Organizational readiness for implementing change in acute care hospitals: An analysis of a cross‐sectional, multicentre study

Sharma, Narayan; Herrnschmidt, Jenny; Claes, Victor; Bachnick, Stefanie; Geest, Sabina De; Simon, Michaël

doi:10.1111/jan.13801

Cited by 43 publications

(59 citation statements)

References 44 publications

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“…However, some participants stated that the time and support provided to frontline emergency nurses to adjust their routine and incorporate the changes into their practice was insufficient. This finding is in line with those of previous studies, showing that changes made within healthcare facilities might not always be in line with the ability of healthcare workers to adjust [29,30]. Discrepancies may exist between the expectations of hospital administration on the renewal of existing practices and the actual preparedness and capacity of the staff to adopt the new practices [8].…”

Section: Discussionsupporting

confidence: 89%

Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study

Lam

Kwong

Hung

et al. 2020

IJERPH

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Emergency nurses frequently encounter uncertainty and changes during the management of emerging infectious diseases, which challenge their capability to perform their duties in a well-planned and systematic manner. To date, little is known about the coping strategies adopted by emergency nurses in addressing uncertainty and changes during an epidemic event. The present study explored emergency nurses' behaviours and strategies in handling uncertainty and practice changes during an epidemic event. A qualitative study based on the Straussian grounded theory approach was established. Semi-structured, face-to-face, individual interviews were conducted with 26 emergency nurses for data collection. Adapting protocol to the evolving context of practice was revealed as the core category. Four interplaying subcategories were identified: (1) Completing a comprehensive assessment, (2) continuing education for emerging infectious disease management, (3) incorporating guideline updates and (4) navigating new duties and competencies. The nurses demonstrated the prudence to orientate themselves to an ambiguous work situation and displayed the ability to adapt and embrace changes in their practice and duties. These findings offer insights into the need for education and training schemes that allow emergency nurses to acquire and develop the necessary decision-making and problem-solving skills to handle a public health emergency.

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Section: Discussionsupporting

confidence: 89%

Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study

Lam

Kwong

Hung

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…Globally, healthcare organizations are undergoing massive change. Thus, leaders and stakeholders must be ready for, adapt to, successfully manage and sustain change . As in other countries, the healthcare system in Jordan is responding to national and international changes.…”

Section: The Study Problemmentioning

confidence: 99%

“…Studies of organizational readiness for change have been conducted in various industries for many years, but not in the healthcare industry . The current study is one of the few recent ones in this area, both internationally and regionally . Moreover, this is one of the few nursing studies on this concept in Jordan specifically, although it was carried out in an academic setting on a sample of senior nursing students.…”

Section: Significance Of the Studymentioning

confidence: 99%

“…An organization's readiness for change refers to its members’ shared resolve to implement a change (change commitment) and shared belief in their collective ability to do so (change efficacy) . Organizational readiness for change is a critical reason for the successful implementation and integration of change in healthcare settings, especially hospitals . It depends largely on its stakeholders’ readiness for change and is associated with staffing, leadership, and quality of care …”

Section: Introductionmentioning

confidence: 99%

“…There is a lack of clear criteria for what comprises “organizational readiness for change.” Indeed, research on the topic is limited because of the absence of a concise, reliable, and valid measure, because “organizational readiness for change” per se is a relatively new concept in healthcare and nursing and because recent international healthcare and nursing studies are few …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Nurses’ views of organizational readiness for change

Mrayyan

2019

Nurs Forum

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Background: "Organizational readiness for change" is critical to successfully managing change in healthcare organizations. Yet healthcare and nursing studies about this relatively new concept are few and lack clear criteria on what comprises "organizational readiness for change." Purpose: This study assessed organizational (hospital) readiness for change, as perceived by registered nurses in two types of hospital in Jordan. Methods: Using a quantitative research design, the researcher collected data from a convenience sample of 153 nurses from one major government hospital and one major private hospital. The response rate was 64%. Results: The lowest means, indicating unreadiness for change, were reported for the following items: having developed plans for expanding ambulatory care or enhancing continuity of care, including nurses on all committees, and involving them in policy development and strategic planning efforts. The only difference between the types of hospitals in terms of readiness for change was the use of "collaboration and multidisciplinary work": the governmental hospital was more ready than the private hospital in this regard. Implications for practice and nurse leaders: To prepare for change, nurse leaders should initiate interventions to enhance organizational readiness and facilitate the integration of change, such as continuing education courses for staff and focus on teamwork, open communication, total quality management, strategic planning, advanced nursing practice and participatory management, especially shared decisionmaking and policy development. Successful leaders support employees' creative ideas, focus on the timing of the change, and provide training on change management.

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Assessing the Readiness Level of Healthcare for Implementing Agility Using Fuzzy Logic Approach

Vaishnavi

Suresh

2020

Glob J Flex Syst Manag

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Organizational readiness for implementing change in acute care hospitals: An analysis of a cross‐sectional, multicentre study

Abstract: Aim:To assess nurse-reported organizational readiness for implementing change in acute care hospitals.

Cited by 43 publications

References 44 publications

Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study

Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study

Nurses’ views of organizational readiness for change

Assessing the Readiness Level of Healthcare for Implementing Agility Using Fuzzy Logic Approach

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