测量密歇根州家庭和社区服务项目的组织变革准备:工具适应和心理测量测试

IF 1.2 Q4 HEALTH POLICY & SERVICES

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2022-05-18 DOI:10.1080/01621424.2022.2077161

S. Spoelstra, Monica Schueller, Emily Dorn, A. Sikorskii

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引用次数: 0

摘要

摘要：在实践中，需要衡量组织准备情况的简短、有效和可靠的工具。这项研究改编并测试了一种先前开发的工具，用于衡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度（TCU-ORC）量表在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调整和信度测试。采用探索性因素分析法建立结构有效性。通过与执行领导能力量表（ILS）得分的相关性来评估聚合有效性。改编后的ORC量表由23个项目组成。气候、文化、训练、动机和改变压力这5个分量表的克朗巴赫字母表超过了0.70。收敛有效性得到了与ILS的显著中度相关性的支持。经调整的23项TCU-ORC量表是衡量医疗补助家庭和社区服务计划中组织变革准备情况的有效可靠工具。

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

ABSTRACT 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.

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来源期刊

HOME HEALTH CARE SERVICES QUARTERLY HEALTH POLICY & SERVICES-

CiteScore

2.40

自引率

0.00%

发文量

期刊介绍： Home Health Care Services Quarterly continues to publish important research on the cutting edge of home care and alternatives to long-term institutional care for the elderly, disabled, and other population groups that use in-home health care and other community services. The journal is aimed toward service providers and health care specialists involved with health care financing, evaluation of services, organization of services, and public policy issues.