Table 1.
Mapping the ILS onto the O-MILe
O-MILe category | O-MILe concepts (n=17) | ILS item (n=12) |
---|---|---|
Core knowledge and skills | • Knowledge of leadership theory | |
• Knowledge of evidence-based best practice | • Is knowledgeable about EBP • Knows what he/she is talking about when it comes to EBP • Is able to answer my questions about EBPa (knowledgeable leadership) |
|
• Develops an implementation plan • Knowledge of current practices and outcomes • Knowledge of effective implementation methods • Engages clinicians, staff, and patients • Sets target goals for change |
• Has developed a plan to facilitate implementation of EBPa (proactive leadership) | |
Relations-oriented leadership behaviors | • Recognizes efforts to change | • Recognizes and appreciates employee efforts toward successful implementation of EBPa (supportive leadership) |
• Supports change visibly and symbolically • Facilitates interprofessional consensus on change |
• Supports employee efforts to use EBP (supportive leadership) | |
• Communicates with staff about clinical practice issues and EBP | • Is able to answer my questions about EBPa (knowledgeable leadership) | |
Change-oriented leadership behaviors | • Demonstrates commitment to change • Reinforces vision and goals of change |
• Perseveres through the ups and downs of implementing EBP • Carries on through the challenges of implementing EBP (perseverant leadership) |
• Understands and acts on difficulties with change | • Reacts to critical issues regarding the implementation of EBP by openly and effectively addressing the problem(s) (perseverant leadership) • Removes obstacles to the implementation of EBP (proactive leadership) |
|
• Advocates for change internally and externally | ||
Task-oriented leadership behaviors | • Clarifies roles and responsibilities • Modifies documentation forms |
• Has established clear department standards for the implementation of EBP • Has developed a plan to facilitate implementation of EBPa (proactive leadership) |
• Procures resources, education, and policies to reflect change | • Supports employee efforts to learn more about EBP (supportive leadership) | |
• Monitors performances and outcomes | • Recognizes and appreciates employee efforts toward successful implementation of EBPa (supportive leadership) | |
• Provides reminders | ||
• Conducts regular leadership meetings |
Note:
ILS item mapped onto more than one concept.
Abbreviations: EBP, evidence-based practice; ILS, Implementation Leadership Scale; O-MILe, Ottawa Model of Implementation Leadership.