Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocol
BackgroundOrganizational readiness for change, defined as the collective preparedness of organization members to enact changes, remains understudied in implementing sepsis survivor transition-in-care protocols. Effective implementation relies on collaboration between hospital and post-acute care inf...
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Frontiers Media S.A.
2024-09-01
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| Series: | Frontiers in Health Services |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frhs.2024.1436375/full |
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| author | Elaine Sang Elaine Sang Ryan Quinn Michael A. Stawnychy Michael A. Stawnychy Michael A. Stawnychy Michael A. Stawnychy Jiyoun Song Jiyoun Song Jiyoun Song Karen B. Hirschman Karen B. Hirschman Karen B. Hirschman Sang Bin You Sang Bin You Katherine S. Pitcher Katherine S. Pitcher Nancy A. Hodgson Nancy A. Hodgson Nancy A. Hodgson Patrik Garren Melissa O'Connor Sungho Oh Sungho Oh Kathryn H. Bowles Kathryn H. Bowles Kathryn H. Bowles Kathryn H. Bowles |
| author_facet | Elaine Sang Elaine Sang Ryan Quinn Michael A. Stawnychy Michael A. Stawnychy Michael A. Stawnychy Michael A. Stawnychy Jiyoun Song Jiyoun Song Jiyoun Song Karen B. Hirschman Karen B. Hirschman Karen B. Hirschman Sang Bin You Sang Bin You Katherine S. Pitcher Katherine S. Pitcher Nancy A. Hodgson Nancy A. Hodgson Nancy A. Hodgson Patrik Garren Melissa O'Connor Sungho Oh Sungho Oh Kathryn H. Bowles Kathryn H. Bowles Kathryn H. Bowles Kathryn H. Bowles |
| author_sort | Elaine Sang |
| collection | DOAJ |
| description | BackgroundOrganizational readiness for change, defined as the collective preparedness of organization members to enact changes, remains understudied in implementing sepsis survivor transition-in-care protocols. Effective implementation relies on collaboration between hospital and post-acute care informants, including those who are leaders and staff. Therefore, our cross-sectional study compared organizational readiness for change among hospital and post-acute care informants.MethodsWe invited informants from 16 hospitals and five affiliated HHC agencies involved in implementing a sepsis survivor transition-in-care protocol to complete a pre-implementation survey, where organizational readiness for change was measured via the Organizational Readiness to Implement Change (ORIC) scale (range 12–60). We also collected their demographic and job area information. Mann-Whitney U-tests and linear regressions, adjusting for leadership status, were used to compare organizational readiness of change between hospital and post-acute care informants.ResultsEighty-four informants, 51 from hospitals and 33 from post-acute care, completed the survey. Hospital and post-acute care informants had a median ORIC score of 52 and 57 respectively. Post-acute care informants had a mean 4.39-unit higher ORIC score compared to hospital informants (p = 0.03).ConclusionsPost-acute care informants had higher organizational readiness of change than hospital informants, potentially attributed to differences in health policies, expertise, organizational structure, and priorities. These findings and potential inferences may inform sepsis survivor transition-in-care protocol implementation. Future research should confirm, expand, and examine underlying factors related to these findings with a larger and more diverse sample. Additional studies may assess the predictive validity of ORIC towards implementation success. |
| format | Article |
| id | doaj-art-c5e640e5211c434c921ae4ebcdd489fd |
| institution | Kabale University |
| issn | 2813-0146 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Health Services |
| spelling | doaj-art-c5e640e5211c434c921ae4ebcdd489fd2025-01-24T12:26:21ZengFrontiers Media S.A.Frontiers in Health Services2813-01462024-09-01410.3389/frhs.2024.14363751436375Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocolElaine Sang0Elaine Sang1Ryan Quinn2Michael A. Stawnychy3Michael A. Stawnychy4Michael A. Stawnychy5Michael A. Stawnychy6Jiyoun Song7Jiyoun Song8Jiyoun Song9Karen B. Hirschman10Karen B. Hirschman11Karen B. Hirschman12Sang Bin You13Sang Bin You14Katherine S. Pitcher15Katherine S. Pitcher16Nancy A. Hodgson17Nancy A. Hodgson18Nancy A. Hodgson19Patrik Garren20Melissa O'Connor21Sungho Oh22Sungho Oh23Kathryn H. Bowles24Kathryn H. Bowles25Kathryn H. Bowles26Kathryn H. Bowles27NewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesLeonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, United StatesBiostatistics Evaluation Collaboration Consultation Analysis (BECCA) Lab, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesLeonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesPenn Medicine Princeton Medical Center, Plainsboro Township, NJ, United StatesNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesLeonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesLeonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesLeonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, United StatesNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesLeonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, United StatesNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesLeonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesGerontology Interest Group, M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, PA, United StatesNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesLeonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, United StatesNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesLeonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA, United StatesCenter for Home Care Policy & Research, VNS Health, New York, NY, United StatesBackgroundOrganizational readiness for change, defined as the collective preparedness of organization members to enact changes, remains understudied in implementing sepsis survivor transition-in-care protocols. Effective implementation relies on collaboration between hospital and post-acute care informants, including those who are leaders and staff. Therefore, our cross-sectional study compared organizational readiness for change among hospital and post-acute care informants.MethodsWe invited informants from 16 hospitals and five affiliated HHC agencies involved in implementing a sepsis survivor transition-in-care protocol to complete a pre-implementation survey, where organizational readiness for change was measured via the Organizational Readiness to Implement Change (ORIC) scale (range 12–60). We also collected their demographic and job area information. Mann-Whitney U-tests and linear regressions, adjusting for leadership status, were used to compare organizational readiness of change between hospital and post-acute care informants.ResultsEighty-four informants, 51 from hospitals and 33 from post-acute care, completed the survey. Hospital and post-acute care informants had a median ORIC score of 52 and 57 respectively. Post-acute care informants had a mean 4.39-unit higher ORIC score compared to hospital informants (p = 0.03).ConclusionsPost-acute care informants had higher organizational readiness of change than hospital informants, potentially attributed to differences in health policies, expertise, organizational structure, and priorities. These findings and potential inferences may inform sepsis survivor transition-in-care protocol implementation. Future research should confirm, expand, and examine underlying factors related to these findings with a larger and more diverse sample. Additional studies may assess the predictive validity of ORIC towards implementation success.https://www.frontiersin.org/articles/10.3389/frhs.2024.1436375/fullsepsis survivorstransitions in careorganizational readiness for changeimplementation sciencehealthcare systemhome health care (HHC) |
| spellingShingle | Elaine Sang Elaine Sang Ryan Quinn Michael A. Stawnychy Michael A. Stawnychy Michael A. Stawnychy Michael A. Stawnychy Jiyoun Song Jiyoun Song Jiyoun Song Karen B. Hirschman Karen B. Hirschman Karen B. Hirschman Sang Bin You Sang Bin You Katherine S. Pitcher Katherine S. Pitcher Nancy A. Hodgson Nancy A. Hodgson Nancy A. Hodgson Patrik Garren Melissa O'Connor Sungho Oh Sungho Oh Kathryn H. Bowles Kathryn H. Bowles Kathryn H. Bowles Kathryn H. Bowles Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocol Frontiers in Health Services sepsis survivors transitions in care organizational readiness for change implementation science healthcare system home health care (HHC) |
| title | Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocol |
| title_full | Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocol |
| title_fullStr | Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocol |
| title_full_unstemmed | Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocol |
| title_short | Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocol |
| title_sort | organizational readiness for change towards implementing a sepsis survivor hospital to home transition in care protocol |
| topic | sepsis survivors transitions in care organizational readiness for change implementation science healthcare system home health care (HHC) |
| url | https://www.frontiersin.org/articles/10.3389/frhs.2024.1436375/full |
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