Abstract:
AIM:To assess nurse-reported organizational readiness for implementing change in acute care hospitals. BACKGROUND:An organization's success at implementing new policies and programmes depends largely on its stakeholders' readiness for change. Organizational readiness is a multilevel, multifaceted construct associated with staffing, leadership and quality of care. DESIGN:This is a secondary analysis of the cross-sectional multicentre "Matching Registered Nurse Services with Changing Care Demands" study. METHODS:In 23 acute care hospitals across Switzerland, 1,833 nurses working in 124 units completed a survey between September 2015 and January 2016. Organizational readiness was measured with two subscales: "change commitment" and "change efficacy". Work environment factors were assessed using the Practice Environment Scale of the Nursing Work Index. RESULTS:Nurses were positive about implementing change in their hospitals. Intraclass correlation was higher at the unit level than at the hospital level for both change commitment and change efficacy. Nursing foundation for quality of care and supportive leadership were positively associated with readiness, change commitment and change efficacy. However, staffing and resource adequacy was positively associated only with change efficacy. No association was found with standardized staffing. CONCLUSION:While organizational readiness scores vary among hospitals and units, they are positively associated with supportive leadership and a foundation for quality of care. Further research should consider organizational readiness as an important factor of change and ultimately of the quality of care.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Sharma N,Herrnschmidt J,Claes V,Bachnick S,De Geest S,Simon M,MatchRN - Study Group.doi
10.1111/jan.13801subject
Has Abstractpub_date
2018-12-01 00:00:00pages
2798-2808issue
12eissn
0309-2402issn
1365-2648journal_volume
74pub_type
杂志文章,多中心研究abstract:AIM:This study explores the current state of collaboration and communication between nurses and general practitioners in nursing homes, as well as needs and expectations of nursing home residents and their families. Finally, we aim to develop a new model of collaboration and communication. BACKGROUND:Rising numbers of...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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