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Unpacking organizational readiness for change: an updated systematic review and content analysis of assessments
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Unpacking organizational readiness for change: an updated systematic review and content analysis of assessments
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Journal Article
Unpacking organizational readiness for change: an updated systematic review and content analysis of assessments
2020
Overview
Background
Organizational readiness assessments have a history of being developed as important support tools for successful implementation. However, it remains unclear how best to operationalize readiness across varied projects or settings. We conducted a synthesis and content analysis of published readiness instruments to compare how investigators have operationalized the concept of organizational readiness for change.
Methods
We identified readiness assessments using a systematic review and update search. We mapped individual assessment items to the Consolidated Framework for Implementation Research (CFIR), which identifies five domains affecting implementation (outer setting, inner setting, intervention characteristics, characteristics of individuals, and implementation process) and multiple constructs within each domain.
Results
Of 1370 survey items, 897 (68%) mapped to the CFIR domain of inner setting, most commonly related to constructs of readiness for implementation (
n
= 220); networks and communication (
n
= 207); implementation climate (
n
= 204); structural characteristics (
n
= 139); and culture (
n
= 93). Two hundred forty-two items (18%) mapped to characteristics of individuals (mainly other personal attributes [
n
= 157] and self-efficacy [
n
= 52]); 80 (6%) mapped to outer setting; 51 (4%) mapped to implementation process; 40 (3%) mapped to intervention characteristics; and 60 (4%) did not map to CFIR constructs. Instruments were typically tailored to specific interventions or contexts.
Discussion
Available readiness instruments predominantly focus on contextual factors within the organization and characteristics of individuals, but the specificity of most assessment items suggests a need to tailor items to the specific scenario in which an assessment is fielded. Readiness assessments must bridge the gap between measuring a theoretical construct and factors of importance to a particular implementation.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Consolidated framework for implementation research
/ Health services administration
/ Humans
/ Medicine
/ Methods
/ Organizational readiness for change
/ Organizations - organization & administration
/ R&D
/ Randomized Controlled Trials as Topic
/ structure and delivery of healthcare
/ Surveys
/ Validity
