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Organizational readiness for implementation: a qualitative assessment to explain survey responses
Maria McClam1, Lauren Workman2,3, Timothy J Walker4
1Center for Applied Research and Evaluation, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA. zubizarr@mailbox.sc.edu.
BMC Health Services Research
|January 8, 2025
Summary
Organizational readiness surveys may be skewed by factors like confidentiality concerns and survey design. Improving survey methods is crucial for accurate implementation research in healthcare settings.
Area of Science:
- Public Health Research
- Health Services Research
- Implementation Science
Background:
- Organizational readiness is vital for successful implementation of evidence-based interventions (EBIs).
- A preliminary measure, Readiness = Motivation x innovation Specific Capacity x General Capacity (R=MC2), was used.
- Staff experiences at Federally Qualified Health Centers (FQHCs) implementing colorectal cancer screening (CRCS) EBIs were assessed.
Purpose of the Study:
- To explore methods for improving organizational readiness measurement.
- To refine the R=MC2 heuristic by understanding reasons for skewed survey data.
Main Methods:
- Qualitative interviews were conducted with FQHC employees involved in a readiness survey.
- Interviews were recorded, transcribed, and analyzed using inductive thematic analysis.
Main Results:
- High readiness scores were linked to confidentiality concerns, social desirability bias, respondent knowledge, and survey format.
- Survey length and response scaling influenced scores and participant experience.
- Some high scores reflected genuine perceptions of staff passion, teamwork, and commitment to CRCS improvement.
Conclusions:
- Collaborative, community-engaged survey design is essential.
- Addressing common challenges in dissemination and implementation surveys is necessary.
- Lessons learned will inform future measurement development in public health and implementation science.
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