What factors influence organisational readiness for change? Implementation of the Australian clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients (ADAPT CP)

Geerligs, Liesbeth; Shepherd, Heather L.; Butow, Phyllis; Shaw, Joanne; Cuddy, Jessica; Rankin, Nicole

doi:10.1007/s00520-020-05836-9

Cited by 11 publications

(17 citation statements)

References 28 publications

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“…Many either report the mean change commitment and change efficacy as individual scores, 21 or as total scores. 31 The ORC RMC score in our study was higher than the average of the change commitment and change efficacy scores found when the nurse-reported organisational readiness for change for policy change in acute care hospitals in Switzerland was assessed. 21 There was no comparable study of individual readiness for change using the same instrument applied in the health industry.…”

Section: Discussioncontrasting

confidence: 77%

Organisational and individual readiness for change to respectful maternity care practice and associated factors in Ibadan, Nigeria: a cross-sectional survey

2022

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ObjectivesThis study assessed health providers’ organisational and individual readiness for change to respectful maternity care (RMC) practice and their associated factors in Ibadan Metropolis, Nigeria.DesignA cross-sectional survey using standardised structured instruments adapted from the literature.SettingNine public health facilities in Ibadan Metropolis, Nigeria, 1 December 2019–31 May 2020.Participants212 health providers selected via a two-stage cluster sampling.OutcomesOrganisational readiness for change to RMC (ORCRMC) and individual readiness for change to RMC (IRCRMC) scales had a maximum score of 5. Multiple linear regression was used to identify factors influencing IRCRMCand ORCRMC.We evaluated previously identified predictors of readiness for change (change valence, informational assessments on resource adequacy, core self-evaluation and job satisfaction) and proposed others (workplace characteristics, awareness of mistreatment during childbirth, perceptions of women’s rights and resource availability to implement RMC). Data were adjusted for clustering and analysed using Stata V.15.ResultsThe providers’ mean age was 44.0±9.9 years with 15.4±9.9 years of work experience. They scored high on awareness of women’s mistreatment (3.9±0.5) and women’s perceived rights during childbirth (3.9±0.5). They had high ORCRMC(4.1±0.9) and IRCRMC(4.2±0.6), both weakly but positively correlated (r=0.407, 95% CI: 0.288 to 0.514, p<0.001). Providers also had high change valence (4.5±0.8) but lower perceptions of resource availability (2.7±0.7) and adequacy for implementation (3.3±0.7). Higher provider change valence and informational assessments were associated with significantly increased IRCRMC(β=0.40, 95% CI: 0.11 to 0.70, p=0.015 and β=0.07, 95% CI: 0.01 to 0.13, p=0.032, respectively), and also with significantly increased ORCRMC(β=0.47, 95% CI: 0.21 to 0.74, p=0.004 and β=0.43, 95% CI: 0.22 to 0.63, p=0.002, respectively). Longer years of work experience (β=0.08, 95% CI: 0.01 to 0.2, p=0.024), providers’ monthly income (β=0.08, 95% CI: 0.02 to 0.15, p=0.021) and the health facility of practice were associated with significantly increased ORCRMC.ConclusionThe health providers studied valued a change to RMC and believed that both they and their facilities were ready for the change to RMC practice.

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Section: Discussioncontrasting

confidence: 77%

Organisational and individual readiness for change to respectful maternity care practice and associated factors in Ibadan, Nigeria: a cross-sectional survey

2022

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“…Like other clinical informatics and care enhancement programmes, PROM implementation has a high risk of failure if key principles are missing. [85][86][87] Implementing and sustaining PROMs requires the engagement of clinical and administrative staff and leadership, as well as patients. Therefore, a systematic approach with tailored implementation support and effective oversight is critical.…”

Section: Best Practice and Implementation Of Proms In The Health Care...mentioning

confidence: 99%

The role of patient-reported outcome measures in the continuum of cancer clinical care: ESMO Clinical Practice Guideline

et al. 2022

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“…However, we think that such a decision needs to consider both efforts and benefits: In the current approach, we kept the effort of the medical staff as low as possible. This in turn may help to reduce institutional implementation barriers such as resources, training/education, or organizational readiness [ 41 , 42 ]. Furthermore, we found robust effects in strengthening patient autonomy through information and improving awareness in physicians.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of an electronic psycho-oncological adaptive screening program (EPAS) with immediate patient feedback: findings from a German cluster intervention study

Esser

Sautier

Sarkar³

et al. 2021

J Cancer Surviv

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Purpose Distress screening has become mandatory and essential in comprehensive cancer care. We evaluated an electronic psycho-oncological adaptive screening (EPAS) which assesses objective indicators of care needs and subjectively perceived care needs and subsequently provides patient feedback with individualized recommendations about psychosocial care services. Methods Patients were assessed within clusters, i.e., different oncological facilities of the competence network of the University Cancer Center Hamburg (UCCH). Patients in the intervention arm underwent the screening, controls received standard care. Patients were assessed at baseline (t0), 3-month (t1), and 6-month (t2) follow-up. Outcomes included information level and use of/access to nine psychosocial services at UCCH, well-being (GAD-7, PHQ-9, SF-8), and treatment satisfaction (SCCC). Conditional linear and logistic regressions were used to identify screening effects at t1 and t2. Results Of 1320 eligible patients across 11 clusters, 660 were included (50%). The average age was 60 years; 46% were female. The intervention was associated with increased information level for all psychosocial services at t1 and t2 (all p < .001), increased use in some of these services at t1 and t2, respectively (p ≤ .02), and better evaluation of access (e.g., more recommendations for services provided by physicians, p < .01). At t2, the intervention was associated with a lower level of satisfaction with disease-related information (p = .02). Conclusions EPAS may improve information about psychosocial services as well as utilization of and access to these services. The effect on information level seems not to be generalizable to other aspects of oncological care. Future studies should incorporate novel technologies and condense the procedure to its core factors. Implications for Cancer Survivors: The screening may help to enhance self-management competencies among cancer survivors. Trial registration The trial was retrospectively registered (2/2021) at ClinicalTrials.gov (number: NCT04749056).

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What factors influence organisational readiness for change? Implementation of the Australian clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients (ADAPT CP)

Cited by 11 publications

References 28 publications

Organisational and individual readiness for change to respectful maternity care practice and associated factors in Ibadan, Nigeria: a cross-sectional survey

Organisational and individual readiness for change to respectful maternity care practice and associated factors in Ibadan, Nigeria: a cross-sectional survey

The role of patient-reported outcome measures in the continuum of cancer clinical care: ESMO Clinical Practice Guideline

Evaluation of an electronic psycho-oncological adaptive screening program (EPAS) with immediate patient feedback: findings from a German cluster intervention study

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