The importance of organizational readiness for change for implementing clinical practice standards in Indonesian obstetric facilities ...

• Main Author: Laugen, Christian Myers
• Format: Text
• Language: English
• Published: University of British Columbia 2022
• Subjects: Orca
• Online Access: https://dx.doi.org/10.14288/1.0406227; https://doi.library.ubc.ca/10.14288/1.0406227

Background: Quality improvement initiatives require collective and coordinated actions from multiple members of a health care organization. Preparing health workers prior to implementation by assessing their organizational readiness for change (ORC) may be effective for ensuring greater implementation success. Although common in other fields, measuring readiness in health organizations is less common, especially in lower- and middle-income countries (LMIC). This study aims to assess ORC in multiple Indonesian hospitals prior to implementation of a maternal and newborn quality improvement program. Methods: The Organizational Readiness for Change Assessment (ORCA) measurement tool based on the Promoting Action on Research in Health Services (PARIHS) was adapted to the Indonesian context, then internal reliability and factor structure of the primary scales was examined: evidence, context, and facilitation. The Indonesian version of the instrument was administered to respondents in hospitals prior to engagement ...