Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework
Abstract Background The Promoting Action on Research Implementation in Health Services, or PARIHS, framework is a theoretical framework widely promoted as a guide to implement evidence-based clinical practices. However, it has as yet no pool of validated measurement instruments that operationalize t...
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ftdoajarticles:oai:doaj.org/article:46bf9ab294cd47bba32e747b4afca7ce 2023-05-15T17:53:33+02:00 Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework Li Yu-Fang Helfrich Christian D Sharp Nancy D Sales Anne E 2009-07-01T00:00:00Z https://doi.org/10.1186/1748-5908-4-38 https://doaj.org/article/46bf9ab294cd47bba32e747b4afca7ce EN eng BMC http://www.implementationscience.com/content/4/1/38 https://doaj.org/toc/1748-5908 doi:10.1186/1748-5908-4-38 1748-5908 https://doaj.org/article/46bf9ab294cd47bba32e747b4afca7ce Implementation Science, Vol 4, Iss 1, p 38 (2009) Medicine (General) R5-920 article 2009 ftdoajarticles https://doi.org/10.1186/1748-5908-4-38 2022-12-31T07:17:30Z Abstract Background The Promoting Action on Research Implementation in Health Services, or PARIHS, framework is a theoretical framework widely promoted as a guide to implement evidence-based clinical practices. However, it has as yet no pool of validated measurement instruments that operationalize the constructs defined in the framework. The present article introduces an Organizational Readiness to Change Assessment instrument (ORCA), organized according to the core elements and sub-elements of the PARIHS framework, and reports on initial validation. Methods We conducted scale reliability and factor analyses on cross-sectional, secondary data from three quality improvement projects (n = 80) conducted in the Veterans Health Administration. In each project, identical 77-item ORCA instruments were administered to one or more staff from each facility involved in quality improvement projects. Items were organized into 19 subscales and three primary scales corresponding to the core elements of the PARIHS framework: (1) Strength and extent of evidence for the clinical practice changes represented by the QI program, assessed with four subscales, (2) Quality of the organizational context for the QI program, assessed with six subscales, and (3) Capacity for internal facilitation of the QI program, assessed with nine subscales. Results Cronbach's alpha for scale reliability were 0.74, 0.85 and 0.95 for the evidence, context and facilitation scales, respectively. The evidence scale and its three constituent subscales failed to meet the conventional threshold of 0.80 for reliability, and three individual items were eliminated from evidence subscales following reliability testing. In exploratory factor analysis, three factors were retained. Seven of the nine facilitation subscales loaded onto the first factor; five of the six context subscales loaded onto the second factor; and the three evidence subscales loaded on the third factor. Two subscales failed to load significantly on any factor. One measured resources in general ... Article in Journal/Newspaper Orca Directory of Open Access Journals: DOAJ Articles Implementation Science 4 1 |
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Medicine (General) R5-920 |
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Medicine (General) R5-920 Li Yu-Fang Helfrich Christian D Sharp Nancy D Sales Anne E Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework |
topic_facet |
Medicine (General) R5-920 |
description |
Abstract Background The Promoting Action on Research Implementation in Health Services, or PARIHS, framework is a theoretical framework widely promoted as a guide to implement evidence-based clinical practices. However, it has as yet no pool of validated measurement instruments that operationalize the constructs defined in the framework. The present article introduces an Organizational Readiness to Change Assessment instrument (ORCA), organized according to the core elements and sub-elements of the PARIHS framework, and reports on initial validation. Methods We conducted scale reliability and factor analyses on cross-sectional, secondary data from three quality improvement projects (n = 80) conducted in the Veterans Health Administration. In each project, identical 77-item ORCA instruments were administered to one or more staff from each facility involved in quality improvement projects. Items were organized into 19 subscales and three primary scales corresponding to the core elements of the PARIHS framework: (1) Strength and extent of evidence for the clinical practice changes represented by the QI program, assessed with four subscales, (2) Quality of the organizational context for the QI program, assessed with six subscales, and (3) Capacity for internal facilitation of the QI program, assessed with nine subscales. Results Cronbach's alpha for scale reliability were 0.74, 0.85 and 0.95 for the evidence, context and facilitation scales, respectively. The evidence scale and its three constituent subscales failed to meet the conventional threshold of 0.80 for reliability, and three individual items were eliminated from evidence subscales following reliability testing. In exploratory factor analysis, three factors were retained. Seven of the nine facilitation subscales loaded onto the first factor; five of the six context subscales loaded onto the second factor; and the three evidence subscales loaded on the third factor. Two subscales failed to load significantly on any factor. One measured resources in general ... |
format |
Article in Journal/Newspaper |
author |
Li Yu-Fang Helfrich Christian D Sharp Nancy D Sales Anne E |
author_facet |
Li Yu-Fang Helfrich Christian D Sharp Nancy D Sales Anne E |
author_sort |
Li Yu-Fang |
title |
Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework |
title_short |
Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework |
title_full |
Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework |
title_fullStr |
Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework |
title_full_unstemmed |
Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework |
title_sort |
organizational readiness to change assessment (orca): development of an instrument based on the promoting action on research in health services (parihs) framework |
publisher |
BMC |
publishDate |
2009 |
url |
https://doi.org/10.1186/1748-5908-4-38 https://doaj.org/article/46bf9ab294cd47bba32e747b4afca7ce |
genre |
Orca |
genre_facet |
Orca |
op_source |
Implementation Science, Vol 4, Iss 1, p 38 (2009) |
op_relation |
http://www.implementationscience.com/content/4/1/38 https://doaj.org/toc/1748-5908 doi:10.1186/1748-5908-4-38 1748-5908 https://doaj.org/article/46bf9ab294cd47bba32e747b4afca7ce |
op_doi |
https://doi.org/10.1186/1748-5908-4-38 |
container_title |
Implementation Science |
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4 |
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1 |
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1766161250421571584 |