The missing link: a test of Klein and Sorra's proposed relationship between implementation climate, innovation-values fit and implementation effectiveness
Year: 2015
Type: article
Study design: Observational Study
Abstract: Klein and Sorra's theory of innovation implementation suggests that the effectiveness of implementing an innovation results from both a climate that supports, rewards, and expects implementation as well as from the fit between the innovation and the intended users' values. Although the authors propose that innovation-values fit moderates the effect of implementation climate on implementation effectiveness, this relationship has never been tested. In addition, most of the evidence supporting the use of Klein and Sorra's theory in health services research is from qualitative studies, while most of the quantitative use of the theory occurs in information systems implementation research. Therefore, the goal of this study is to quantitatively test in a health services context the proposed relationship in which innovation-values fit moderates the effect of implementation climate on implementation. We tested the theory of innovation implementation using structural equation modeling (SEM) among 481 physician participants in the National Cancer Institute's Community Clinical Oncology Program (CCOP). Overall the hypothesized SEM model fit well. Our results indicated that both implementation climate and innovation-values fit were significantly associated with implementation effectiveness among CCOP physicians (p <0.05). In addition, including innovation-values fit as a moderator improved the overall fit of our SEM. The moderator explained 2.6% of the variation in implementation effectiveness and approached statistical significance (p = 0.06).
Source: Implementation Science
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,390
OpenAlex ID: W1837679131