ArticleImplementation science : IS2018
Associations among unit leadership and unit climates for implementation in acute care: a cross-sectional study.
Article in Implementation science : IS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementation Leadership in Evidence-Based Practice in Healthcare: A Systematic Review and Meta-Analysis.Worldviews on evidence-based nursing · 2026Pooled it
- The Practice of Nurse Managers, Their Support Needs and the Importance of Shared Leadership: A Multicentre International Qualitative Research.Journal of advanced nursing · 2026Article
- Clinician profiles of suicide prevention attitudes and confidence and their association with reported suicide prevention practices.Psychological services · 2026Article
- Bridging Strategy and Local Reality: First-Line Managers' Experiences in Leading Large-Scale Implementation.Health services insights · 2026Article
- Cross-Cultural Adaptation and Validation of the Organizational Readiness for Implementing Change (ORIC) Scale Among Nurses in Chinese Healthcare Institutions: A Multilevel Psychometric Assessment.Journal of nursing management · 2026Article
- Unit Leadership and Climates for Evidence-Based Practice Implementation in Maternal-Infant Health Units: A Cross-Sectional Descriptive Study.Journal of advanced nursing · 2025Article
- Organizational evidence-based practice culture, implementation leadership, and nurses: A bidirectional mediation model.International nursing review · 2025Observational
- Implementation processes and capacity-building needs in Ontario maternal-newborn care hospital settings: a cross-sectional survey.BMC nursing · 2025Article
- Understanding, Using, and Facilitating Evidence-Based Practice: A Scoping Review of Influencing Factors Among Nurse Managers in Acute Care.Journal of nursing management · 2025Article
- Validity and reliability of the Turkish version of the Implementation Leadership Scale in the context of nurses.BMC health services research · 2024Article
- Evaluation of the effectiveness of a Strengths-Based Nursing and Healthcare Leadership program aimed at building leadership capacity: A concurrent mixed-methods study.International journal of nursing studies advances · 2024Article
- Exploring Professional Practice Environments and Organisational Context Factors Affecting Nurses' Adoption of Evidence-Based Practice: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Individual-level associations between implementation leadership, climate, and anticipated outcomes: a time-lagged mediation analysis.Implementation science communications · 2023Article
- Perceptual differences in nursing implementation leadership and climate: a cross-sectional study.Implementation science communications · 2023Article
- Organizational Factors Associated with Evidence-Based Practice Knowledge, Attitudes, and Implementation among Nurses in Saudi Arabia.International journal of environmental research and public health · 2022Article
- Elucidating the context for implementing nonpharmacologic care for neonatal opioid withdrawal syndrome: a qualitative study of perinatal nurses.BMC pediatrics · 2021Article
- Stepping in, Stepping up, and Stepping out: Competencies for Intensive Care Unit Nursing Leaders During Disasters, Emergencies, and Outbreaks.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2020Article
- Impact of peer-trainer leadership style on uptake of a peer led educational outreach intervention to improve tuberculosis care and outcomes in Malawi: a qualitative study.BMC health services research · 2020Article
- Testing a theory of strategic implementation leadership, implementation climate, and clinicians' use of evidence-based practice: a 5-year panel analysis.Implementation science : IS · 2020Article
- Elucidating the influence of supervisors' roles on implementation climate.Implementation science : IS · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNurse managers have a pivotal role in fostering unit climates supportive of implementing evidence-based practices (EBPs) in care delivery. EBP leadership behaviors and competencies of nurse managers and their impact on practice climates are widely overlooked in implementation science. The purpose of this study was to examine the contributions of nurse manager EBP leadership behaviors and nurse manager EBP competencies in explaining unit climates for EBP implementation in adult medical-surgical units.
methodsA multi-site, multi-unit cross-sectional research design was used to recruit the sample of 24 nurse managers and 553 randomly selected staff nurses from 24 adult medical-surgical units from 7 acute care hospitals in the Northeast and Midwestern USA. Staff nurse perceptions of nurse manager EBP leadership behaviors and unit climates for EBP implementation were measured using the Implementation Leadership Scale and Implementation Climate Scale, respectively. EBP competencies of nurse managers were measured using the Nurse Manager EBP Competency Scale. Participants were emailed a link to an electronic questionnaire and asked to respond within 1 month. The contributions of nurse manager EBP leadership behaviors and competencies in explaining unit climates for EBP implementation were estimated using mixed-effects models controlling for nurse education and years of experience on current unit and accounting for the variability across hospitals and units. Significance level was set at α < .05.
resultsTwo hundred sixty-four staff nurses and 22 nurse managers were included in the final sample, representing 22 units in 7 hospitals. Nurse manager EBP leadership behaviors (p < .001) and EBP competency (p = .008) explained 52.4% of marginal variance in unit climate for EBP implementation. Leadership behaviors uniquely explained 45.2% variance. The variance accounted for by the random intercepts for hospitals and units (p < .001) and years of nursing experience in current unit (p < .05) were significant but level of nursing education was not.
conclusionNurse managers are significantly related to unit climates for EBP implementation primarily through their leadership behaviors. Future implementation studies should consider the leadership of nurse managers in creating climates supportive of EBP implementation.
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