Individual Identification with Organization

A broad construct related to how individuals perceive the organization and their relationship and degree of commitment to that organization. These attributes may affect the willingness of staff to fully engage in implementation efforts or use the intervention [1][2]. These measures have been studied very little in healthcare, but may be especially important when evaluating the influence of Formally Appointed Internal Implementation Leaders on implementation efforts. Organizational citizenship behavior characterizes how well organizational identity is taken on by individuals and whether, because they associate themselves with the organization, they are willing to put in extra effort, talk well of the organization, and take risks in their organization [3][4]. Organizational justice is an individual’s perception of distributive and procedural fairness in the organization [1]. Emotional exhaustion is an ongoing state of emotional and physical depletion or burnout [5], and may negatively influence implementation by stunting the ability and energy of an individual to help or initiate change [6]. The Agency for Healthcare Research and Quality recently published a guide for determining whether a particular implementation will be successful that includes questions about individual perceptions of whether they believe the organization could be doing a better job, belief about whether work is done efficiently, and whether there are inequities as potential barriers to implementation [7]. The organizational social context measure, developed by Glisson et al., includes constructs related to psychological climate (perception of the psychological influence of work environment) and work attitudes (job satisfaction and organizational commitment) [8]. This collection of measures has not been studied widely in healthcare. However, the organizational literature does include several concepts in studies of organizational change that may be interrelated or have independent influence on implementation [9].