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 journalArticlepeer-review

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 languageEnglish (US)
Article number31
JournalGeriatrics (Switzerland)
Volume3
Issue number2
DOIs
StatePublished - 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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