Assessing organisational readiness for change: use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care
2007

Assessing Organisational Readiness for Change in Stroke Care

Sample size: 206 publication Evidence: moderate

Author Information

Author(s): Sharon Hamilton, Susan McLaren, Anne Mulhall

Primary Institution: University of Teesside

Hypothesis

What are the barriers and facilitators to implementing a multidisciplinary assessment for acute stroke care?

Conclusion

A mixed method approach for diagnostic analysis can effectively identify barriers and facilitators to change in stroke care.

Supporting Evidence

  • Stakeholder support and strong team climate were identified as facilitators for change.
  • Barriers included unidisciplinary assessment practices and uncertainty from an impending organizational merger.
  • Mixed methods provided a comprehensive understanding of the organizational context.

Takeaway

This study looked at how to make stroke care better by finding out what helps and what gets in the way of changes in hospitals.

Methodology

The study used semi-structured interviews, focus groups, and a questionnaire to gather data from staff and patients.

Potential Biases

Potential bias from the self-reported nature of interviews and focus groups.

Limitations

The study was conducted in a single NHS Trust, which may limit the generalizability of the findings.

Participant Demographics

Participants included 20 staff members with strategic accountability for stroke care and 6 recently discharged patients.

Digital Object Identifier (DOI)

10.1186/1748-5908-2-21

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