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Leadership and implementation of evidence-based practices

Holmberg, Robert LU ; Fridell, Mats LU ; Arnesson, Patrick and Bäckvall, Mia (2008) In Leadership in Health Services 21(3). p.168-184
Abstract
Purpose – This paper seeks to investigate the role of leadership styles in the implementation of evidence-based treatment methods (EBP) for drug abuse and criminal behaviour.

Design/methodology/approach – The paper employs a triangulation approach through mail questionnaires to 112 treatment personnel (49 per cent response rate), interviews with 65 employees and managers, observations and feedback workshops.

Findings – Responses from treatment personnel involved in the implementation of EBP indicated that their views on their immediate superior's leadership behaviour was significantly related to the perceptions of organisational innovative climate, job satisfaction and work output. Problems with workload, lack of... (More)
Purpose – This paper seeks to investigate the role of leadership styles in the implementation of evidence-based treatment methods (EBP) for drug abuse and criminal behaviour.

Design/methodology/approach – The paper employs a triangulation approach through mail questionnaires to 112 treatment personnel (49 per cent response rate), interviews with 65 employees and managers, observations and feedback workshops.

Findings – Responses from treatment personnel involved in the implementation of EBP indicated that their views on their immediate superior's leadership behaviour was significantly related to the perceptions of organisational innovative climate, job satisfaction and work output. Problems with workload, lack of collegial and managerial support and a low priority given to the programmes and treatment integrity were the most common barriers to implementation of the programmes. Effective managers were providing space, time and opportunity for the staff to perform their treatment-related tasks and to be creative during the implementation process. This functional space had to be continually protected, both vertically from demands from higher levels of the organisation and horizontally from non-helpful colleagues.

Research limitations/implications – The correlational design used in this study does not permit conclusions about causality.

Practical implications – Implementation of evidence-based treatment programmes in clinical settings should pay attention to the impact of leadership styles on the experiences of treatment staff (climate, job-satisfaction, burnout) and programme outcome. These variables should also be considered in the evaluation of treatment effects. The process of implementation can be seen as a route for learning and innovation, and managers should pay attention to the facilitation of these processes.

Originality/value – The role of leadership in implementation concerns not only production and structure but also learning, creativity and persistency during the process. The triangulation approach in this study also sheds light on the limitations of questionnaires in capturing the dynamics of leadership in human service organisations. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Stress, Leadership, Job satisfaction, Evidence-based practice, Behaviour
in
Leadership in Health Services
volume
21
issue
3
pages
168 - 184
publisher
Emerald Group Publishing Limited
external identifiers
  • scopus:84993026819
ISSN
1751-1879
DOI
10.1108/17511870810893001
language
English
LU publication?
yes
id
bd5cc6a1-bb93-44cc-83b5-b46ce9f96853 (old id 1277527)
date added to LUP
2009-01-16 14:37:28
date last changed
2017-09-24 03:28:39
@article{bd5cc6a1-bb93-44cc-83b5-b46ce9f96853,
  abstract     = {Purpose – This paper seeks to investigate the role of leadership styles in the implementation of evidence-based treatment methods (EBP) for drug abuse and criminal behaviour. <br/><br>
Design/methodology/approach – The paper employs a triangulation approach through mail questionnaires to 112 treatment personnel (49 per cent response rate), interviews with 65 employees and managers, observations and feedback workshops. <br/><br>
Findings – Responses from treatment personnel involved in the implementation of EBP indicated that their views on their immediate superior's leadership behaviour was significantly related to the perceptions of organisational innovative climate, job satisfaction and work output. Problems with workload, lack of collegial and managerial support and a low priority given to the programmes and treatment integrity were the most common barriers to implementation of the programmes. Effective managers were providing space, time and opportunity for the staff to perform their treatment-related tasks and to be creative during the implementation process. This functional space had to be continually protected, both vertically from demands from higher levels of the organisation and horizontally from non-helpful colleagues. <br/><br>
Research limitations/implications – The correlational design used in this study does not permit conclusions about causality. <br/><br>
Practical implications – Implementation of evidence-based treatment programmes in clinical settings should pay attention to the impact of leadership styles on the experiences of treatment staff (climate, job-satisfaction, burnout) and programme outcome. These variables should also be considered in the evaluation of treatment effects. The process of implementation can be seen as a route for learning and innovation, and managers should pay attention to the facilitation of these processes. <br/><br>
Originality/value – The role of leadership in implementation concerns not only production and structure but also learning, creativity and persistency during the process. The triangulation approach in this study also sheds light on the limitations of questionnaires in capturing the dynamics of leadership in human service organisations.},
  author       = {Holmberg, Robert and Fridell, Mats and Arnesson, Patrick and Bäckvall, Mia},
  issn         = {1751-1879},
  keyword      = {Stress,Leadership,Job satisfaction,Evidence-based practice,Behaviour},
  language     = {eng},
  number       = {3},
  pages        = {168--184},
  publisher    = {Emerald Group Publishing Limited},
  series       = {Leadership in Health Services},
  title        = {Leadership and implementation of evidence-based practices},
  url          = {http://dx.doi.org/10.1108/17511870810893001},
  volume       = {21},
  year         = {2008},
}