Design, validation, and evaluation of a native tool for assessing organizational readiness to implement knowledge...

Knowledge translation (KT) applies scientific evidence in healthcare decisions. Organizational readiness is crucial for KT implementation. This study aimed to create and test a tool assessing organizational readiness for KT in Iranian medical universities. A three-phase sequential exploratory mixed-methods study assessed organizational readiness. Phase 1: a scoping review (14 articles from 4,540 records) identified readiness dimensions. Phase 2: a questionnaire was developed based on review findings and validated via psychometric evaluations (exploratory and confirmatory factor analyses) using data from 230 faculty/staff in library and information services at 11 Iranian Type I medical universities (cluster sampling). Phase 3: organizational readiness was assessed using the developed tool. An initial tool with 90 items was developed to assess organizational readiness for knowledge translation, identifying five dimensions and 14 components. Content validity was confirmed (CVI: 0.80-1.00; CVR: 0.50-1.00), reducing items to 80. Construct validity was supported through factor analyses (convergent validity: 0.590-0.680; discriminant validity supported). Reliability was verified (factor loadings > 0.40, Cronbach's alpha: 0.826-0.882, composite reliability: 0.878-0.914). Confirmatory factor analysis showed good model fit (CFI = 0.94, RMSEA = 0.052). Organizational readiness in Iranian Type I medical universities was moderate to below moderate. The tool validly and reliably assesses organizational readiness for knowledge translation, aiding capacity enhancement planning in medical universities.