Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia
| Autor: | Julie-Anne Fleet, Lois McKellar, Rachael Yates, Pamela Adelson |
|---|---|
| Přispěvatelé: | Adelson, Pamela, Yates, Rachael, Fleet, Julie Anne, McKellar, Lois |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Organizational readiness Midwifery Health informatics Health administration Likert scale 03 medical and health sciences continuity of care 0302 clinical medicine Pregnancy Surveys and Questionnaires South Australia Health care medicine Humans 030212 general & internal medicine skin and connective tissue diseases midwifery Organizational readiness ORIC Continuity of care Midwifery Workforce Rural and remote Australia Organizations 030219 obstetrics & reproductive medicine Obstetrics business.industry Health Policy Public health Nursing research Australia Organizational Innovation ORIC Rural and remote Scale (social sciences) Workforce Continuity of care Female sense organs Public aspects of medicine RA1-1270 organizational readiness business Research Article |
| Zdroj: | BMC Health Services Research, Vol 21, Iss 1, Pp 1-6 (2021) BMC Health Services Research |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-021-06373-9 |
| Popis: | Background The sustainability of Australian rural maternity services is under threat due to current workforce shortages. In July 2019, a new midwifery caseload model of care was implemented in rural South Australia to provide midwifery continuity of care and promote a sustainable workforce in the area. The model is unique as it brings together five birthing sites connecting midwives, doctors, nurses and community teams. A critical precursor to successful implementation requires those working in the model be ready to adopt to the change. We surveyed clinicians at the five sites transitioning to the new model of care in order to assess their organizational readiness to implement change. Methods A descriptive study assessing readiness for change was measured using the Organizational Readiness for Implementing Change scale (ORIC). The 12 item Likert scale measures a participant’s commitment to change and change efficacy. All clinicians working within the model of care (midwives, nurses and doctors) were invited to complete an e-survey. Results Overall, 55% (56/102) of clinicians participating in the model responded. The mean ORIC score was 41.5 (range 12–60) suggesting collectively, midwives, nurses and doctors began the new model of care with a sense of readiness for change. Participants were most likely to agree on the change efficacy statements, “People who work here feel confident that the organization can get people invested in implementing this change and the change commitment statements “People who work here are determined to implement this change”, “People who work here want to implement this change”, and “People who work here are committed to implementing this change. Conclusion Results of the ORIC survey indicate that clinicians transitioning to the new model of care were willing to embrace change and commit to the new model. The process of organizational change in health care settings is challenging and a continuous process. If readiness for change is high, organizational members invest more in the change effort and exhibit greater persistence to overcome barriers and setbacks. This is the first reported use of the instrument amongst midwives and nurses in Australia and should be considered for use in other national and international clinical implementation studies. |
| Databáze: | OpenAIRE |
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