Assessing Organizational Readiness for a Participatory Occupational Health/Health Promotion Intervention in Skilled Nursing Facilities. Zhang, Y., Flum, M., West, C., & Punnett, L. Health promotion practice, 16(5):724-732, Society for Public Health Education, 9, 2015.
abstract   bibtex   
The long-term care sector is characterized by high morbidity and employee turnover, along with associated costs. Effective health protection and health promotion are important to improve physical and psychosocial well-being of caregivers. Assessment of organizational readiness for change is an essential precursor to the successful implementation of workplace programs addressing work climate, structure of tasks and relationships, and other issues that may be perceived as challenging by some within the institution. This study qualitatively assessed readiness of five skilled nursing facilities for a participatory occupational health/health promotion intervention. Selection criteria were developed to screen for program feasibility and ability to conduct prospective evaluations, and information was collected from managers and employees (interviews and focus groups). Three centers were selected for the program, and the first year of formative evaluation and intervention experience was then reviewed to evaluate and modify our selection criteria after the fact. Lessons learned include adding assessment of communication and the structure of problem solving to our selection criteria, improving methods to assess management support in a concrete (potentially nonverbal) form, and obtaining a stated financial commitment and resources to enable the team to function. Assessment of organizational readiness for change is challenging, although necessary to implement effective and sustainable health promotion programs in specific organizations.
@article{
 title = {Assessing Organizational Readiness for a Participatory Occupational Health/Health Promotion Intervention in Skilled Nursing Facilities},
 type = {article},
 year = {2015},
 identifiers = {[object Object]},
 keywords = {Female,Focus Groups,Health Promotion/methods/organization & administra,Humans,Male,Occupational Health,Occupational Health Services/organization & admini,Organizational Culture,Organizational Innovation,Program Development,Skilled Nursing Facilities/organization & administ,United States,Workplace/organization & administration/psychology,health promotion,intervention readiness,worker participation},
 pages = {724-732},
 volume = {16},
 month = {9},
 publisher = {Society for Public Health Education},
 city = {University of Massachusetts Lowell, MA, USA yuan_zhang@uml.edu.; University of Massachusetts Lowell, MA, USA.; University of Massachusetts Lowell, MA, USA.; University of Massachusetts Lowell, MA, USA.},
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 notes = {CI: (c) 2015; GR: U19 OH008857/OH/NIOSH CDC HHS/United States; JID: 100890609; OTO: NOTNLM; 2015/02/24 [aheadofprint]; ppublish},
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 abstract = {The long-term care sector is characterized by high morbidity and employee turnover, along with associated costs. Effective health protection and health promotion are important to improve physical and psychosocial well-being of caregivers. Assessment of organizational readiness for change is an essential precursor to the successful implementation of workplace programs addressing work climate, structure of tasks and relationships, and other issues that may be perceived as challenging by some within the institution. This study qualitatively assessed readiness of five skilled nursing facilities for a participatory occupational health/health promotion intervention. Selection criteria were developed to screen for program feasibility and ability to conduct prospective evaluations, and information was collected from managers and employees (interviews and focus groups). Three centers were selected for the program, and the first year of formative evaluation and intervention experience was then reviewed to evaluate and modify our selection criteria after the fact. Lessons learned include adding assessment of communication and the structure of problem solving to our selection criteria, improving methods to assess management support in a concrete (potentially nonverbal) form, and obtaining a stated financial commitment and resources to enable the team to function. Assessment of organizational readiness for change is challenging, although necessary to implement effective and sustainable health promotion programs in specific organizations.},
 bibtype = {article},
 author = {Zhang, Y and Flum, M and West, C and Punnett, L},
 journal = {Health promotion practice},
 number = {5}
}

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