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Organizational Readiness to Implement the Chronic Disease Self-Management Program in Dialysis Facilities
Tiffany R Washington1, Tandrea S Hilliard2, Chivon A Mingo3
1University of Georgia, School of Social Work, Athens, GA 30602, USA. twashing@uga.edu.
Geriatrics (Basel, Switzerland)
|April 24, 2019
Summary
Dialysis facilities show moderate readiness for health programs, but staff profession and education impact efficacy. Further efforts are needed to implement evidence-based health promotion in these settings.
Area of Science:
- Health Services Research
- Health Promotion
- Chronic Disease Management
Background:
- A gap persists between evidence-based health promotion program development and their adoption in healthcare.
- Organizational readiness is a critical, yet often overlooked, factor influencing program implementation.
- Dialysis facilities require tailored strategies to integrate self-management programs effectively.
Purpose of the Study:
- To evaluate the organizational readiness of dialysis facilities for implementing the Chronic Disease Self-Management Program.
- To identify factors influencing staff readiness for change within the dialysis setting.
Main Methods:
- Utilized a semi-structured Organizational Readiness for Implementing Change questionnaire.
- Collected survey data from dialysis facility staff.
- Analyzed both quantitative (scale ratings) and qualitative (textual) data.
Main Results:
- Staff reported moderate levels of change efficacy and commitment (ratings > 3.0).
- Profession and education level significantly correlated with change efficacy.
- Qualitative data highlighted patient benefits, implementation barriers/facilitators, and the role of facility culture.
Conclusions:
- Dialysis facilities demonstrate a moderate baseline readiness for implementing health promotion programs.
- Targeted interventions addressing specific staff characteristics and facility environments are necessary.
- Sustained efforts are required to bridge the gap in evidence-based program implementation within dialysis settings.
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