Journal article

Validating the Alberta Context Tool in a multi-site Australian Emergency Department nurse population

Verena Schadewaldt, Benjamin McElduff, Catherine D'Este, Elizabeth McInnes, Simeon Dale, Anoja Gunaratne, Janet Squires, Dominique A Cadilhac, Sandy Middleton



The organisational context of healthcare settings has an essential role in how research evidence is used in clinical practice. The Alberta Context Tool (ACT) measures 10 concepts of organisational context with higher scores indicating a more positive work environment and potentially better use of research evidence in patient care. We assessed the psychometric properties of the ACT in Emergency Departments (EDs). This validation study was conducted as part of a multi-centre trial of triage, treatment and transfer (T3 Trial) of patients with stroke admitted to EDs. Stratified sampling with proportional allocation was used to recruit ED nurses from 26 participating hospitals at baseline. Nurses..

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Awarded by National Health and Medical Research Council (NHMRC)

Funding Acknowledgements

The T3 trial was funded by a National Health and Medical Research Council (NHMRC) Project Grant 1024812 (2012-2017). DAC was supported by a fellowship from the National Health and Medical Research Council (NHMRC; 1063761 co-funded by Heart Foundation). Non-material support provided by Trial sponsor, the Australian Catholic University, to house members of the trial team including authors SM, SD, EM, BM, AG and VS. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.