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Table 3 Means (standard deviations), Intra Class Correlation Coefficients, and Standardized Factor Loadings (standard error) for Level 1 (Individual, n = 546) and Level 2 (Clinic, n = 51)

From: Validity and reliability of measures to assess constructs from the inner setting domain of the consolidated framework for implementation research in a pediatric clinic network implementing HPV programs

Item N M (SD) ICC L1 L2
Culture
1 After trying something new, we take time to think about how it worked 546 3.71 (0.93) 0.07 0.734 (0.029) 0.959 (0.075)
2 We regularly take time to reflect on how we do things 546 3.64 (0.97) 0.09 0.600 (0.046) 0.994 (0.087)
3 Difficult problems are solved through face-to-face discussions 546 3.80 (0.89) 0.10 0.703 (0.039) 0.997 (0.181)
4 People at all levels openly talk about what is and isn’t working 546 3.81 (0.92) 0.08 0.659 (0.041) 0.992 (0.134)
5 Most people in this clinic are willing to change how they do things in response to feedback from others 546 3.80 (0.87) 0.10 0.661 (0.035) 0.995 (0.092)
6 It is hard to get things to change in our clinica 546 2.67 (1.07) 0.05 0.178 (0.061) 0.954 (0.241)
7 People in this clinic operate as a real team 546 3.88 (0.89) 0.11 0.700 (0.028) 0.947 (0.095)
Learning Climate
1 We regularly take time to consider ways to improve how we do things 546 3.75 (0.96) 0.05 0.644 (0.038) 0.966 (0.115)
2 People in our clinic actively seek new ways to improve how we do things 546 3.78 (0.93) 0.07 0.664 (0.043) 0.932 (0.077)
3 This clinic encourages everyone to share ideas 546 4.02 (0.80) 0.11 0.806 (0.029) 0.975 (0.035)
4 This clinic learns from its mistakes 546 4.07 (0.75) 0.09 0.823 (0.032) 0.986 (0.049)
5 When we experience a problem in the clinic, we make a serious effort to figure out what’s really going on 546 4.08 (0.81) 0.10 0.881 (0.019) 0.996 (0.039)
Leadership Engagement
1 Leadership strongly supports clinic change efforts 545 3.93 (0.90) 0.14 0.909 (0.016) 0.995 (0.016)
2 Clinic leadership promotes an environment that is an enjoyable place to work 545 3.99 (0.89) 0.16 0.896 (0.022) 0.998 (0.015)
3 Leadership in this clinic creates an environment where things can be accomplished 545 3.91 (0.93) 0.16 0.955 (0.010) 0.998 (0.009)
4 The clinic leadership makes sure that we have the time and space necessary to discuss changes to improve care 545 3.88 (0.95) 0.13 0.906 (0.015) 0.989 (0.021)
Available Resources b
In general, when there is agreement that change needs to happen in the clinic, we have the necessary support in terms of:
1 Budget or financial resources 546 3.60 (0.98) 0.04 0.804 (0.024) 0.992 (1.08)
2 Training 546 3.80 (0.93) 0.06 0.843 (0.034) 0.998 (0.315)
3 Staff 546 3.55 (1.04) 0.04 0.840 (0.026) 0.958 (0.671)
  1. aReverse Scored; bestimates are based on a model that included leadership engagement as an additional latent variable