Journal article
Organizational readiness for implementing change in acute care hospitals: An analysis of a cross-sectional, multicentre study.
- Sharma N Institute of Nursing Science (INS), Department Public Health (DPH), Faculty of Medicine, University of Basel, Basel, Switzerland.
- Herrnschmidt J Hôpital Fribourgoise, HFR, Meyriez-Murten, Switzerland.
- Claes V Institute of Nursing Science (INS), Department Public Health (DPH), Faculty of Medicine, University of Basel, Basel, Switzerland.
- Bachnick S Institute of Nursing Science (INS), Department Public Health (DPH), Faculty of Medicine, University of Basel, Basel, Switzerland.
- De Geest S Institute of Nursing Science (INS), Department Public Health (DPH), Faculty of Medicine, University of Basel, Basel, Switzerland.
- Simon M Institute of Nursing Science (INS), Department Public Health (DPH), Faculty of Medicine, University of Basel, Basel, Switzerland.
- 2018-07-19
Published in:
- Journal of advanced nursing. - 2018
commitment
efficacy
nurses
quantitative
readiness for change
secondary analysis
work environment
Acute Disease
Adult
Attitude of Health Personnel
Cross-Sectional Studies
Female
Health Facility Size
Hospital Administration
Hospitals
Humans
Leadership
Male
Nurses
Nursing Staff, Hospital
Organizational Culture
Organizational Innovation
Personnel Staffing and Scheduling
Quality of Health Care
Switzerland
Workplace
English
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.
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.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1111/jan.13801
- PMID 30019540
- Persistent URL
- https://sonar.ch/global/documents/6082
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