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Becoming an Evidence-Based Service Provider: Staff Perceptions and Experiences of Organizational Change

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Acknowledgment

The research team wishes to thank Kinark Child and Family Services.

Conflicts of interest

None

Author information

Authors and Affiliations

  1. Health Research Methodology Program, McMaster University and Offord Centre for Child Studies, 1200 Main Street West, Chedoke Site, Central Building 301, Hamilton, Ontario, Canada, L8N 3Z5

    Melissa Kimber MSW

  2. Learning Institute, Child Health Evaluative Sciences Research Institute, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8

    Melanie Barwick PhD, C.Psych

  3. Community Health Systems Resource Group, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8

    Melanie Barwick PhD, C.Psych

  4. Residential Program, Lynwood Hall Child and Family Centre, 526 Upper Paradise Rd, Hamilton, Ontario, Canada

    Gwendolyn Fearing BA, BSW

Authors
  1. Melissa Kimber MSW
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  2. Melanie Barwick PhD, C.Psych
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  3. Gwendolyn Fearing BA, BSW
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Corresponding author

Correspondence to Melanie Barwick PhD, C.Psych.

Appendix A

Appendix A

Kinark Staff Interview Protocol

Preamble

Kinark Child and Family Services and The Hospital for Sick Children are working in partnership on an evaluation of Kinark’s clinical transformation process. The evaluation is intended to review and provide feedback of the effectiveness of Kinark’s implementation of evidenced-based practices across the agency. In evaluating the process, the project also sets out to

  • Assess staff members’ experience and understanding of clinical transformation

  • Assess effectiveness of the meetings

  • Document the major accomplishments and lessons of the clinical transformation initiative

  • Document the activities undertaken as part of Kinark’s clinical transformation.

Questions address the effectiveness of the implementation process

  1. 1.

    Assess staff members’ understanding of the process (category 2)

  2. 2.

    Assess effectiveness of meeting process (category 4)

  3. 3.

    Document major successes and accomplishments of the Clinical Transformation (CT) Process (category 5)

  4. 4.

    Assess staff members’ satisfaction (category 6)

  5. 5.

    Document CT-related activities

Kinark Staff Interview Protocol

Category 1: Background information (demographics, who they are, and general info)

  1. 1.

    In which part of the organization do you work? What is your job?

  2. 2.

    How long have you worked for Kinark?

Category 2: Understanding CT

  1. 1.

    Kinark is undergoing a clinical transformation process: what do you think is the purpose of CT?

  2. 2.

    What difference has clinical transformation made? (should this be future or present as we have now lived with this for several years)

    • For clients

    • For you in your role

    • Your team

    • For Kinark?

  3. 3.

    What do you think has stayed the same?

Category 3: Role in CT process

  1. 4.

    In what ways have you been involved in clinical transformation?

    • Have you or are you taking part in a working group, installation team or implementation team? What is the purpose of the group?

  2. 5.

    Are you involved in other ways (e.g., CTSC or CEC)?

Category 4: Effectiveness of group’s process in CT

  1. 6.

    If you were involved in a group, what things did your group accomplish in moving the CT process forward?

    • What was needed to accomplish your work?

    • What was your process for working as a group?

    • What things were effective?

    • What could have been done differently?

    • Are there any barriers or challenges to implementing your recommendations? If so what do you think they may be?

  2. 7.

    Were there things you wanted to accomplish but couldn’t/can’t. If not, why?

Specific Working Group Questions—where they apply to the interviewee

(Note: participants choosing to disclose their experience using a process of CT (i.e., direct response)—use questions that are in italic font)

  1. 8a.

    What was or will be needed in order for you to accomplish your task as part of a working group? (i.e., materials, resources, training, changes in supervision, and ongoing evaluation)

    • What EBPs did your group recommend? OR What process did your group recommend?

    • How did your working group come with these EBPs? What was your process? OR How did your working group come up with their process of recommendation?

    • Based on the EBP recommendation of your working group will staff training be required? If so, do you anticipate any challenges, why or why not?

      (Ignore this question if you have a participant talking about a process, i.e., Direct Response or Interdisciplinary consultation, there may be other ones as well)

  2. 8b.

    What, if any, challenges were encountered in and by your working group?

    • How were those being handled or how are those being handled?

    • What was effective about the process?

    • Could things have been done differently, if so, what sort of things? If not describe how your process was effective.

Specific Installation Team Questions—where they apply

  1. 9a.

    What was or will be needed in order for you to accomplish your task as part of a working group? (i.e., materials, resources, training, changes in supervision, and ongoing evaluation)

    • How did your installation team develop their preliminary plan? What was your process?

  2. 9b.

    What if any challenges were encountered in and by your installation team?

    • How were those being handled or how are those being handled?

    • What was effective about the process?

    • Could things have been done differently, if so, what sort of things? If not describe how your process was effective.

    • What are the anticipated barriers to implementing the EBPs recommend by the work group?

    • Based on your plan will staff training be required? If so, do you anticipate any challenges, why or why not?

Specific Implementation Team Questions—where they apply

  1. 10a.

    What was or will be needed in order for you to accomplish your task as part of a working group? (i.e., materials, resources, training, changes in supervision, and ongoing evaluation)

    • What was your process in implementing the preliminary installation plan?

    • What are the barriers to implementing the preliminary installation plan?

  2. 10b.

    What if any challenges were encountered in and by your implementation team?

    • How were those being handled or how are those being handled?

    • What was effective about the process?

    • Could things have been done differently, if so, what sort of things? If not describe how your process was effective.

  3. 10c.

    What do you think the benefits will be as a result of implementing evidence-based practices?

    • For the organization?

    • For you?

    • For the client?

Category 5: Staff Satisfaction

  1. 11.

    Has your involvement in CT had any impact on your work load? How so?

  2. 12.

    Has your involvement in CT affected your work in your role? If so, how?

  3. 13.

    Would you like another clinical transformation assignment? If so, what might that be?

Category 6: Outcome of Clinical Transformation

  1. 14.

    In your view, what is the intended benefit to the client to move towards an evidence-based service agency?

  2. 15.

    What are the implications of CT for:

    1. a.

      Clients

    2. b.

      You

    3. c.

      Colleagues

    4. d.

      Managers

    5. e.

      Kinark as an agency

  3. 16.

    How is the move towards the implementation of EBPs being supported by your program area?

  4. 17.

    Has supervision and practice fidelity been discussed? If so, what do you understand of the process?

  5. 18.

    Is CT a worthwhile process? Why or why not?

  6. 19.

    Would CT be a worthwhile process for other CMH agencies? Why or why not?

  7. 20.

    Moving forward, how can the CT process be used by Kinark?

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Kimber, M., Barwick, M. & Fearing, G. Becoming an Evidence-Based Service Provider: Staff Perceptions and Experiences of Organizational Change. J Behav Health Serv Res 39, 314–332 (2012). https://doi.org/10.1007/s11414-012-9276-0

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