Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Perceptions of organizational readiness for training and implementation of clinic-based community health workers

Perceptions of organizational readiness for training and implementation of clinic-based community... The purpose of this paper is to assess perceptions of organizational readiness to integrate clinic-based community health workers (cCHWs) between traditional CHWs and potential cCHW employers and their staff in order to inform training and implementation models.Design/methodology/approachA cross-sectional mixed-methods approach evaluated readiness to change perceptions of traditional CHWs and potential employers and their staff. Quantitative methods included a printed survey for CHWs and online surveys in Qualtrics for employers/staff. Data were analyzed using SPSS software. Qualitative data were collected via focus groups and key informant interviews. Data were analyzed with NVIVO 11 Plus software.FindingsCHWs and employers and staff were statistically different in their perceptions on appropriateness, management support and change efficacy (p<0.0001, 0.0134 and 0.0020, respectively). Yet, their differences lay within the general range of agreement for cCHW integration (4=somewhat agree to 6=strongly agree). Three themes emerged from the interviews which provided greater insight into their differences and commonalities: perspectives on patient-centered care, organizational systems and scope of practice, and training, experiences and expectations.Originality/valueCommunity health workers serve to fill the gaps in the social and health care systems. They are an innovation as an emerging workforce in health care settings. Health care organizations need to learn how to integrate paraprofessionals such as cCHWs. Understanding readiness to adopt the integration of cCHWs into clinical settings will help prepare systems through trainings and adapting organizational processes that help build capacity for successful and sustainable integration. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Health Organisation and Management Emerald Publishing

Perceptions of organizational readiness for training and implementation of clinic-based community health workers

Download PDF
10 pages

Loading next page...
 
/lp/emerald-publishing/perceptions-of-organizational-readiness-for-training-and-RghS2Z8Wtc
Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1477-7266
DOI
10.1108/jhom-06-2018-0158
Publisher site
See Article on Publisher Site

Abstract

The purpose of this paper is to assess perceptions of organizational readiness to integrate clinic-based community health workers (cCHWs) between traditional CHWs and potential cCHW employers and their staff in order to inform training and implementation models.Design/methodology/approachA cross-sectional mixed-methods approach evaluated readiness to change perceptions of traditional CHWs and potential employers and their staff. Quantitative methods included a printed survey for CHWs and online surveys in Qualtrics for employers/staff. Data were analyzed using SPSS software. Qualitative data were collected via focus groups and key informant interviews. Data were analyzed with NVIVO 11 Plus software.FindingsCHWs and employers and staff were statistically different in their perceptions on appropriateness, management support and change efficacy (p<0.0001, 0.0134 and 0.0020, respectively). Yet, their differences lay within the general range of agreement for cCHW integration (4=somewhat agree to 6=strongly agree). Three themes emerged from the interviews which provided greater insight into their differences and commonalities: perspectives on patient-centered care, organizational systems and scope of practice, and training, experiences and expectations.Originality/valueCommunity health workers serve to fill the gaps in the social and health care systems. They are an innovation as an emerging workforce in health care settings. Health care organizations need to learn how to integrate paraprofessionals such as cCHWs. Understanding readiness to adopt the integration of cCHWs into clinical settings will help prepare systems through trainings and adapting organizational processes that help build capacity for successful and sustainable integration.

Journal

Journal of Health Organisation and Management – Emerald Publishing

Published: Jul 8, 2019

Keywords: Integration; Community health worker; Promotores; Readiness to change; Organizational readiness; Mixed methods

References

  • The Patient Protection and Affordable Care Act: opportunities for prevention and advocacy
    Galer-Unti, R.A.
  • Readiness for organizational change the systematic development of a scale
    Holt, D.T.; Armenakis, A.A.; Feild, H.S.; Harris, S.G.
  • Are you ready? How health professionals can comprehensively conceptualize readiness for change
    Holt, D.T.; Helfrich, C.D.; Hall, C.G.; Weiner, B.J.
  • 2016 Inland region community needs assessment, executive summary
  • The IHI triple aim
  • Integrating community health workers within Patient Protection and Affordable Care Act implementation
    Islam, N.; Nadkarni, S.K.; Zahn, D.; Skillman, M.; Kwon, S.C.; Trinh-Shevrin, C.
  • Models for population health: what is population health?
    Kindig, D.; Stoddart, G.
  • The impact of integrating community health workers into the patient-centered medical home
    Matiz, L.A.; Peretz, P.J.; Jacotin, P.G.; Cruz, C.; Ramirez-Diaz, E.; Nieto, A.R.
  • Integrating community health workers (CHWs) into health care organizations
    Payne, J.; Razi, S.; Emery, K.; Quattrone, W.; Tardif-Douglin, M.
  • Integrating community health workers into medical homes
    Rogers, E.A.; Manser, S.T.; Cleary, J.; Joseph, A.M.; Harwood, E.M.; Call, K.T.
  • Community health workers and the Patient Protection and Affordable Care Act: an opportunity for a research, advocacy, and policy agenda
    Shah, M.K.; Heisler, M.; Davis, M.M.
  • Process of translation and adaptation of instruments