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Organizational readiness factors: are we ready to adopt and implement clincial best practices in hospitals?

机译：组织就绪因素：我们准备好在医院采用和实施临床最佳实践了吗？

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摘要

Organizations pursuing strategies to achieve excellence often look to adopt innovative best practices. This study investigated the adoption of best practices, applying Rogers' diffusion of innovations theory and its implementation stage and the organizational readiness factors that affect implementation. The literature review revealed that the implementation change process is influenced by several organizational readiness factors: planning, budgeted resources, organizational learning and communication processes. A representative sample of perinatal units in the United States was surveyed to explore the relationship between these factors and the adoption and implementation of perinatal clinical best practices. Overall, 88% of respondents adopted and implemented an average of 5.7 best practices; 68% did so within 6-12 months. While all organizational readiness factors had a positive correlation, the strength of each relationship was moderate, except for organizational learning which showed a significant relationship. Significance tests, correlations and the prediction of the number of clinical practices adopted and implemented as a result of the organizational learning factor reflected a th-value of .000, an R2 value of .304, and an f- value of 49.8. A beta weight of .399 and a th-value of .002 further support organizational learning as a predictor of successful implementation of best practices. This suggests that readiness characteristics transcend beyond the traditional classroom. Managers need to understand organizational learning as the recognition of an acquired learning need through diverse activities such as reflection, feedback from observer to learner, and open forums for idea generation, each designed to embed the expectation of learning into daily routines The level of importance associated with the ability to maintain a best practice was significant for communication, with a th-value of .000 and a structure coefficient of .930. This factor was deemed important in the initial implementation stage and evolved as more important in the maintenance stage. The organization that has successfully embraced an implementation management approach has shifted a manager's mindset from simply deciding to implement a best practice to understanding the importance of certain organizational readiness factors in stabilizing the implementation of a best practice.
机译：追求卓越战略的组织通常希望采用创新的最佳实践。这项研究调查了最佳实践的采用，运用了罗杰斯的创新理论传播及其实施阶段以及影响实施的组织准备因素。文献综述表明，实施变更过程受几个组织准备就绪因素的影响：计划，预算资源，组织学习和沟通过程。对美国围产期单位的代表性样本进行了调查，以探讨这些因素与围产期临床最佳实践的采用和实施之间的关系。总体而言，有88％的受访者平均采用和实施了5.7种最佳做法； 68％的人在6-12个月内这样做。尽管所有组织准备因素均呈正相关，但除组织学习显示出显着的关系外，每种关系的强度均中等。因组织学习因素而进行和进行的显着性测试，相关性和对临床实践数量的预测反映出th值为.000，R2值为.304，f值为49.8。 beta权重为.399和th值为.002进一步支持组织学习，作为成功实施最佳实践的预测指标。这表明准备就绪特性超越了传统课堂。管理者需要通过各种活动（例如反思，观察者对学习者的反馈以及开放的论坛来产生想法）将组织学习理解为对已获得的学习需求的认可，每一项旨在将学习期望嵌入日常工作中保持最佳实践的能力对于交流意义重大，th值为.000，结构系数为.930。在最初的实施阶段，这个因素被认为很重要，在维护阶段，这个因素变得越来越重要。成功采用实施管理方法的组织已将经理的思维方式从单纯地决定实施最佳实践转变为理解某些组织准备因素对稳定最佳实践实施的重要性。

著录项

  • 作者

    Naleppa, Margaret M.;

  • 作者单位

    University of Maryland University College.;

  • 授予单位 University of Maryland University College.;
  • 学科 Health Sciences Health Care Management.
  • 学位 D.Mgt.
  • 年度 2010
  • 页码 137 p.
  • 总页数 137
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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