Health care professionals' readiness for an interprofessional orthogeriatric unit: A cross-sectional survey

Aktivitet: Foredrag og mundtlige bidragKonferenceoplæg


An assessment of readiness for change can set the stage for the implementation by providing information regarding staff members’ beliefs and attitudes prior to an organizational change.
We conducted a cross-sectional survey to assess readiness for change (N=223 employees) in a hospital on the verge of implementing an interprofessional, co-managed, orthogeriatric unit. Staff members from three departments with tasks related to orthogeriatric patients were invited to answer a web-based questionnaire.
Fully completed questionnaires were returned by 113 respondents (50.7%). Overall, 77.9% of the respondents indicated that they had either “excellent knowledge” or “some knowledge” of orthogeriatric care. Furthermore, 87.6% expressed their “full support” or “support” to the creation of the orthogeriatric unit and 71.7% stated that it would “significantly promote the interdisciplinary approach” of their department. Eliciting the respondents’ readiness for change, we found that 88.5% indicated a belief that orthogeriatric care would match the hospital’s need for change, and that it would furthermore have a positive effect on patient-perceived quality (88.5%) and clinical quality (81.4%).
Our survey documents that health care professionals are confident that interprofessional collaboration will be promoted by the implementation of orthogeriatric care. Their concerns pertained to different practical aspects; those voiced by the nursing staff related to work strain and the interests of their professional group whereas the physicians’ reservations concentrated on the planning of the change.
The exploration of readiness for organizational change among health care professionals offers managers an understanding of their motivations and concerns and provides a useful tool in for the planning and implementation of a new interprofessional collaboration model.

Outline of the presentation
It is well known from the literature that orthogeriatric care as – an interprofessional collaboration model – improves clinical outcomes, reduces mortality and readmissions for elderly patients with HIP fracture compared to traditional orthopaedic treatment, but we still lack knowledge of health care professionals’ readiness for entering a new interprofessional collaboration model.
Professionals´ readiness for change is a precursor to successful implementation of organizational changes. Therefore, it is crucial to assess health care professionals’ beliefs and attitudes regarding the extent to which the organizational change is needed and wanted.

Based on this study we are able to show health care professionals´ readiness to engage in an orthogeriatric collaboration model situated in Department of Orthopaedic Surgery at Kolding Hospital, Denmark and furthermore to show differences in elements of readiness between groups of professions.

Furthermore we are able to show that health care professionals are confident that interprofessional collaboration will be promoted by the implementation of orthogeriatric care whereas the concerns seem to pertain to different practical aspects.

Exploring readiness to change among all health care professionals’ involved in the change provide leaders an understanding of motivation and concerns towards implementing the new interprofessional collaboration model and thereby an opportunity to improve their management.

Our results contribute to the limited body of research into the implementation of interprofessional collaboration models.
Periode26. nov. 201527. nov. 2015
BegivenhedstitelNIPNET: Nordic interprofessional network
PlaceringKolding, DanmarkVis på kort