Abstract
The assessment of the degree to which health professionals, workers and organizations are ready to implement changes in health services deserves special attention, especially related to new technologies, public policies and innovation. The objectives of this study were to conduct a Brazilian Portuguese Brazil cross-cultural adaptation of the ORIC questionnaire and to initiate the study of its psychometric properties. Through a cross-sectional study, the Organizational Readiness for Implementing Change (ORIC) questionnaire, containing 12 questions, was translated and later applied to a sample of workers from traditional primary health care units undergoing transformation to family health units. Statistical analysis included Cronbach's alpha, exploratory and confirmatory factor analysis by structural equation model using the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. Workers from ten health units participated in the study (n = 150). The analysis confirmed two main factors (Effectiveness and Commitment) with Eigenvalues > 1. Rotation by the orthogonal method showed that the instrument questions confirmed the factors analyzed by the original instrument. The total Cronbach's Alpha of ORIC was 0.94, showing excellent reliability. The Brazilian Portuguese Brazil version of the ORIC-Br questionnaire showed good psychometric properties and can be used in health services to measure organizational readiness, considered as an indicator of the potential success in implementing change.
Highlights
Workers from ten health units participated in the study
Rotation by the orthogonal method showed that the instrument questions confirmed the factors analyzed by the original instrument
Gagnon MP, Attieh R, Dunn S, Grandes G, Bully P, Estabrooks CA, et al Development and Content Validation of a Transcultural Instrument to Assess Organizational Readiness for Knowledge Translation in Healthcare Organizations: The OR4KT
Summary
No Brasil, as diretrizes da atenção primária à saúde em sua versão mais abrangente vêm sendo assumidas de forma crescente ao longo dos últimos anos. A Estratégia Saúde da Família (ESF) vem se constituindo numa das principais iniciativas do Sistema Único de Saúde (SUS) para superar o modelo biomédico, com foco na assistência à doença, em seus aspectos individuais e biológicos, centrado no procedimento, nas especialidades médicas e no hospital. O objetivo é alcançar um modelo sob abordagem interdisciplinar, conduzido por uma equipe multiprofissional, com vistas à integralidade da atenção voltada tanto para o território quanto para as necessidades de saúde do pessoas e das famílias[13]. Entre 2018 e 2019, a Secretaria Municipal de Saúde da Prefeitura de Campo Grande, Mato Grosso do Sul, estava planejando uma reorganização das unidades de atenção primária tradicionais do município para atender às orientações da ESF. Profissionais e trabalhadores das 10 unidades de saúde a serem reestruturadas foram convidados a participar da pesquisa, admitindo-se que esse contexto de mudança era bastante oportuno para avaliar as propriedades psicométricas do instrumento ORIC
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