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Practical Information
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Instrument Name:
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Organizational Readiness for Evidence-based Health Care Interventions
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Instrument Description:
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The authors of this instrument intended it to be used among health care organizations to identify several areas that gauge readiness for implementing evidence-based health care delivery. The three sections of the measure include 77 items grouped according to evidence assessment (15 items), context assessment (23 items), and facilitation assessment (39 items). Under the evidence assessment section, a finding is presented. Questions then ask providers to rate the strength of evidence for this finding from research, clinical experience, and patient preferences. Questions under the context assessment section ask about the culture, leadership, measurement, readiness for change, and resources for improving patient care. Under the facilitation assessment section, questions ask about characteristics and roles of leaders and team members for facilitating evidence-based health care interventions. In addition, questions ask about the style of the implementation plan, communication, and progress of the project. Questions in this third section also ask about resources for making the plan work and plans for evaluation and improvement of the plan.
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Price:
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Measure can be obtained free of charge from authors.
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Administration Time:
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Estimated completion of the 77 items should take between 15-45 minutes.
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Publication Year:
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No information found.
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Item Readability:
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Flesch-Kincaid reading level of 11.4; items have on average 10 words; readability seems appropriate for health care personnel.
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Scale Format:
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5-point Likert scale.
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Administration Technique:
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Self-administered.
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Scoring and Interpretation:
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No information found.
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Forms:
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No information found.`
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Research Contacts
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Instrument Developers:
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Anne E. B. Sales, PhD, RN
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Instrument Development Location:
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Northwest Center for Outcomes Research in Older Adults
VA Puget Sound Health Care System
Mail Room 1/424 (152)
1660 South Columbian Way
Seattle, WA, 98108
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Instrument Developer Email:
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asales@u.washington.edu
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Instrument Developer Website:
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No information found.
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Annotated Bibliography
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1. Sharp ND, Sales AE, Pineros S. Measuring Readiness for Provider Practice Change in Managing LDL for Ischemic Heart Disease Patients. [Abstract submitted to VA HSR&D Annual Meeting 2003].
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Purpose: The authors evaluated the organizational readiness of health care teams in facilities within a Veterans Integrated Service Network (VISN) for evidence-based medicine (EBM) implementation. |
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Sample: 12 clinicians from five facilities. |
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Methods: The EBM readiness survey was administered. |
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Implications: The authors felt that this planning tool could provide a realistic assessment of EBM readiness in an organization. |
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Factors and Norms
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Factor Analysis Work:
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No information found.
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Normative Information Availability:
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No information found.
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Reliability Evidence
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Test-retest:
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No information found.
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Inter-rater:
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No information found.
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Internal Consistency:
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No information found.
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Alternate Forms:
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No information found.
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Validity Evidence
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Construct/ Convergent/ Discriminant:
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Item development was guided by theory from the organizational change literature.
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Criterion-related/ Concurrent/ Predictive:
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No information found.
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Content:
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Items from existing readiness for change instruments helped determine the content of this measure.
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Responsiveness Evidence:
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No information found.
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Scale Application in VA Populations:
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Measure was applied in five VA facilities. (Ref: 1)
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Scale Application in non-VA Populations:
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No information found.
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Comments
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The Assessment of Organizational Readiness for Evidence-based Health Care Interventions is designed to assess how ready a health care organization is for implementing evidence-based interventions. This measure was designed for use in VA health care facilities, though it could probably be adapted to assess readiness in non-VA facilities.
Advantages: The instrument appears to be easy to administer and score, and covers a wide variety of questions about readiness to change based on perceptions about the evidence supporting interventions, the context in which the interventions will be implemented, and the ease of facilitating intervention projects.
Disadvantages: Though items are grouped under conceptually similar topics, no factor analytic work has been conducted to date, to our knowledge. Furthermore, testing of the measure has been limited to the small sample in Reference 1.
Recommendation: It appears that the development team took considerable care in producing this assessment tool. Since it is a relatively new measure, little testing has been conducted to evaluate the factor structure, reliability, validity, and responsiveness of the measure. Before this measure is widely used, we encourage future research efforts for evaluating its measurement properties.
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Updates
No information found.
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