Abstract

BackgroundThe implementation of evidence-based practices (EBPs) is of crucial importance in health care institutions and requires effective management from leaders. However, there is a lack of assessment tools sufficient to evaluate the degree to which the employees´ rate how well their leaders are at implementing EBPs. This emphasises the need for validated and widely used scales relevant for EBPs.MethodsThe current study evaluated the psychometric properties of the Multifactor Leadership Questionnaire (MLQ) and Implementation Leadership Scale (ILS) in a Norwegian mental health care setting.ResultsResults from confirmatory factor analyses indicate that the MLQ and ILS are valid instruments for measuring general and implementation leadership. The scales demonstrate good convergent validity. In addition, attitudes towards EBPs did not seem to be associated with the ILS and MLQ, further supporting the applicability of the instruments.ConclusionsThe two scales demonstrate good psychometric properties in a Norwegian mental health care setting, which suggests that the MLQ and ILS are valid and reliable tools for measuring leadership in an implementation setting. More research is greatly needed to disentangle the link between perceived leadership and objective measures of successful implementation of EBPs.Trial registration NSD 690,133, NSD 60,059/3/OOS.

Highlights

  • The implementation of evidence-based practices (EBPs) is of crucial importance in health care insti‐ tutions and requires effective management from leaders

  • Effective leadership has been identified as an important factor associated with the successful implementation of evidence-based practices (EBPs) in mental health services [1,2,3]

  • In the quest to discern the leader’s role in the implementation of EBPs, there was initially a focus on identifying general leadership behaviours associated with different implementation outcomes [11, 12], using leadership concepts such as the Full-Range Leadership (FRL; [13]) theory

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Summary

Introduction

The implementation of evidence-based practices (EBPs) is of crucial importance in health care insti‐ tutions and requires effective management from leaders. There is a lack of assessment tools sufficient to evaluate the degree to which the employeesrate how well their leaders are at implementing EBPs. there is a lack of assessment tools sufficient to evaluate the degree to which the employeesrate how well their leaders are at implementing EBPs This emphasises the need for validated and widely used scales relevant for EBPs. Effective leadership has been identified as an important factor associated with the successful implementation of evidence-based practices (EBPs) in mental health services [1,2,3]. In the quest to discern the leader’s role in the implementation of EBPs, there was initially a focus on identifying general leadership behaviours associated with different implementation outcomes [11, 12], using leadership concepts such as the Full-Range Leadership (FRL; [13]) theory. Several studies have shown a positive relation between transformational leadership and different implementation outcomes, such as employees’ attitudes towards EBPs [16], motivation [17], turnover intention [18], burnout [19], and overall improved performance at all levels of the workplace [20,21,22]

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