Alberta Context Tool
The ACT is a 56-item measure of organizational context for healthcare settings in terms of eight context categories, including culture, leadership and evaluation.

Evidence-Based Assessment Rating Profile


Relevant Literature:

  1. Doran, H. (2010). The Emerging Role of PDAs in Evidence Based Practice: An Evaluation Among Frontline Nurses. Ontario, Canada: Nursing Health Services Research Unit (NHSRU). Retrieved from
  2. Estabrooks, C. A., Morgan, D. G., Squires, J. E., Boström, A.-M., Slaughter, S. E., Cummings, G. G., & Norton, P. G. (2011). The care unit in nursing home research: Evidence in support of a definition. BMC Medical Research Methodology, 11(1), 46. doi:10.1186/1471-2288-11-46
  3. Estabrooks, C. A., Squires, J. E., Cummings, G. G., Birdsell, J. M., & Norton, P. G. (2009). Development and assessment of the Alberta Context Tool. BMC Health Services Research, 9(1), 234. doi:10.1186/1472-6963-9-234
  4. Estabrooks, C. A., Squires, J. E., Hayduk, L. A., Cummings, G. G., & Norton, P. G. (2011). Advancing the argument for validity of the Alberta Context Tool with healthcare aides in residential long-term care. BMC Medical Research Methodology, 11(1), 107. doi:10.1186/1471-2288-11-107
  5. Estabrooks, C. A., Squires, J. E., Hutchinson, A. M., Scott, S., Cummings, G. G., Kang, S. H., … Stevens, B. (2011). Assessment of variation in the alberta context tool: the contribution of unit level contextual factors and specialty in Canadian pediatric acute care settings. BMC Health Services Research, 11(1), 251. doi:10.1186/1472-6963-11-251
  6. Mallidou, A. A., Cummings, G. G., Ginsburg, L. R., Chuang, Y.-T., Kang, S., Norton, P. G., & Estabrooks, C. A. (2011). Staff, space, and time as dimensions of organizational slack: a psychometric assessment. Health Care Management Review, 36(3), 252–264. doi:10.1097/HMR.0b013e318208ccf8
  7. Schultz, T. J., & Kitson, A. L. (2010). Measuring the context of care in an Australian acute care hospital: a nurse survey. Implementation Science, 5(1), 60. doi:10.1186/1748-5908-5-60
  8. Slaughter, S. E., & Estabrooks, C. A. (2013). Optimizing the mobility of residents with dementia: a pilot study promoting healthcare aide uptake of a simple mobility innovation in diverse nursing home settings. BMC Geriatrics, 13(1), 110. doi:10.1186/1471-2318-13-110