透析机构实施慢性病自我管理项目的组织准备情况。
Organizational Readiness to Implement the Chronic Disease Self-Management Program in Dialysis Facilities.
作者信息
Washington Tiffany R, Hilliard Tandrea S, Mingo Chivon A, Hall Rasheeda K, Smith Matthew Lee, Lea Janice I
机构信息
University of Georgia, School of Social Work, Athens, GA 30602, USA.
American Institutes for Research, Chapel Hill, NC 27517, USA.
出版信息
Geriatrics (Basel). 2018 Jun 14;3(2):31. doi: 10.3390/geriatrics3020031.
A gap exists between the development and uptake of evidence-based health promotion programs in health care settings. One reason for this gap is lack of attention to organizational readiness. The objective of this study was to assess organizational readiness to implement the Chronic Disease Self-Management Program in dialysis facilities. Survey data were collected from dialysis staff using a semi-structured Organizational Readiness for Implementing Change questionnaire. Change efficacy and change commitment scale ratings were all above 3.0, indicating a moderate level of readiness among staff. Profession and level of education were significantly associated with mean change efficacy scale ratings. Textual data revealed benefits to patients, implementation barriers and facilitators, and the influence of facility environment and culture. The findings of the current study suggest that additional efforts to advance the implementation of evidence-based health promotion programs in dialysis facilities are needed.
在医疗保健环境中，循证健康促进项目的开发与应用之间存在差距。造成这一差距的一个原因是对组织准备情况缺乏关注。本研究的目的是评估透析机构实施慢性病自我管理项目的组织准备情况。使用半结构化的《实施变革的组织准备情况调查问卷》收集了透析工作人员的调查数据。变革效能和变革承诺量表评分均高于3.0，表明工作人员的准备程度处于中等水平。职业和教育水平与变革效能量表平均评分显著相关。文本数据揭示了对患者的益处、实施障碍和促进因素，以及机构环境和文化的影响。当前研究结果表明，需要做出更多努力来推进透析机构中循证健康促进项目的实施。
Zotero 插件