Measuring Organizational Readiness for Change in Michigan's Home and Community-based Services Program: Instrument Adaptation and Psychometric Testing.

Measuring Organizational Readiness for Change in Michigan's Home and Community-based Services Program: Instrument Adaptation and Psychometric Testing.
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衡量密歇根州家庭和社区服务计划中组织变革的准备情况:仪器适应和心理测试。

DOI:
10.1080/01621424.2022.2077161
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发表时间:
2022
影响因子:
1.4
通讯作者:
Sikorskii,Alla
Sikorskii,Alla
中科院分区:
--
文献类型:
--
作者:
Spoelstra,SandraL;Schueller,Monica;Dorn,Emily;Sikorskii,Alla

文献摘要

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在实践中,需要简短、有效和可靠的工具来衡量组织的准备程度。本研究采用并测试了先前开发的工具,用于测量医疗补助家庭和社区服务(HCBS)计划中的组织准备情况。德克萨斯基督教大学组织变革准备(TCU-ORC)量表进行了改编,并在18个项目地点雇用的522名注册护士和社会工作者的样本中进行了有效性和可靠性测试。结构效度采用探索性因素分析。收敛效度通过与实施领导量表(ILS)得分的相关性进行评估。改编的ORC量表包括23个项目。Cronbach在5个分量表,气候,文化,培训,动机和改变压力上的α值超过了0.70。收敛效度的支持显着的中度相关与ILS。调整后的23项TCU-ORC量表是一种有效和可靠的工具,用于测量医疗补助家庭和社区服务计划中组织的变化准备。
Short, valid, and reliable tools that measure organizational readiness are needed in practice. This study adapted and tested a previously developed instrument for measuring organizational readiness in a Medicaid Home and Community-Based Services (HCBS) program. The Texas Christian University Organizational Readiness for Change (TCU-ORC) scale was adapted and tested for validity and reliability in a sample of 522 registered nurses and social workers employed at 18 program sites. Structural validity was established using the exploratory factor analysis. Convergent validity was evaluated via correlations with the Implementation Leadership Scale (ILS) score. The adapted ORC scale consisted of 23 items. Cronbach’s alphas for 5 subscales, Climate, Culture, Training, Motivation, and Pressure to Change exceeded .70. Convergent validity was supported by significant moderate correlations with the ILS. The adapted 23-item TCU-ORC scale is a valid and reliable instrument for measuring the organizational readiness for change in the Medicaid Home and Community-Based Services programs.