Organizational readiness to implement the chronic disease self-management program in dialysis facilities

Tiffany R. Washington; Tandrea S. Hilliard; Chivon A. Mingo; Rasheeda K. Hall; Matthew Lee Smith; Janice I. Lea

doi:10.3390/geriatrics3020031

Organizational readiness to implement the chronic disease self-management program in dialysis facilities

Tiffany R. Washington, Tandrea S. Hilliard, Chivon A. Mingo, Rasheeda K. Hall, Matthew Lee Smith, Janice I. Lea

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

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 organizationalreadiness. 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. Changeefficacy 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.

Original language	English (US)
Article number	31
Journal	Geriatrics (Switzerland)
Volume	3
Issue number	2
DOIs	https://doi.org/10.3390/geriatrics3020031
State	Published - Jun 1 2018

Keywords

Chronic kidney disease
Implementation science
Self-management

ASJC Scopus subject areas

Health(social science)
Aging
Gerontology
Geriatrics and Gerontology

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10.3390/geriatrics3020031

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title = "Organizational readiness to implement the chronic disease self-management program in dialysis facilities",

abstract = "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 organizationalreadiness. 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. Changeefficacy 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.",

keywords = "Chronic kidney disease, Implementation science, Self-management",

author = "Washington, {Tiffany R.} and Hilliard, {Tandrea S.} and Mingo, {Chivon A.} and Hall, {Rasheeda K.} and Smith, {Matthew Lee} and Lea, {Janice I.}",

note = "Funding Information: This research was funded by the University of Georgia Owens Institute for Behavioral Research Faculty Seed Grant The authors express appreciation to graduate students Jacqueline Tachman, Eunhye Kim,and Imani Byers for their research support. Publisher Copyright: {\textcopyright} 2018 by the authors. Licensee MDPI, Basel, Switzerland.",

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doi = "10.3390/geriatrics3020031",

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AU - Hilliard, Tandrea S.

AU - Mingo, Chivon A.

AU - Hall, Rasheeda K.

AU - Smith, Matthew Lee

AU - Lea, Janice I.

N1 - Funding Information: This research was funded by the University of Georgia Owens Institute for Behavioral Research Faculty Seed Grant The authors express appreciation to graduate students Jacqueline Tachman, Eunhye Kim,and Imani Byers for their research support. Publisher Copyright: © 2018 by the authors. Licensee MDPI, Basel, Switzerland.

PY - 2018/6/1

Y1 - 2018/6/1

N2 - 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 organizationalreadiness. 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. Changeefficacy 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.

AB - 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 organizationalreadiness. 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. Changeefficacy 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.

KW - Chronic kidney disease

KW - Implementation science

KW - Self-management

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Organizational readiness to implement the chronic disease self-management program in dialysis facilities

Abstract

Keywords

ASJC Scopus subject areas

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