Who's on board? Child welfare worker reports of buy-in and readiness for organizational change

McCrae, Julie S.; Scannapieco, Maria; Leake, Robin; Potter, Cathryn C.; Menefee, David

doi:10.1016/j.childyouth.2013.12.001

Cited by 41 publications

(7 citation statements)

References 19 publications

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“…New practices that do not leverage these characteristics are likely to have low uptake in a stressed service system, while administrative support and training and selection of evidence-based practices that are integral to providers’ roles and program goals might facilitate use of a new practice. These characteristics are likely to impact staff motivation to use the practice; as reported in a qualitative interview with a child welfare worker “Commitment from workers will only happen if workers understand the positive impacts on their jobs and their daily work with families.” (McCrae, Scannapieco, Leake, Potter, and Menefee, 2014, p. 33). At times, successful implementation might require restructuring services with greater specialization in providers’ roles to closely align the intervention targets with the program’s goals and provide clear administrative structures for ongoing support.…”

Section: Discussionmentioning

confidence: 99%

“…While this study only examined the role of attitudes about EBPs in general, rather than perceptions of a specific intervention, a large study focused on implementation across multiple sites also reported that “buy in,” or awareness and support for a particular intervention, also had no association with implementation (McCrae et al, 2014). Research focused on barriers to using EBPs point to multiple barriers that were not related to attitudes, leading to the conclusion that future EBP implementation should focus on reducing barriers as opposed to improving attitudes (Nelson et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

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Use of evidence-based interventions in child welfare: Do attitudes matter?

Leathers

Melka-Kaffer

Spielfogel

et al. 2016

Children and Youth Services Review

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Implementation of evidence-based programs in progressed slowly, with the majority of services in child welfare settings lacking empirical evidence for effectiveness. In other settings, research has identified providers’ attitudes about evidence-based practices (EBPs) as a potential barrier to adoption of EBPs. As little research has focused on the role of attitudes in influencing use after training in an EBP in child welfare, the potential for attitudes to impede implementation efforts in child welfare is unclear. This study addressed this question in a sample of 55 caseworkers and therapists randomly assigned to enhanced support to use an EBP following training or a training-only condition. Information on providers’ use of the intervention after training and their attitudes about EBPs were measured for up to five time points. Results indicate that attitudes did not predict providers’ use of the EBP, and attitudes did not change overall or in the enhanced condition that provided greater exposure to the intervention. Providers perceived of requirements to use a practice as more influential in their use than their openness to EBPs. However, those who were more open to EBPs were more likely to participate in implementation support after the training, suggesting that openness facilitates participation in activities that support use of a new intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of evidence-based interventions in child welfare: Do attitudes matter?

Leathers

Melka-Kaffer

Spielfogel

et al. 2016

Children and Youth Services Review

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“…One recent meta-analysis of predictors of individuals’ attitudes toward EBP found that work context for EBP was positively related to individuals’ attitudes toward EBP, while general positive working climate was even more strongly related to individual innovative performance [ 53 ]. Occupational stress may hinder the implementation of EBP, as those have stress may perceive the work environment to be negative and experience organizational conflicts (e.g., unfairness, lack of reward, large workload, interpersonal tensions) [ 18 , 54 ]. Occupational stress may also weaken the effect of positive working climate on individuals’ attitudes toward EBP [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another study among child welfare workers indicated that buy-in for an organizational EBP in child welfare was related to gender and years of service. Male staff and staff with 16 or more years of service in the agency reported greater buy-in [ 54 ]. The mixed results regarding the individual level factors may attribute to different social contexts and various health care fields across studies.…”

Section: Discussionmentioning

confidence: 99%

Attitudes toward evidence-based practices, occupational stress and work-related social support among health care providers in China: A SEM analysis

Qiao

Zhou

et al. 2018

PLoS ONE

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Individuals’ attitudes toward evidence-based practices (EBP) are critical in adopting, implementing and maintaining the EBP in clinical settings. Multiple empirical studies have examined how work context may shape perceptions and attitudes towards EBP. The current study aims to further explore how both work and family contexts, as assessed by three psychosocial indicators (i.e., occupational stress, work-related social support from coworkers, and work-related social support from family), may affect attitudes toward EBP among health care providers in HIV clinics in China. We analyzed cross-sectional survey data from 357 health care providers recruited from 40 HIV clinics across 16 cities/counties in Guangxi China. Structural equation model (SEM) was constructed to test the hypothesized relationships among key study variables. Occupational stress was negatively associated with work-related social support from coworkers (β = -.19, 95%CI = [-.31,-.12]), which in turn was positively associated with attitudes toward EBP (β = .17, 95%CI = [.04, .30]). Similarly, occupational stress was negatively related to work-related social support from family (β = -.34, 95%CI = [-.42,-.25]), which in turn was positively related to attitudes toward EBP (β = .23, 95%CI = [.12, .35]). Occupational stress was negatively associated with attitudes toward EBP, but the magnitude of association did not reach statistical significance at α = .05. Work-related social support from family partially mediated the association between occupational stress and attitudes toward EBP (Sobel’s z = 3.27, p < .05). Our findings suggest the importance of integrating work and family contexts, especially family support into the strategies of facilitating the adoption and implementation of EBP. The current study also underscores the needs to reduce occupational stress and enhance work-related social support among health care providers who are in frequent contact with HIV patients. In addition, lack of work-related family support may be a main barrier preventing health care providers from developing a positive attitude toward EBP. Therefore, the interventions aiming for promoting adoption and utilization of EBP need to involve specific strategies to resolve work-family conflicts and improve family members’ understanding and support for health care providers in China, especially those who work in a stressful work context such as HIV care.

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“…In complex state health and substance misuse prevention systems [ 7 , 36 ], successful system change is thought to require understanding, support, and endorsement of new policies on the part of regional and local implementing agencies as they are the ones putting policies and programs into practice in communities (e.g. [ 37 , 38 ]. This paper harnesses concepts from implementation science to understand changes in prevention policy in complex state substance misuse prevention systems.…”

Section: Introductionmentioning

confidence: 99%

Changing course: supporting a shift to environmental strategies in a state prevention system

Ballard

Pankratz

Wagoner

et al. 2021

Subst Abuse Treat Prev Policy

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Background This study examines how the North Carolina state prevention system responded to a policy shift from individual-level prevention strategies to environmental strategies from the perspective of the organizations implementing the policy shift. Methods We use two data sources. First, we conducted interviews to collect qualitative data from key informants. Second, we used prevention provider agency expenditure data from the year the shift was announced and the following year. Results The interviews allowed us to identify effective features of policy change implementation in complex systems, such as the need for clear communication and guidance about the policy changes. Our interview and expenditure analyses also underscore variation in the level of guidance and oversight provided by implementing agencies to prevention providers. Conclusions Our analyses suggest that more active monitoring and oversight may have facilitated more consistent implementation of the policy shift toward greater use of environmental prevention strategies.

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Who's on board? Child welfare worker reports of buy-in and readiness for organizational change

Cited by 41 publications

References 19 publications

Use of evidence-based interventions in child welfare: Do attitudes matter?

Use of evidence-based interventions in child welfare: Do attitudes matter?

Attitudes toward evidence-based practices, occupational stress and work-related social support among health care providers in China: A SEM analysis

Changing course: supporting a shift to environmental strategies in a state prevention system

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