External Change Agents

From CFIR Wiki

Jump to: navigation, search


External Change Agents
Taxonomy
Domain
Process
Construct
Engaging
Siblings
Champions
External Change Agents
Formally Appointed Internal Implementation Leaders
Opinion Leaders
Measurement maturity
Quantitative tools


Contents

Version 1.0

Individuals who are affiliated with an outside entity who formally influence or facilitate intervention decisions in a desirable direction.

Description

Individuals who are affiliated with an outside entity who formally influence or facilitate intervention decisions in a desirable direction. They usually have professional training in a technical field related to organizational change science or in the technology being introduced into the organization. This role includes outside researchers who may be implementing a multisite intervention study and other formally appointed individuals from an external entity (related or unrelated to the organization); e.g., a facilitator from a corporate or regional office or a hired consultant.

Rationale for inclusion

Individuals who are affiliated with an outside entity who formally influence or facilitate intervention decisions in a desirable direction. External change agents usually have professional training in a technical field related to organizational change science or in the technology being introduced into the organization. This role includes outside researchers who may be implementing a multi-site intervention study and also includes other formally appointed individuals from an external entity (related or unrelated to the organization); e.g., a facilitator from the corporate or regional office. The more external change agents actually do on behalf of the receiving organization, the more likely implementation will be successful in the near-term but the less likely the intervention can be sustained; the less they do, the less effective implementation is likely to be in the near-term but more effective over the longer term because local individuals may take more ownership. The PARiHS framework describes facilitators who are task-oriented versus holistic, the latter approach being valued more highly than the former[1].

Measurement

Qualitative codebook guidelines

Inclusion criteria

Include facilitating activities by entities outside of the organization. May or may not include regional leaders or staff. It is important to clearly define the roles that are considered external and whether they are change agents. Examples include:

  • The project manager for the research study was always available and helpful to us
  • Someone from the collaborative that we participated in checked in with us regularly...



Exclusion criteria

One study excluded activities led by the central office that disseminated the program and regional coordinators. Activities by the central office were considered as part of "Quality of Design & Packaging" or "Access to Information and Knowledge." Regional coordinators were considered part of the Inner Setting in this study. None of these entities played an explicit role as External Change Agents though some of their supportive facilitating actions overlapped with what would be expected from an External Change Agent.



Quantitative measures

Attachments

References

  1. Rycroft-Malone J, A., Kitson G, Harvey B, McCormack K, Seers AT, Estabrooks C: Ingredients for change: revisiting a conceptual framework. (Viewpoint). Quality and Safety in Health Care 2002, 11:174-180.
Personal tools
Etiquette and Help