Answer 2 for NUR 590 Compare two organizational readiness tools

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I compared the Consolidated Framework for Implementation Research (CFIR) with the Organizational Readiness to Change Assessment (ORCA) to select the most appropriate tool for my organization, AdventHealth. The CFIR identifies five domains affecting implementation: outer setting, inner setting, intervention characteristics, characteristics of individuals, and implementation process. Most survey items in CFIR map to the inner setting domain, covering readiness for implementation, networks and communication, implementation climate, structural characteristics, and culture. CFIR offers a comprehensive understanding of organizational readiness, particularly in healthcare settings, by assessing various factors influencing implementation (Miake-Lye et al., 2020).

On the other hand, ORCA is a validated instrument with proven scale reliability, specifically designed to measure organizational-level readiness for effecting evidence-based changes in clinical practice. It assesses readiness among residents participating in a team-based quality improvement (QI) training curriculum, focusing on empowerment, management, QI, and QI leadership. ORCA has been successfully used in residency programs to assess and incorporate changes, making it relevant and applicable to healthcare organizations like AdventHealth (Crittendon et al., 2020).

Given AdventHealth’s focus on quality improvement and commitment to whole-person health, ORCA is the most appropriate. Its emphasis on QI leadership and management aligns well with AdventHealth’s objectives. Furthermore, its practical application in healthcare settings, particularly residency programs, demonstrates its relevance and effectiveness. ORCA’s comprehensive assessment of readiness factors, including management and leadership skills, resonates with AdventHealth’s holistic approach to care.

References

Crittendon, D. R., Cunningham, A., Payton, C., Mills, G., Kelly, S., LaNoue, M., & Arenson, C. (2020). Organizational readiness to change: Quality Improvement in Family Medicine Residency. PRiMER, 4. https://doi.org/10.22454/primer.2020.441200

Miake-Lye, I. M., Delevan, D. M., Ganz, D. A., Mittman, B. S., & Finley, E. P. (2020). Unpacking organizational readiness for change: An updated systematic review and content analysis of assessments. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-4926-z

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