Impact Survey

Another important measure that was developed to assess program effectiveness was the INLP Impact Survey. This survey was designed for use during the INLP Sepsis project, in order to help understanding the impact of the change model on developing clinical leaders, and improving clinical outcomes. The survey assessed changes in “individual and hospital capacity for improvement and incorporates elements from existing instruments measuring psychological safety, organizational learning, teamwork, implementation and hospital culture." Questions were developed for each factor of the INLP model of change, and a five-point Likert scale (strongly disagree to strongly agree) was used for each item.

Individual:

Personal belief in leadership ability
Self-efficacy
Influence
Process management

Team:

Shared values among team members
Ability to work together
Effective decision-making
Accomplishment of team goals
Achieved buy-in as a result of teamwork

Culture:

Assessment of hospital’s history of innovation
Support for change
Evidence-based practice
Cross-disciplinary / organizational coordination capabilities
Learning orientation

Process:

Improvement process skills
Ability to replicate processes independently

Survey Administration

The INLP Impact Survey was issued to all team members from each hospital three times over the course of the Sepsis program:

Within 3 months of the program’s beginning (December 2009)
February 2010
Program conclusion (April 2011)

Impact Survey