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“Are you ready?” Validation of the Hospital Change Readiness (HCR) Questionnaire
OBJECTIVE: Organisational change in hospitals is a frequent, seemingly inevitable occurrence. A critical precursor to successful organisational change is change readiness. This paper presents the adaptation of a self-report measure of change readiness for hospital staff, examines its reliability and...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451484/ https://www.ncbi.nlm.nih.gov/pubmed/32847914 http://dx.doi.org/10.1136/bmjopen-2020-037611 |
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author | Pomare, Chiara Ellis, Louise A Long, Janet C Churruca, Kate Tran, Yvonne Braithwaite, Jeffrey |
author_facet | Pomare, Chiara Ellis, Louise A Long, Janet C Churruca, Kate Tran, Yvonne Braithwaite, Jeffrey |
author_sort | Pomare, Chiara |
collection | PubMed |
description | OBJECTIVE: Organisational change in hospitals is a frequent, seemingly inevitable occurrence. A critical precursor to successful organisational change is change readiness. This paper presents the adaptation of a self-report measure of change readiness for hospital staff, examines its reliability and validity, and evaluates the relationship between hospital change readiness (HCR) and staff well-being. METHODS: The questionnaire was piloted among 153 staff from a large metropolitan, public hospital in Sydney, Australia. The hospital was undergoing a major change involving a multimillion-dollar development project that included a new building and new models of care. Construct validity was evaluated by confirmatory factor analysis (CFA) and reliability was assessed by internal consistency. Differences between professional groups were examined using regression analyses and structural equation modelling (SEM) was used to test the relationship between change readiness and staff well-being (job satisfaction and burnout). RESULTS: The HCR Questionnaire was found to reflect theoretically derived and empirically observed domains and have high internal reliability. CFA identified that a two-factor structure demonstrated excellent fit. Cronbach’s alpha for the two subscales (appropriateness and change efficacy) was 0.85 and 0.75, respectively. No statistically significant differences of HCR were identified between professional groups. SEM revealed that perceiving change as appropriate was significantly positively related to job satisfaction (0.33) and significantly negatively related to burnout (−0.30), and feeling capable in implementing the change was significantly negatively related to burnout (−0.40). CONCLUSIONS: The HCR Questionnaire provides reliable information on how prepared hospital staff felt for organisational change and showed significant relationships with staff well-being. This questionnaire is validated for the Australian hospital context, particularly in the case of hospital redevelopment. It can be used to help manage times of hospital organisational change with minimal disruption to the quality and safety of patient care. |
format | Online Article Text |
id | pubmed-7451484 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-74514842020-09-02 “Are you ready?” Validation of the Hospital Change Readiness (HCR) Questionnaire Pomare, Chiara Ellis, Louise A Long, Janet C Churruca, Kate Tran, Yvonne Braithwaite, Jeffrey BMJ Open Health Services Research OBJECTIVE: Organisational change in hospitals is a frequent, seemingly inevitable occurrence. A critical precursor to successful organisational change is change readiness. This paper presents the adaptation of a self-report measure of change readiness for hospital staff, examines its reliability and validity, and evaluates the relationship between hospital change readiness (HCR) and staff well-being. METHODS: The questionnaire was piloted among 153 staff from a large metropolitan, public hospital in Sydney, Australia. The hospital was undergoing a major change involving a multimillion-dollar development project that included a new building and new models of care. Construct validity was evaluated by confirmatory factor analysis (CFA) and reliability was assessed by internal consistency. Differences between professional groups were examined using regression analyses and structural equation modelling (SEM) was used to test the relationship between change readiness and staff well-being (job satisfaction and burnout). RESULTS: The HCR Questionnaire was found to reflect theoretically derived and empirically observed domains and have high internal reliability. CFA identified that a two-factor structure demonstrated excellent fit. Cronbach’s alpha for the two subscales (appropriateness and change efficacy) was 0.85 and 0.75, respectively. No statistically significant differences of HCR were identified between professional groups. SEM revealed that perceiving change as appropriate was significantly positively related to job satisfaction (0.33) and significantly negatively related to burnout (−0.30), and feeling capable in implementing the change was significantly negatively related to burnout (−0.40). CONCLUSIONS: The HCR Questionnaire provides reliable information on how prepared hospital staff felt for organisational change and showed significant relationships with staff well-being. This questionnaire is validated for the Australian hospital context, particularly in the case of hospital redevelopment. It can be used to help manage times of hospital organisational change with minimal disruption to the quality and safety of patient care. BMJ Publishing Group 2020-08-26 /pmc/articles/PMC7451484/ /pubmed/32847914 http://dx.doi.org/10.1136/bmjopen-2020-037611 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Health Services Research Pomare, Chiara Ellis, Louise A Long, Janet C Churruca, Kate Tran, Yvonne Braithwaite, Jeffrey “Are you ready?” Validation of the Hospital Change Readiness (HCR) Questionnaire |
title | “Are you ready?” Validation of the Hospital Change Readiness (HCR) Questionnaire |
title_full | “Are you ready?” Validation of the Hospital Change Readiness (HCR) Questionnaire |
title_fullStr | “Are you ready?” Validation of the Hospital Change Readiness (HCR) Questionnaire |
title_full_unstemmed | “Are you ready?” Validation of the Hospital Change Readiness (HCR) Questionnaire |
title_short | “Are you ready?” Validation of the Hospital Change Readiness (HCR) Questionnaire |
title_sort | “are you ready?” validation of the hospital change readiness (hcr) questionnaire |
topic | Health Services Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451484/ https://www.ncbi.nlm.nih.gov/pubmed/32847914 http://dx.doi.org/10.1136/bmjopen-2020-037611 |
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