From: Organizational readiness for knowledge translation in chronic care: a Delphi study
Strength of consensus | ORKT dimensions & sub-dimensions | Criteria | 5-point Likert score | Percentile score | Inter-quartile range | |||
---|---|---|---|---|---|---|---|---|
A = applicability | Consensus* (Agreement in %) | |||||||
I = importance | 10th | 25th | ||||||
Strong | Dimension | 1. Organizational contextual factors | A | ≥75% (85,7%) | 5 | 2 | 4 | 1 |
I | ≥75% (85,7%) | 5 | 2 | 4 | 1 | |||
Partial | Sub-dimensions | 1.1 Healthcare organizational characteristics | A | ≥75% (78,6%) | 4 | 3 | 4 | 1 |
I | <60% (57,2%) | 3 | 3 | 3 | 2 | |||
Strong | 1.2 Organizational culture | A | ≥75% (78,6%) | 5 | 3 | 4 | 1 | |
I | ≥75% (85,7%) | 5 | 2 | 4 | 1 | |||
None | 1.3 General resources | A | <60% (57,2%) | 3 | 2 | 3 | 2 | |
I | <60% (57,1%) | 5 | 2 | 3 | 2 | |||
Moderate | Dimension | 2. Organizational climate for change | A | ≥75% (78,6%) | 5 | 3 | 4 | 1 |
I | 60-74% (71,5%) | 5 | 3 | 3 | 2 | |||
None | Sub-dimensions | 2.1 Mission | A | <60% (50%) | 4 | 1 | 2 | 2 |
I | <60% (35,7%) | 3 | 1 | 2 | 2 | |||
None | 2.2 Staff cohesion | A | 60-74% (64,3%) | 4 | 2 | 3 | 1 | |
I | <60% (57,1%) | 4 | 1 | 2 | 2 | |||
None | 2.3 Autonomy | A | <60% (48,2%) | 3 | 2 | 3 | 1 | |
I | <60% (57,1%) | 4 | 1 | 2 | 2 | |||
None | 2.4 Stress | A | <60% (42,8%) | 3 | 1 | 3 | 1 | |
I | <60% (50%) | 5 | 1 | 3 | 2 | |||
Strong | 2.5 Communication | A | ≥75% (85,7%) | 5 | 2 | 4 | 1 | |
I | ≥75% (78,6%) | 5 | 2 | 4 | 1 | |||
Strong | 2.6 Openness to change | A | ≥75% (100%) | 4 | 4 | 4 | 1 | |
I | ≥75% (85,7%) | 4 | 3 | 4 | 1 | |||
None | 2.7 Political change | A | <60% (42,9%) | 3 | 1 | 3 | 1 | |
I | <60% (42,9%) | 3 | 1 | 2 | 3 | |||
Strong | Dimension | 3. Management support | A | ≥75% (100%) | 5 | 4 | 4 | 1 |
I | ≥75% (100%) | 5 | 4 | 4 | 1 | |||
Moderate | Sub-dimensions | 3.1 Participation | A | 60-74% (71,4%) | 4 | 2 | 3 | 2 |
I | ≥75% (78,6%) | 5 | 2 | 4 | 1 | |||
Strong | 3.2 Leadership / Champion | A | ≥75% (92,9%) | 4 | 3 | 4 | 1 | |
I | ≥75% (85,7%) | 5 | 3 | 4 | 1 | |||
Strong | Dimension | 4. Communication & influence | A | ≥75% (85,7%) | 4 | 2 | 4 | 1 |
I | ≥75% (85,7%) | 4 | 2 | 4 | 1 | |||
None | Sub-dimensions | 4.1 Discussion | A | <60% (50%) | 4 | 1 | 1 | 3 |
I | <60% (57,2%) | 4 | 1 | 1 | 3 | |||
None | 4.2 Dissemination | A | <60% (50%) | 4 | 1 | 2 | 2 | |
I | <60% (50%) | 4 | 1 | 2 | 2 | |||
Strong | Dimension | 5. Motivation | A | ≥75% (92,9%) | 5 | 3 | 4 | 1 |
I | ≥75% (100%) | 4 | 4 | 4 | 1 | |||
None | Sub-dimensions | 5.1 Pressure for change | A | <60% (50%) | 3 | 2 | 3 | 1 |
