The importance of organizational climate and implementation strategy at the introduction of a new working tool in primary health care.
نویسندگان
چکیده
RATIONALE, AIMS AND OBJECTIVES The transmission of research findings into routine care is a slow and unpredictable process. Important factors predicting receptivity for innovations within organizations have been identified, but there is a need for further research in this area. The aim of this study was to describe contextual factors and evaluate if organizational climate and implementation strategy influenced outcome, when a computer-based concept for lifestyle intervention was introduced in primary health care (PHC). METHOD The study was conducted using a prospective intervention design. The computer-based concept was implemented at six PHC units. Contextual factors in terms of size, leadership, organizational climate and political environment at the units included in the study were assessed before implementation. Organizational climate was measured using the Creative Climate Questionnaire (CCQ). Two different implementation strategies were used: one explicit strategy, based on Rogers' theories about the innovation-decision process, and one implicit strategy. After 6 months, implementation outcome in terms of the proportion of patients who had been referred to the test, was measured. RESULTS The CCQ questionnaire response rates among staff ranged from 67% to 91% at the six units. Organizational climate differed substantially between the units. Managers scored higher on CCQ than staff at the same unit. A combination of high CCQ scores and explicit implementation strategy was associated with a positive implementation outcome. CONCLUSIONS Organizational climate varies substantially between different PHC units. High CCQ scores in combination with an explicit implementation strategy predict a positive implementation outcome when a new working tool is introduced in PHC.
منابع مشابه
Bringing Value-Based Perspectives to Care: Including Patient and Family Members in Decision-Making Processes
Background Recent evidence shows that patient engagement is an important strategy in achieving a high performing healthcare system. While there is considerable evidence of implementation initiatives in direct care context, there is limited investigation of implementation initiatives in decision-making context as it relates to program planning, service delivery and developing policies. Research ...
متن کاملThe relationship between job burnout and the perceived organizational climate in nurses working in medical training centers of Iran University of Medical Sciences
Background: Nursing has always been one of the most stressful jobs. Nurses as a key group in the treatment system experience a lot of job stress that can cause fatigue and burnout and thus a negative impact on their mental health. Burnout is an emotionally exhausting state in which a person feels affected and exhausted by their job, in which the person feels unable to meet job expectations, and...
متن کاملAssociation between organizational climate and perceptions and use of an innovation in Swedish primary health care: a prospective study of an implementation
BACKGROUND There is a need for new knowledge regarding determinants of a successful implementation of new methods in health care. The role of a receptive context for change to support effective diffusion has been underlined, and could be studied by assessing the organizational climate. The aim of this study was to assess the association between organizational climate when a computer-based lifes...
متن کاملتطابق اهداف ابتدایی و ساختار سازمانی فعلی در نظام ارائه مراقبت بهداشتی اولیه در ایران: مطالعه‌ی مروری نظام‌مند
Background and Aim: In recent years, the family physician plan has been implemented as a main strategy of the health system in Iran. Therefore, the necessity to reform organizational structure based on new goals and strategies is felt more than before. The aim of this study is to review and summarize all cases about Iran’s organizational structure and its challenges in primary healthcare system...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of evaluation in clinical practice
دوره 16 6 شماره
صفحات -
تاریخ انتشار 2010