Dimensions of community and organizational readiness for change.
Dimensions of community and organizational readiness for change.
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DOI：
10.1353/cpr.2012.0016
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Talavera GA
中科院分区：
文献类型：
--
作者：
Castañeda SF;Holscher J;Mumman MK;Salgado H;Keir KB;Foster-Fishman PG;Talavera GA
就绪性可以影响卫生干预措施是否在社区实施，并最终纳入社区。尽管人们对变化的准备和能力有很大的研究兴趣，但对这些结构的测量仍处于初级阶段。这次审查的目的是整合社区和组织准备情况的现有评估模式。在PubMed数据库中搜索被确定为核心文章列表中引用的参考文献的文章、书籍章节和从业人员指南。如果研究符合以下标准，则纳入研究：(1)实证研究，(2)在研究标题、目的、研究问题或假设中确定社区或组织对创新卫生规划的准备情况，以及(3)确定衡量这些结构的方法。删除了重复的条款，排除了1995年前发布的措施。这项搜索产生了150项研究；其中13项符合所有标准。本文介绍了对13个社区和组织准备情况评估模型的批判性审查的结果，这些评估模型源于文章、章节和从业人员指南，重点是评估、发展和维持社区和组织对创新公共卫生计划的准备情况。准备情况是多方面的，不同的模型强调准备情况的不同组成部分，例如(1)促进变化的社区和组织氛围，(2)对预防的态度和当前努力，(3)对变化的承诺，以及(4)实施变化的能力。在启动计划规划流程时，必须评估这四个准备就绪的领域，以确定它们如何应用于不同社区的细微差别。因此，以社区为基础的参与性研究(CBPR)伙伴关系在努力关注公共卫生问题时，可以考虑使用就绪性评估作为一种工具，根据社区的需要调整干预工作。
Readiness can influence whether health interventions are implemented in, and ultimately integrated into, communities. Although there is significant research interest in readiness and capacity for change, the measurement of these constructs is still in its infancy. The purpose of this review was to integrate existing assessment models of community and organizational readiness. The database PubMed was searched for articles; articles, book chapters, and practitioner guides identified as references cited in the list of core articles. Studies were included if they met the following criteria: (1) Empirical research, (2) identified community or organizational readiness for innovative health programming in the study’s title, purpose, research questions, or hypotheses, and (3) identified methods to measure these constructs. Duplicate articles were deleted and measures published before 1995 were excluded. The search yielded 150 studies; 13 met all criteria. This article presents the results of a critical review of 13 community and organizational readiness assessment models, stemming from articles, chapters, and practitioner’s guides focusing on assessing, developing, and sustaining community and organizational readiness for innovative public health programs. Readiness is multidimensional and different models place emphasis on different components of readiness, such as (1) community and organizational climate that facilitates change, (2) attitudes and current efforts toward prevention, (3) commitment to change, and (4) capacity to implement change. When initiating the program planning process, it is essential to assess these four domains of readiness to determine how they apply to the nuances across different communities. Thus, community-based participatory research (CBPR) partnerships, in efforts to focus on public health problems, may consider using readiness assessments as a tool for tailoring intervention efforts to the needs of the community.
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DOI：
10.1177/1043659603014003009
发表时间：
2003-07-01
期刊：
Journal of transcultural nursing : official journal of the Transcultural Nursing Society
影响因子：
--
作者：
Brackley, Margaret;Davila, Yolanda;Spears, William
通讯作者：
Spears, William
影响因子：
3.1
作者：
Foster-Fishman, Pennie G.;Cantillon, Daniel;Van Egeren, Laurie A.
通讯作者：
Van Egeren, Laurie A.
影响因子：
3.1
作者：
Chinman, M;Hannah, G;Sheldon, J
通讯作者：
Sheldon, J
影响因子：
0.9
作者：
Beebe, TJJ;Harrison, PA;Hedger, S
通讯作者：
Hedger, S
影响因子：
3.1
作者：
Chinman, Matthew;Hunter, Sarah B.;Wandersman, Abraham
通讯作者：
Wandersman, Abraham