Enhancing organizational readiness for implementation: constructing a typology of readiness-development strategies...

Area of Science:

• Implementation Science
• Organizational Psychology
• Healthcare Management

Background:

• Organizational readiness for implementation (ORI) is crucial for adopting evidence-based practices but lacks development guidance.
• Existing methodologies do not address varying readiness needs across an organization.
• The transtheoretical model (TTM) framework was utilized to categorize implementation strategies into three ORI stages.

Purpose of the Study:

• To develop a framework for enhancing organizational readiness for implementation (ORI).
• To classify implementation strategies based on the transtheoretical model (TTM) into distinct ORI stages.
• To address the gap in understanding how to foster organizational willingness and capacity for change.

Main Methods:

• A modified Delphi method involved research and implementation experts.
• Three rounds of online questionnaires were administered.
• A live video discussion was included in the final round to enhance expert consensus.

Main Results:

• Experts reached high agreement on the relevance of 55 out of 73 strategies for pre-implementation.
• Strategies were assigned to organizational readiness for implementation stages: 7% to pre-contemplation (ORI-1), 25% to contemplation (ORI-2), and 52% to preparation (ORI-3).
• Several strategies were found relevant to multiple ORI stages, indicating potential overlap.

Conclusions:

• Expert consensus was achieved on assigning implementation strategies to specific ORI stages.
• The preparation stage (ORI-3) had the highest number of assigned strategies, while pre-contemplation (ORI-1) had the fewest.
• Further research is needed to empirically evaluate the practical application and relevance of this expert-informed ORI strategy typology.