Table 3.
Components of the Practice Adaptive Reserve Scale
| Component | Items (Attributes Measured) |
|---|---|
| Relationship infrastructure | People in our practice actively seek new ways to improve how we do things (mindfulness) |
| People at all levels of this office openly talk about what is and isn’t working (mindfulness) | |
| We regularly take time to consider ways to improve how we do things (mindfulness) | |
| People are aware of how their actions affect others in this practice (heedful interactions) | |
| Most people in this practice are willing to change how they do things in response to feedback from others (respectful interaction) | |
| After trying something new, we take time to think about how it worked (reflection) | |
| We regularly take time to reflect on how we do things (reflection) | |
| This practice encourages everyone (front office staff, clinical staff, nurses, and clinicians) to share ideas (cognitive diversity) | |
| I can rely on the other people in this practice to do their jobs well (trust) | |
| Difficult problems are solved through face-to-face discussions in this practice (communication) | |
| Facilitative leadership | Practice leadership promotes an environment that is an enjoyable place to work |
| Leadership in this practice creates an environment where things can be accomplished | |
| Leadership strongly supports practice change efforts | |
| The practice leadership makes sure that we have the time and space necessary to discuss changes to improve care | |
| Sensemaking | When we experience a problem in the practice, we make a serious effort to figure out what’s really going on |
| People in this practice have the information that they need to do their jobs well | |
| Teamwork | I have many opportunities to grow in my work |
| People in this practice operate as a real team | |
| Work environment | Most of the people who work in our practice seem to enjoy their work |
| This practice is a place of joy and hope | |
| Culture of learning | Mistakes have led to positive changes here |
| It is hard to get things to change in our practice | |
| This practice learns from its mistakes |
Notes: Scores on this scale were computed as the summed averaged of the individual responses for each practice. Cronbach α for the 23-item scale was .97.