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báo cáo khoa học: " Assessing organisational readiness for change: use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Assessing organisational readiness for change: use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care | BioMed Central Implementation Science Research article Open Access Assessing organisational readiness for change use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care Sharon Hamilton 1 Susan McLaren 2 and Anne Mulhallt3 Address Director Centre for Health and Social Evaluation CHASE University ofTeesside. Parkside West Middlesbrough Tees Valley TS1 3BA UK 2Director Centre for Leadership and Practice Innovation Faculty of Health and Social Care London South Bank University London SE10AA UK and independent Consultant Rectory Road Ashmanhaugh Norfolk NR12 8YP UK Email Sharon Hamilton - sharon.hamilton@tees.ac.uk Susan McLaren - mclaresm@lsbu.ac.uk Anne Mulhall - mulhalal@aol.com Corresponding author tEqual contributors Published 14 July 2007 Received 22 November 2006 Implementation Science 2007 2 21 doi 10.1186 1748-5908-2-21 Accepted I4 July 2007 This article is available from http www.implementationscience.cOm content 2 1 21 2007 Hamilton et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Achieving evidence-based practice in health care is integral to the drive for quality improvement in the National Health Service in the UK. Encapsulated within this policy agenda are challenges inherent in leading and managing organisational change. Not least of these is the need to change the behaviours of individuals and groups in order to embed new practices. Such changes are set within a context of organisational culture that can present a number of barriers and facilitators to change. Diagnostic analysis has been recommended as a precursor to the implementation of change to enable such barriers and facilitators to be identified and a targeted implementation