Organizational Readiness to Implement the Chronic Disease Self-Management Program in Dialysis Facilities.

• Type of Material: Article
• Authors: Tiffany R. Washington, University of Georgia; Tandrea S. Hilliard, American Institutes for Research; Chivon A. Mingo, Georgia State University; Rasheeda K. Hall, Duke University; Matthew Lee Smith, Texas A&M University; Janice Lea, Emory University
• Language: English
• Date: 2018-06-14
• Publisher: MDPI
• Publication Version: Final Published Version
• Copyright Statement: © 2018 by the authors.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.3390/geriatrics3020031
• Title of Journal or Parent Work: Geriatrics
• ISSN: 2308-3417
• Volume: 3
• Issue: 2
• Start Page: 31
• End Page: 31
• Grant/Funding Information: This research was funded by the University of Georgia Owens Institute for Behavioral Research Faculty Seed Grant.
• Keywords: self-management; chronic kidney disease; implementation science
• Research Categories: Health Sciences, Medicine and Surgery; Health Sciences, Health Care Management

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 organizational readiness. 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. Change efficacy 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.