Organizational readiness for knowledge translation in chronic care: a review of theoretical components

Implementation Science

Jeremy Grimshaw²  El Kebir Ghandour⁶  Geneviève Roch¹  Mathieu Ouimet⁴  France Légaré⁵  Carole A Estabrooks³  Marie-Pierre Gagnon¹  Randa Attieh⁶ 

[1] Faculty of Nursing, Université Laval, Québec, Canada;Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada;Faculty of Nursing and School of Public Health, University of Alberta, Edmonton, Alberta, Canada;Department of Political Science, Université Laval, Québec, Canada;Department of Family Medicine, Université Laval, Québec, Canada;Research Center of the Centre Hospitalier Universitaire de Québec, Hôpital St-François D’Assise, 45 rue Leclerc, Québec, (QC), Canada

关键词: Healthcare system;    Chronic care;    Knowledge translation;    Frameworks;    Conceptual models;    Organizational readiness;   

Others  :  810737
DOI  :  10.1186/1748-5908-8-138

 received in 2013-04-10, accepted in 2013-11-21,  发布年份 2013

【 摘 要 】

Background

With the persistent gaps between research and practice in healthcare systems, knowledge translation (KT) has gained significance and importance. Also, in most industrialized countries, there is an increasing emphasis on managing chronic health conditions with the best available evidence. Yet, organizations aiming to improve chronic care (CC) require an adequate level of organizational readiness (OR) for KT.

Objectives: The purpose of this study is to review and synthesize the existing evidence on conceptual models/frameworks of Organizational Readiness for Change (ORC) in healthcare as the basis for the development of a comprehensive framework of OR for KT in the context of CC.

Data sources

We conducted a systematic review of the literature on OR for KT in CC using Pubmed, Embase, CINAHL, PsychINFO, Web of Sciences (SCI and SSCI), and others. Search terms included readiness; commitment and change; preparedness; willing to change; organization and administration; and health and social services.

Study selection: The search was limited to studies that had been published between the starting date of each bibliographic database (e.g., 1964 for PubMed) and November 1, 2012. Only papers that refer to a theory, a theoretical component from any framework or model on OR that were applicable to the healthcare domain were considered. We analyzed data using conceptual mapping.

Data extraction: Pairs of authors independently screened the published literature by reviewing their titles and abstracts. Then, the two same reviewers appraised the full text of each study independently.

Results

Overall, we found and synthesized 10 theories, theoretical models and conceptual frameworks relevant to ORC in healthcare described in 38 publications. We identified five core concepts, namely organizational dynamics, change process, innovation readiness, institutional readiness, and personal readiness. We extracted 17 dimensions and 59 sub-dimensions related to these 5 concepts.

Conclusion

Our findings provide a useful overview for researchers interested in ORC and aims to create a consensus on the core theoretical components of ORC in general and of OR for KT in CC in particular. However, more work is needed to define and validate the core elements of a framework that could help to assess OR for KT in CC.

【 授权许可】

   
2013 Attieh et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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