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Geriatrics 2018, 3(2), 31; https://doi.org/10.3390/geriatrics3020031

Organizational Readiness to Implement the Chronic Disease Self-Management Program in Dialysis Facilities

1
University of Georgia, School of Social Work, Athens, GA 30602, USA
2
American Institutes for Research, Chapel Hill, NC 27517, USA
3
Gerontology Institute, Georgia State University, Atlanta, GA 30302, USA
4
Duke University, School of Medicine, Durham, NC 27710, USA
5
Center for Population Health and Aging, Texas A&M, College Station, TX 77843, USA
6
School of Public Health, Texas A&M, College Station, TX 77843, USA
7
College of Public Health, The University of Georgia, Athens, GA 30602, USA
8
Emory University, School of Medicine, Atlanta, GA 30322, USA
*
Author to whom correspondence should be addressed.
Received: 16 April 2018 / Revised: 5 June 2018 / Accepted: 7 June 2018 / Published: 14 June 2018
(This article belongs to the Special Issue Chronic Disease Self-Management in Older Adult Populations)
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Abstract

A gap exists between the development and uptake of evidence-based health promotion programs in health care settings. One reason for this gap is lack of attention to organizational readiness. The objective of this study was to assess organizational readiness to implement the Chronic Disease Self-Management Program in dialysis facilities. Survey data were collected from dialysis staff using a semi-structured Organizational Readiness for Implementing Change questionnaire. Change efficacy and change commitment scale ratings were all above 3.0, indicating a moderate level of readiness among staff. Profession and level of education were significantly associated with mean change efficacy scale ratings. Textual data revealed benefits to patients, implementation barriers and facilitators, and the influence of facility environment and culture. The findings of the current study suggest that additional efforts to advance the implementation of evidence-based health promotion programs in dialysis facilities are needed. View Full-Text
Keywords: chronic kidney disease; self-management; implementation science chronic kidney disease; self-management; implementation science
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Washington, T.R.; Hilliard, T.S.; Mingo, C.A.; Hall, R.K.; Smith, M.L.; Lea, J.I. Organizational Readiness to Implement the Chronic Disease Self-Management Program in Dialysis Facilities. Geriatrics 2018, 3, 31.

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