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Table 1 Dimensions of the ACT

From: Assessment of variation in the alberta context tool: the contribution of unit level contextual factors and specialty in Canadian pediatric acute care settings

Concept Definition Sample item
Leadership1 The actions of formal leaders in an organization (unit) to influence change and excellence in practice, items generally reflect emotionally intelligent leadership The leader calmly handles stressful situations
Culture1 The way that "we do things" in our organizations and work units; items generally reflect a supportive work culture My organization effectively balances best practice and productivity
Evaluation1 The process of using data to assess group/team performance and to achieve outcomes in organizations or units (i.e., evaluation) Our team routinely monitors our performance with respect to the action plans
Social Capital1 The stock of active connections among people. These connections are of three types: bonding, bridging, and linking People in the group share information with others in the group
Informal Interactions2 Informal exchanges that occur between individuals working within an organization (unit) that can promote the transfer of knowledge How often do you interact with people in the following roles or positions?; - Someone who champions research and its use in practice
Formal
Interactions2
Formal exchanges that occur between individuals working within an organization (unit) through scheduled activities that can promote the transfer of knowledge How often do these activities occur?; - Team meetings
Structural/Electronic Resources3 The structural and electronic elements of an organization (unit) that facilitate the ability to assess and use knowledge How often do you use/attend the following?; - A library
Organizational Slack 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  
Staffing1   Enough staff to deliver quality care
Time1   Time to do something extra for patients
Space1   Use of designated space
  1. 1= Scale: 1-strongly disagree; 2-disagree; 3-neither agree or disagree; 4-agree; 5-strongly agree; 2= Scale: 1-never; 2-rarely; 3-ocasionally; 4-frequently; 5-almost always;
  2. 3= Scale: 1-never; 2-rarely; 3-ocasionally; 4-frequently; 5-almost always; 6- not accessible