal of this study is to extend research on evidence-based practice (EBP) implementation by examining the impact of organizational type (public versus private) and organizational support for EBP on provider attitudes toward EBP and EBP use. Both organization theory and theory of innovation uptake and individual adoption of EBP guide the approach and analyses in this study. The recent proliferation of promising and empirically tested interventions and protocols has not been matched by widespread and effective implementation of such practices in community settings Concern about this 'knowledge-practice' gap has focused attention on identifying and testing mechanisms that facilitate or inhibit EBP dissemination and implementation [3,4,5]. We examined the relationships among organization type (public versus private for profit), organizational support for EBPs, clinician attitudes towards adopting EBP, and EBP use
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