Are You Ready? How Health Professionals Can Comprehensively Conceptualize Readiness for Change
Are You Ready? How Health Professionals Can Comprehensively Conceptualize Readiness for Change
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DOI：
10.1007/s11606-009-1112-8
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发表时间：
2010-01-01
影响因子：
5.7
通讯作者：
Weiner, Bryan J.
中科院分区：
文献类型：
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作者：
Holt, Daniel T.;Helfrich, Christian D.;Weiner, Bryan J.
影响全系统改革成功实施的一个重要因素是初步准备情况。准备程度被定义为参与者个人和集体准备、动机和技术能力执行变更的程度。我们提出了一个概念框架，强调了三个广泛的领域，如果卫生保健专业人员要全面评估准备，包括心理因素（即，被要求改变的人的特征），结构因素（即，发生变化的情况）以及分析的级别（即，个人和组织层面）。我们还描述了更具体的尺寸在每个这些广泛的类别，既有经验和理论支持，提出了几个有效和可靠的调查工具，定量测量准备的关键方面。
One important factor influencing the successful implementation of system-wide change is initial readiness. Readiness is defined as the degree to which those involved are individually and collectively primed, motivated, and technically capable of executing the change. We present a conceptual framework that highlights three broad areas to be considered if health-care professionals are to comprehensively evaluate readiness that includes psychological factors (i.e., characteristics of those being asked to change), structural factors (i.e., circumstances under which the change is occurring) as well as the level of analysis (i.e., individual and organizational levels). We also describe more specific dimensions within each of these broad categories that have both empirical and theoretical support, presenting several valid and reliable survey instruments that measure key dimensions of readiness quantitatively.