Greenhalgh et al. used a considerable evidence-base to develop a comprehensive model of implementation of innovations in healthcare organizations . However, these authors did not fully operationalize their model, making it difficult to test formally. The present paper represents a first step in operationalizing Greenhalgh et al.'s model by providing background, rationale, working definitions, and measurement of key constructs.A systematic review of the literature was conducted for key words representing 53 separate sub-constructs from six of the model's broad constructs. Using an iterative process, we reviewed existing measures and utilized or adapted items. Where no one measure was deemed appropriate, we developed other items to measure the constructs through consensus.
Cook, Joan M.; O'Donnell, Casey; Dinnen, Stephanie; Coyne, James C.; Ruzek, Josef I.; and Schnurr, Paula P., "Measurement of a Model of Implementation for Health Care: Toward a Testable Theory" (2012). Open Dartmouth: Faculty Open Access Articles. 910.