Measuring Organizational Readiness for Change in Michigan's Home and Community-based Services Program: Instrument Adaptation and Psychometric Testing

被引：1

作者：

Spoelstra, Sandra L. ^{[1
]}

Schueller, Monica ^{[1
]}

Dorn, Emily ^{[1
]}

Sikorskii, Alla ^{[2
]}

机构：

[1] Grand Valley State Univ, Kirkhof Coll Nursing, Allendale, MI 49401 USA

[2] Michigan State Univ, Dept Psychiat, E Lansing, MI 48824 USA

来源：

HOME HEALTH CARE SERVICES QUARTERLY | 2022年 / 41卷 / 03期

关键词：

Certification; clinician; factor analysis; home and community based waiver; implementation; training; COMMITMENT;

D O I：

10.1080/01621424.2022.2077161

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Short, valid, and reliable tools that measure organizational readiness are needed in practice. This study adapted and tested a previously developed instrument for measuring organizational readiness in a Medicaid Home and Community-Based Services (HCBS) program. The Texas Christian University Organizational Readiness for Change (TCU-ORC) scale was adapted and tested for validity and reliability in a sample of 522 registered nurses and social workers employed at 18 program sites. Structural validity was established using the exploratory factor analysis. Convergent validity was evaluated via correlations with the Implementation Leadership Scale (ILS) score. The adapted ORC scale consisted of 23 items. Cronbach's alphas for 5 subscales, Climate, Culture, Training, Motivation, and Pressure to Change exceeded .70. Convergent validity was supported by significant moderate correlations with the ILS. The adapted 23-item TCU-ORC scale is a valid and reliable instrument for measuring the organizational readiness for change in the Medicaid Home and Community-Based Services programs.

引用

页码：255 / 266

页数：12

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