A systematic review of instruments to assess organizational readiness for knowledge translation in health care.
A systematic review of instruments to assess organizational readiness for knowledge translation in health care.
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DOI：
10.1371/journal.pone.0114338
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Grimshaw J
中科院分区：
文献类型：
--
作者：
Gagnon MP;Attieh R;Ghandour el K;Légaré F;Ouimet M;Estabrooks CA;Grimshaw J
将研究成果转化为实践的工作尚未完成。组织变革准备状态是有效知识转化的潜在促进因素。然而，我们对评估ORC的最佳方法知之甚少。因此，我们试图系统地审查ORC测量仪器。我们在文献数据库（Pubmed、Embase、CINAHL、PsychINFO、Web of Science等）中检索已发表的研究。截至2012年11月1日。我们纳入的出版物，开发ORC措施和/或经验评估的ORC使用的工具，在组织层面的医疗保健背景。我们排除了不专门提及ORC、不涉及医疗保健领域或仅限于个人层面变更准备的文章。我们的重点是确定的心理测量特性的工具，开发，以评估准备在一个组织实施KT干预措施之前，在医疗保健。我们使用教育和心理测试标准来评估已确定的ORC测量工具的心理测量特性。我们发现在39篇出版物中描述了26种合格工具。根据教育和心理测试标准，18（69%）的26个测量工具，提出了效度和信度标准。德克萨斯基督教大学-ORC（TCU-ORC）量表报告了最高的工具效度，得分为4分（满分4分）。只有一种仪器，即改良德克萨斯基督教大学-主任版（TCU-ORC-D），报告的可靠性评分为2/3。没有提供关于五个（19%）工具的可靠性和有效性的信息。我们的研究结果表明，有几个有效和可靠的ORC测量工具，可应用于KT在医疗保健部门。TCU-ORC仪器在有效性测试方面提供了最佳证据。使用该工具的未来研究可以提供更多关于其与不同临床背景相关性的知识。
The translation of research into practices has been incomplete. Organizational readiness for change (ORC) is a potential facilitator of effective knowledge translation (KT). However we know little about the best way to assess ORC. Therefore, we sought to systematically review ORC measurement instruments. We searched for published studies in bibliographic databases (Pubmed, Embase, CINAHL, PsychINFO, Web of Science, etc.) up to November 1st, 2012. We included publications that developed ORC measures and/or empirically assessed ORC using an instrument at the organizational level in the health care context. We excluded articles if they did not refer specifically to ORC, did not concern the health care domain or were limited to individual-level change readiness. We focused on identifying the psychometric properties of instruments that were developed to assess readiness in an organization prior to implementing KT interventions in health care. We used the Standards for Educational and Psychological Testing to assess the psychometric properties of identified ORC measurement instruments. We found 26 eligible instruments described in 39 publications. According to the Standards for Educational and Psychological Testing, 18 (69%) of a total of 26 measurement instruments presented both validity and reliability criteria. The Texas Christian University –ORC (TCU-ORC) scale reported the highest instrument validity with a score of 4 out of 4. Only one instrument, namely the Modified Texas Christian University – Director version (TCU-ORC-D), reported a reliability score of 2 out of 3. No information was provided regarding the reliability and validity of five (19%) instruments. Our findings indicate that there are few valid and reliable ORC measurement instruments that could be applied to KT in the health care sector. The TCU-ORC instrument presents the best evidence in terms of validity testing. Future studies using this instrument could provide more knowledge on its relevance to diverse clinical contexts.
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DOI：
10.1186/1748-5908-6-72
发表时间：
2011-07-13
期刊：
Implementation science : IS
影响因子：
--
作者：
Gagnon MP;Labarthe J;Légaré F;Ouimet M;Estabrooks CA;Roch G;Ghandour el K;Grimshaw J
通讯作者：
Grimshaw J
影响因子：
1.6
作者：
Boltz, Marie;Capezuti, Elizabeth;Secic, Michelle
通讯作者：
Secic, Michelle
影响因子：
1.2
作者：
Bobiak, Sarah N;Zyzanski, Stephen J;Stange, Kurt C
通讯作者：
Stange, Kurt C
影响因子：
1.3
作者：
Cherry, Barbara
通讯作者：
Cherry, Barbara
影响因子：
3.9
作者：
Fuller, Bret E.;Rieckmann, Traci;McCarty, Dennis
通讯作者：
McCarty, Dennis