Operationalizing the Concept of the Optimal Healing Environment in Clinical Settings: The Importance of "Readiness"

Findlay, Barbara; Verhoef, Marja J.

doi:10.1089/1075553042245836

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…The relatively low response rate in this study further suggests the lack of interest in or relevance of research in the IHC context. Identifying these barriers proved to be very informative and may contribute to a more complete understanding of what " readiness " to conduct research practically looks and feels like in an IHC clinic [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Identifying the barriers to conducting outcomes research in integrative health care clinic settings - a qualitative study

Verhoef

Mulkins

Kania

et al. 2010

BMC Health Serv Res

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BackgroundIntegrative health care (IHC) is an interdisciplinary blending of conventional medicine and complementary and alternative medicine (CAM) with the purpose of enhancing patients' health. In 2006, we designed a study to assess outcomes that are relevant to people using such care. However, we faced major challenges in conducting this study and hypothesized that this might be due to the lack of a research climate in these clinics. To investigate these challenges, we initiated a further study in 2008, to explore the reasons why IHC clinics are not conducting outcomes research and to identify strategies for conducting successful in-house outcomes research programs. The results of the latter study are reported here.MethodsA total of 25 qualitative interviews were conducted with key participants from 19 IHC clinics across Canada. Basic content analysis was used to identify key themes from the transcribed interviews.ResultsBarriers identified by participants fell into four categories: organizational culture, organizational resources, organizational environment and logistical challenges. Cultural challenges relate to the philosophy of IHC, organizational leadership and practitioner attitudes and beliefs. Participants also identified significant issues relating to their organization's lack of resources such as funding, compensation, infrastructure and partnerships/linkages. Environmental challenges such as the nature of a clinic's patient population and logistical issues such as the actual implementation of a research program and the applicability of research data also posed challenges to the conduct of research. Embedded research leadership, integration of personal and professional values about research, alignment of research activities and clinical workflow processes are some of the factors identified by participants that support IHC clinics' ability to conduct outcomes research.ConclusionsAssessing and enhancing the broader evaluation culture of IHC clinics prior to implementing outcomes research may be a critical step towards ensuring productive and cost-effective research programs. However, as IHC clinics are often complex systems, a whole systems approach to research should be used taking into account the multidimensional and complex nature of such treatment systems so that the results are useful and reflect real life.

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Section: Discussionmentioning

confidence: 99%

Identifying the barriers to conducting outcomes research in integrative health care clinic settings - a qualitative study

Verhoef

Mulkins

Kania

et al. 2010

BMC Health Serv Res

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“…Indeed, they should be prepared cognitively and emotionally for change (Jones et al , 2005). However, readiness itself has not been well-defined (Findlay and Verhoef, 2004), which has led to considerable vagueness around its theoretical role in organizational change efforts, as well as the identification of multiple variables that might influence nurses readiness. According to the transtheoretical model of change, nurses proceed through stages of change, beginning with not considering change at all through the final stage of maintenance (Velicer et al , 1998; Armenakis and Bedeian, 1999).…”

Section: Introductionmentioning

confidence: 99%

The influence of leadership behavior, organizational commitment, organizational support, subjective career success on organizational readiness for change in healthcare organizations

Al‐Hussami

Hammad

Alsoleihat

2018

LHS

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Purpose The purpose of this study is to investigate the influence of leadership behavior, organizational commitment, organizational support and subjective career success on organizational readiness for change in the healthcare organizations. The authors want to determine if nurses who had higher levels of organizational commitment, organizational support and subjective career success relationships were more open and prepared for change. Design/methodology/approach Cross-sectional, descriptive-correlational survey design was conducted using self-reported questionnaires to collect data from registered nurses. Findings The subjective career success was the strongest predictors ( β = 0.36, p < 0.001) followed by leadership behavior ( β = -0.19, p = 0.03) and participants' age ( β = -0.13, p = 0.049). Research limitations/implications This study highlights the influence of leadership behavior, organizational commitment, organizational support and subjective career success on the organizational readiness for change in healthcare organizations. Therefore, this study forms baseline data for future local and national studies. Moreover, it will strengthen the research findings if future research includes a qualitative approach that explores other healthcare professionals regarding readiness for organizational change. Practical implications This study provides information to policymakers and healthcare leaders who seek to improve management and leadership skills and respond to organizational change efforts. Social implications It is important to know the extent to which healthcare professionals, especially nurses, understand how the influence of organizational support and organizational commitment on organizational readiness for change, as well as why specific leadership behavior and subjective career success, is important in implementing the change. Originality/value This study examined the nurses' readiness for change in hospitals. Organizational readiness for change could occur in situations where nurses can exert extra efforts at work because of leaders' behaviors and the relationship between nurses and the institution.

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“…Much has been written about the philosophy and ethos of the OHE trend, yet sources of information regarding the administrative, and research aspects of these environments are scarce, if not somewhat vague (Findlay and Verhoef 2004). Cancer care healing environments have cropped up alongside numerous other specialties in recent years.…”

Section: Introductionmentioning

confidence: 99%

Beyond Patienthood: Integrative medicine, healing environments and the journey toward new selfhood.

Kabel

2012

hcs

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The purpose of this study was to learn about the relationship between participation in an integrative medicine program and the impact upon the social identities of seven individuals with cancer. Data were collected via semi-structured, face-to-face interviews and observations in the clinic space, and analyzed using a constant comparison method. All of the participants reported a change in their social identities as they transitioned between illness and wellness. The sub-themes that emerged included: the use of complementary and alternative medicine (CAM) as a means of fighting cancer after chemotherapy ended, maintaining health becoming a main occupation, and the "cancer filter" through which all other experiences are viewed, shaping the post-treatment phase of life. Overall, findings suggest that seeking CAM played a role in the participants' transitions from selves defined by patient status, to new selves, with new perspectives.

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Operationalizing the Concept of the Optimal Healing Environment in Clinical Settings: The Importance of "Readiness"

Cited by 6 publications

References 8 publications

Identifying the barriers to conducting outcomes research in integrative health care clinic settings - a qualitative study

Identifying the barriers to conducting outcomes research in integrative health care clinic settings - a qualitative study

The influence of leadership behavior, organizational commitment, organizational support, subjective career success on organizational readiness for change in healthcare organizations

Beyond Patienthood: Integrative medicine, healing environments and the journey toward new selfhood.

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