According to the CFIR Model (Figure 1), individuals
are considered to be the active agents that influence
the success or failure of the implementation of
any intervention.32 Individuals can serve as champions
and advocates of specific organizational changes
and often remake interventions based on their own
expectations and experiences. As organizational
learning theory suggests, individuals often work in
small groups to initiate, interpret, and integrate organizational
changes within the organization. A small
core group of committed nursing students and faculty
organized Nurses for Global Health in 2006. This
group was able to successfully pressure an already
receptive faculty and administration to provide global
health educational opportunities. More distal leadership,
of UMB’s large global health research institutes
and the UMB administration, was also supportive at
certain critical junctures.