ArticlePloS one2018
Navigating the storm: How proficient organizational culture promotes clinician retention in the shift to evidence-based practice.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- The Race to Retain Healthcare Workers: A Systematic Review on Factors that Impact Retention of Nurses and Physicians in Hospitals.Inquiry : a journal of medical care organization, provision and financingPooled it
- Correspondence Between Student and Teacher Reports of School Climate: Ideas for Strengthening School Behavioral Health Programming.Behavioral sciences (Basel, Switzerland) · 2026Article
- Defining and measuring implementation climate: a scoping review and concept analysis.Implementation science communications · 2026Review
- Keeping Our ACT Team Together: Supervisory Strategies to Promote Workforce Retention.Administration and policy in mental health · 2025Observational
- Provision of Evidence-Informed Psychological Interventions Following the Queensland (Australia) 2010-11 Floods and Cyclones; the Barriers and Successes.The Australian journal of rural health · 2025Article
- Impact of Relational Coordination on Job Satisfaction and Willingness to Stay: A Cross-Sectional Survey of Healthcare Professionals in South Tyrol, Italy.Behavioral sciences (Basel, Switzerland) · 2024Article
- Four strategic areas to advance equitable implementation of evidence-based practices in cancer care.Translational behavioral medicine · 2021Article
- The Organizational Financial Context of Publicly-Funded Mental Health Clinics: Development and Preliminary Psychometric Evaluation of the Agency Financial Status Scales.Administration and policy in mental health · 2021Article
- Therapist Financial Strain and Turnover: Interactions with System-Level Implementation of Evidence-Based Practices.Administration and policy in mental health · 2019Article
- Organizational culture and climate profiles: relationships with fidelity to three evidence-based practices for autism in elementary schools.Implementation science : IS · 2019Observational
- Association of organizational culture and climate with variation in the clinical outcomes of collaborative care for maternal depression in community health centers.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveClinician turnover is a major concern as mental health systems and organizations invest substantial resources in the implementation of evidence-based practice (EBP). In this study, we identify malleable factors associated with reduced clinician turnover during a system-wide EBP implementation initiative. Specifically, we examine how proficient organizational culture (i.e., norms and behavioral expectations that clinicians prioritize improvement in client well-being and exhibit competence in up-to-date treatment practices), EBP implementation climate (i.e., perceptions that the organization's policies, procedures, and practices support EBP use), and change in these organizational characteristics relate to clinician turnover during a system-wide EBP transformation.
methodData were collected from 236 clinicians in 19 mental health clinics across 3 years of a system-wide EBP implementation initiative in the City of Philadelphia. Clinicians reported on proficient organizational culture and EBP implementation climate at baseline (T1) and two-year follow-up (T2). Administrators reported on clinician turnover at three-year follow-up (T3). Hypotheses were tested via multilevel mediation analyses incorporating mixed effects logistic regression models.
resultsControlling for organization size, clinician job satisfaction, attitudes towards EBP, job tenure, and age, higher levels of proficient organizational culture and improvement in proficient culture from baseline to two-year follow-up predicted reduced clinician turnover in the year following; these effects were mediated by EBP implementation climate and by improvement in EBP implementation climate, respectively.
conclusionsOrganizations with more proficient cultures have more supportive EBP implementation climates that predict reduced clinician turnover during system-wide EBP implementation initiatives. Strategies that target these antecedents in mental health service organizations may contribute to reduced clinician turnover.
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Registered trials
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