Concepts

Definitions of the dimensions and sub-dimensions that make up the ten concepts of the ACT are provided in the table below, with a description of their measurement and sample items.

Concept Definition # if items Hypothesis Sample item Scale
Leadership
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The actions of formal leaders in an organization (unit) to influence change and excellence in practice; items generally reflect emotionally intelligent leadership 6 Care providers who perceive more positive (emotionally intelligent) unit leadership report higher research use Looks for feedback to ideas and initiatives even when it is difficult to hear 5 point Likert
Culture
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The way that “we do things” in our organization and work units; items generally reflect a supportive work culture 6 Care providers who perceive a more positive unit culture report higher research use My organization effectively balances best practice and productivity 5 point Likert
Evaluation
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The process of using data to assess group/team performances and to achieve outcomes in organizations or units (i.e. evaluation) 6 Care providers who perceive a larger number of unit feedback mechanisms report higher research use Our team routinely monitors our performance with respect to the action plans 5 point Likert
Social Capital
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The stock of active connections among people. These connections are of three types: bonding, bridging, and linking 6 Care providers who perceive more positive unit social capital activities report higher research use People in the group share information with others in the group 5 point Likert
Informal Interactions
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Information exchanges that occur between individuals working within an organization (unit) that can promote the transfer of knowledge 7-10 Care providers who perceive a larger number of informal unit interactions report higher research use How often do you interact with people in the following roles or positions?
- Someone who champions research and its use in practice
5 point Likert
Formal Interactions
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Formal exchanges that occur between individuals working within an organization (unit) through scheduled activities that can promote the transfer of knowledge  4 Care providers who perceive a larger number of formal unit interactions report higher research use How often do these activities occur?
- Team meetings
5 point Likert
Structural / Electronic Resources
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The structural and electronic elements of an organization (unit) that facilitate the ability to assess and use knowledge 11 Care providers who perceive a larger number of unit structural and electronic resources report higher research use How often do you use/attend the following?
- Notice boards
5 point Likert
Organizational Slack (3 concepts) MORE INFO The cushion of actual or potential resources which allows an organization (unit) to adapt successfully to internal pressures for adjustments or to external pressures for changes.        
Staff   2-3 Care providers who perceive sufficient unit staffing levels report higher research use Enough staff to deliver quality care 5 point Likert
Space   3 Care providers who perceive having sufficient time on their unit report higher research use Use of designated space 5 point Likert
Time   4 Care providers who perceive having sufficient space on their unit report higher research use Time to do something extra for patients 5 point Likert