Preparing for implementation in aged care: a readiness assessment tool.

IF 1.1 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Carol Davy, Alice Windle, Gillian Harvey
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Abstract

Introduction: Many factors can influence the implementation of innovations in aged care.

Aim: This study aimed to develop a comprehensive Readiness Assessment Tool (Tool) to support aged care organizations' implementation efforts.

Method: Our study employed a structured, two-stage approach. In Stage 1, we conducted a secondary analysis of a scoping review to identify factors that indicate implementation readiness. The findings were synthesized and refined through consultations with a Research Advisory Group. We then applied a modified Delphi technique in Stage 2 to refine and validate the Tool. Participants were involved in two rounds of surveys where they could rate each statement's importance and provide detailed feedback, ensuring the Tool's clarity, relevance, and practicality.

Results: The secondary analysis of the scoping review yielded 93 statements encapsulating key readiness factors for implementing innovations in aged care. Two Delphi study rounds reduced this to 51 essential statements organized into five key categories: individual attitudes and capabilities, organizational context, characteristics and fit of the innovation, interpersonal interactions and connections, and implementation strategies.

Conclusion: Our study presents a comprehensive, user-friendly Tool specifically designed to guide the preparation for implementing innovations in aged care. This new Tool can enhance the capacity of aged care organizations to implement innovations effectively and sustainably, supporting improved care quality and operational resilience. Future work could involve longitudinal studies to validate the Tool's impact on innovation processes and outcomes across various aged care settings.

Spanish abstract: http://links.lww.com/IJEBH/A393.

为实施老年护理做准备:准备程度评估工具。
导言:影响老年护理创新实施的因素很多。目的:本研究旨在开发一套全面的准备度评估工具(工具),以支持养老机构的实施工作。方法:我们的研究采用结构化的两阶段方法。在阶段1中,我们对范围审查进行了二次分析,以确定指示实现准备情况的因素。通过与一个研究咨询小组协商,对调查结果进行了综合和改进。然后,我们在第二阶段应用改进的德尔菲技术来完善和验证该工具。参与者参与了两轮调查,他们可以对每个陈述的重要性进行评级,并提供详细的反馈,以确保工具的清晰度、相关性和实用性。结果:二次分析的范围审查产生了93个声明封装关键准备因素实施创新的老年护理。两轮德尔菲研究将其减少到51个基本陈述,分为五个关键类别:个人态度和能力,组织背景,创新的特征和契合度,人际互动和联系,以及实施策略。结论:我们的研究提供了一个全面的,用户友好的工具,专门设计用于指导准备实施创新的老年护理。这个新工具可以增强老年护理组织有效和可持续地实施创新的能力,支持提高护理质量和业务弹性。未来的工作可能包括纵向研究,以验证该工具对各种老年护理环境中的创新过程和结果的影响。西班牙文摘要:http://links.lww.com/IJEBH/A393。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
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