Article type
Year
Abstract
Background: Organizational readiness for change (ORC) assesses organizational members' collective motivation and capability to imple- ment change. However, the theorization of ORC lacks consensus and the available ORC instruments have shown limited validity and reliability.
Objectives: We aim to develop an evidence-based, comprehensive, and valid instrument to measure organizational readi- ness (OR) for knowledge translation (KT) in chronic care. The existing evidence on ORC will be reviewed and synthesized as the basis for the development of a comprehensive, bilingual OR for KT instrument.
Methods: Phase 1: We are conducting a mixed-methods systematic review on theories and instruments assessing ORC in health care. We will synthesize the findings in a conceptual map. A bibliography and a database of the ORC instruments will be prepared based on their psychometric appraisal. A pan-Canadian Delphi study will be carried out for the contextual assessment of these instruments. Phase 2: Individual interviews and focus groups will be conducted with key stakeholders for further development of the proposed instruments. A final bilingual (French/English) OR questionnaire will be tested in the field of chronic care to measure KT regarding the adoption of comprehensive, patient-centered and system-based chronic care models.
Results: The initial review process retained 98 articles from a database of 2903 articles for full-text evaluation. After evaluation by two independent evaluators, 57 met the inclusion criteria and were critically appraised using quality criteria specific to quantitative, qualitative, and mixed-methods designs. Preliminary findings suggest a lack of consensus on the theoretical domains involved in ORC and limited evidence of ORC instrumentsá validity.
Conclusions: This study provides a comprehensive synthesis and aims at creating a consensus on the theoretical underpinnings and the instrumentation of ORC. The final product, a validated, comprehensive, bilingual instrument to assess ORC for KT will be useful for supporting the implementation of evidence-based chronic care practices.
Objectives: We aim to develop an evidence-based, comprehensive, and valid instrument to measure organizational readi- ness (OR) for knowledge translation (KT) in chronic care. The existing evidence on ORC will be reviewed and synthesized as the basis for the development of a comprehensive, bilingual OR for KT instrument.
Methods: Phase 1: We are conducting a mixed-methods systematic review on theories and instruments assessing ORC in health care. We will synthesize the findings in a conceptual map. A bibliography and a database of the ORC instruments will be prepared based on their psychometric appraisal. A pan-Canadian Delphi study will be carried out for the contextual assessment of these instruments. Phase 2: Individual interviews and focus groups will be conducted with key stakeholders for further development of the proposed instruments. A final bilingual (French/English) OR questionnaire will be tested in the field of chronic care to measure KT regarding the adoption of comprehensive, patient-centered and system-based chronic care models.
Results: The initial review process retained 98 articles from a database of 2903 articles for full-text evaluation. After evaluation by two independent evaluators, 57 met the inclusion criteria and were critically appraised using quality criteria specific to quantitative, qualitative, and mixed-methods designs. Preliminary findings suggest a lack of consensus on the theoretical domains involved in ORC and limited evidence of ORC instrumentsá validity.
Conclusions: This study provides a comprehensive synthesis and aims at creating a consensus on the theoretical underpinnings and the instrumentation of ORC. The final product, a validated, comprehensive, bilingual instrument to assess ORC for KT will be useful for supporting the implementation of evidence-based chronic care practices.