Organizational readiness for change and opinions toward treatment innovations
Organizational readiness for change and opinions toward treatment innovations
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DOI：
10.1016/j.jsat.2006.12.026
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发表时间：
2007-09-01
影响因子：
3.9
通讯作者：
McCarty, Dennis
中科院分区：
文献类型：
--
作者：
Fuller, Bret E.;Rieckmann, Traci;McCarty, Dennis
参与国家药物滥用治疗临床试验网络的治疗项目的项目管理人员和工作人员完成了调查，以描述参与项目和从业人员的特征。两级随机效应回归模型评估了组织变革准备度 (ORC) 和组织属性对四种循证实践（手动治疗、药物治疗、综合心理健康服务和动机激励）和经验支持较少的实践（对抗和违规解除）意见的影响。 ORC 量表表明，在项目中应加大对循证实践的支持，在这些项目中，工作人员认为项目需要改进、更好的互联网接入、更高水平的同事影响力、更多的职业发展机会、更强的组织使命感和更大的组织压力。支持对抗和违规解除。相比之下，当员工看到职业发展机会较少、同事影响力较弱、互联网访问较少以及组织压力较小时，这种感觉就会很强。该分析提供了 ORC 在实施循证实践期间评估机构优势和需求方面的效用的证据。 (c) 2007 Elsevier Inc. 保留所有权利。
Program administrators and staff in treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network completed surveys to characterize participating programs and practitioners. A two-level random-effects regression model assessed the influence of Organizational Readiness for Change (ORC) and organizational attributes on opinions toward the use of four evidence-based practices (manualized treatments, medication, integrated mental health services, and motivational incentives) and practices with less empirical support (confrontation and noncompliance discharge). The ORC scales suggested greater support for evidence-based practices in programs where staff perceived more program need for improvement, better Internet access, higher levels of peer influence, more opportunities for professional growth, a stronger sense of organizational mission, and more organizational stress. Support for confrontation and noncompliance discharge. in contrast, was strong when staff saw less opportunity for professional growth, weaker peer influence, less Internet access, and perceived less organizational stress. The analysis provides evidence of the ORC's utility in assessing agency strengths and needs during the implementation of evidence-based practices. (c) 2007 Elsevier Inc. All rights reserved.