The development of an online decision support tool for organizational readiness for change

Implementation Science

Sharon E Straus²  Galina Gheihman²  Kasha Pyka¹  Christine Marquez¹  Julia E Moore¹  Caitlyn Timmings¹  Sobia Khan¹ 

[1] Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 30 Bond St, Toronto M5B 1W8, Canada;University of Toronto, 563 Spadina Crescent, Toronto M5S 2J7, Canada

关键词: Implementation planning;    Implementation support;    Implementation;    Decision support tool;    Readiness assessment;    Readiness for change;   

Others  :  801363
DOI  :  10.1186/1748-5908-9-56

 received in 2014-02-07, accepted in 2014-04-29,  发布年份 2014

【 摘 要 】

Background

Much importance has been placed on assessing readiness for change as one of the earliest steps of implementation, but measuring it can be a complex and daunting task. Organizations and individuals struggle with how to reliably and accurately measure readiness for change. Several measures have been developed to help organizations assess readiness, but these are often underused due to the difficulty of selecting the right measure. In response to this challenge, we will develop and test a prototype of a decision support tool that is designed to guide individuals interested in implementation in the selection of an appropriate readiness assessment measure for their setting.

Methods

A multi-phase approach will be used to develop the decision support tool. First, we will identify key measures for assessing organizational readiness for change from a recently completed systematic review. Included measures will be those developed for healthcare settings (e.g., acute care, public health, mental health) and that have been deemed valid and reliable. Second, study investigators and field experts will engage in a mapping exercise to categorize individual items of included measures according to key readiness constructs from an existing framework. Third, a stakeholder panel will be recruited and consulted to determine the feasibility and relevance of the selected measures using a modified Delphi process. Fourth, findings from the mapping exercise and stakeholder consultation will inform the development of a decision support tool that will guide users in appropriately selecting change readiness measures. Fifth, the tool will undergo usability testing.

Discussion

Our proposed decision support tool will address current challenges in the field of organizational change readiness by aiding individuals in selecting a valid and reliable assessment measure that is relevant to user needs and practice settings. We anticipate that implementers and researchers who use our tool will be more likely to conduct readiness for change assessments in their settings when planning for implementation. This, in turn, may contribute to more successful implementation outcomes. We will test this tool in a future study to determine its efficacy and impact on implementation processes.

【 授权许可】

   
2014 Khan et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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