Organizational readiness for knowledge translation in chronic care: a Delphi study

BMC Health Services Research

Roberto Nuño³  Patricia Vazquez³  Mathieu Ouimet⁵  France Légaré²  Carole A Estabrooks⁴  Marie-Pierre Gagnon¹  Randa Attieh⁶ 

[1] Faculty of Nursing, Université Laval, Quebec City, QC, Canada;Department of Family Medicine, Université Laval, Quebec City, QC, Canada;Fundacion Vasca de Innovacion e Investigacion Sanitarias, Bilbao, Spain;Faculty of Nursing and School of Public Health, University of Alberta, Edmonton, AB, Canada;Department of Political Science, Université Laval, Quebec City, QC, Canada;Research Centre of the Centre Hospitalier Universitaire de Québec, Hôpital St-François d’Assise, 45 rue Leclerc, Quebec City, QC, Canada

关键词: Measurement;    Chronic care;    Knowledge translation;    Delphi study;    Organizational readiness;   

Others  :  1092232
DOI  :  10.1186/s12913-014-0534-0

 received in 2014-06-06, accepted in 2014-10-17,  发布年份 2014

【 摘 要 】

Background

Health-care organizations need to be ready prior to implement evidence-based interventions. In this study, we sought to achieve consensus on a framework to assess the readiness of health-care organizations to implement evidence-based interventions in the context of chronic care.

Methods

We conducted a web-based modified Delphi study between March and May 2013. We contacted 76 potentially eligible international experts working in the fields of organizational readiness (OR), knowledge translation (KT), and chronic care to comment upon the 76 elements resulting from our proposed conceptual map. This conceptual map was based on a systematic review of the existing frameworks of Organizational Readiness for Change (ORC) in health-care. We developed a conceptual map that proposed a set of core concepts and their associated 17 dimensions and 59 sub-dimensions. Experts rated their agreement concerning the applicability and importance of ORC elements on a 5-point Likert scale, where 1 indicates total disagreement and 5 indicates total agreement. Two rounds were needed to get a consensus from the experts. Consensus was a priori defined as strong (≥75%) or moderate (60-74%). Simple descriptive statistics was used.

Results

In total, 14 participants completed the first round and 10 completed the two rounds. Panel members reached consensus on the applicability and importance of 6 out of 17 dimensions and 28 out of 59 sub-dimensions to assess OR for KT in the context of chronic care. A strong level of consensus (≥75%) was attained on the Organizational contextual factors, Leadership/participation, Organizational support, and Motivation dimensions. The Organizational climate for change and Change content dimensions reached a moderate consensus (60-74%). Experts also reached consensus on 28 out of 59 sub-dimensions to assess OR for KT. Twenty-one sub-dimensions reached a strong consensus (≥75%) and seven a moderate consensus (60-74%).

Conclusion

This study results provided the most important and applicable dimensions and sub-dimensions for assessing OR-KT in the context of chronic care. They can be used to guide the design of an assessment tool to improve knowledge translation in the field of chronic care.

【 授权许可】

   
2014 Attieh et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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