I | <60% (57,2%) | 4 | 2 | 3 | 2 | |||
Moderate | 5.2 Change needs | A | 60-74% (64,3%) | 4 | 2 | 3 | 1 | |
I | 60-74% (64,3%) | 4 | 2 | 3 | 1 | |||
Moderate | 5.3 Training needs | A | ≥75% (78,5%) | 4 | 2 | 4 | 0 | |
I | 60-74% (64,3%) | 4 | 2 | 3 | 2 | |||
Strong | Dimension | 6. Institutional support | A | ≥75% (92,9%) | 4 | 3 | 4 | 1 |
I | ≥75% (85,7%) | 5 | 3 | 4 | 1 | |||
Strong | Sub-dimensions | 6.1 Support climate | A | ≥75% (78,6%) | 5 | 1 | 4 | 1 |
I | ≥75% (85,7%) | 4 | 2 | 4 | 1 | |||
Moderate | 6.2 Monitoring | A | 60-74% (71,5%) | 4 | 2 | 3 | 2 | |
I | ≥75% (85,7%) | 4 | 2 | 4 | 1 | |||
Strong | 6.3 Feedback | A | ≥75% (85,8%) | 4 | 3 | 4 | 1 | |
I | ≥75% (92,9%) | 5 | 3 | 4 | 1 | |||
Strong | Dimension | 7. Human resources | A | ≥75% (85,8%) | 4 | 2 | 4 | 1 |
I | ≥75% (85,8%) | 4 | 2 | 4 | 1 | |||
Partial | Sub-dimension | 7.1 Staff attributes | A | <60% (57,1%) | 3 | 2 | 3 | 2 |
I | 60-70% (64,3%) | 4 | 2 | 3 | 1 | |||
Strength of consensus | ORKT dimensions & sub-dimensions | Criteria | Consensus (Agreement in %) | 5-point Likert score | Percentile score | Inter-quartile range | ||
10th | 25th | |||||||
Moderate | Dimension | 8. Organizational environment readiness | A | 60-74% (71,4%) | 4 | 2 | 3 | 2 |
I | 60-74% (71,4%) | 4 | 2 | 3 | 2 | |||
None | 8.1 Internal turbulences | A | <60% (50%) | 3 | 1 | 3 | 1 | |
I | <60% (35,7%) | 3 | 2 | 3 | 1 | |||
None | Sub-dimensions | 8.2 Intra/inter cooperation | A | <60% (57,2%) | 3 | 3 | 3 | 1 |
I | <60% (57,2%) | 3 | 3 | 3 | 1 | |||
None | 8.3 Organizational history of innovation | A | <60% (57,1%) | 4 | 2 | 2 | 2 | |
I | <60% (50%) | 3 | 2 | 3 | 2 | |||
Moderate | 8.4 Leader innovativeness | A | 60-74% (64,2%) | 4 | 3 | 3 | 1 | |
I | ≥75% (78,5%) | 4 | 2 | 4 | 0 | |||
Moderate | Dimension | 9. Evidence | A | 60-74% (71,5%) | 4 | 2 | 3 | 2 |
I | 60-74% (64,3%) | 4 | 2 | 3 | 2 | |||
Moderate | 9.1 Patient experiences or preferences | A | 60-74% (64,3%) | 4 | 2 | 3 | 2 | |
I | 60-74% (71,5%) | 4 | 2 | 3 | 2 | |||
Moderate | Sub-dimensions | 9.2 Research evidence | A | 60-74% (71,5%) | 4 | 1 | 3 | 2 |
I | 60-74% (64,3%) | 4 | 1 | 3 | 2 | |||
Moderate | 9.3 Clinical evidence | A | ≥75% (78,6%) | 4 | 3 | 4 | 1 | |
I | 60-74% (71,5%) | 4 | 3 | 3 | 2 | |||
Moderate | Dimension | 10. End-user readiness | A | ≥75% (78,6%) | 4 | 2 | 4 | 1 |
I | 60-74% (64,3%) | 5 | 2 | 3 | 2 | |||
None | Sub-dimensions | 10.1 Background and skills | A | <60% (57,1%) | 3 | 2 | 3 | 1 |
I | <60% (50%) | 3 | 2 | 3 | 1 | |||
Strong | 10.2 Commitment | A | ≥75% (78,6%) | 4 | 3 | 4 | 1 | |
I | ≥75% (85,7%) | 4 | 2 | 4 | 1 | |||
None | 10.3 Interpersonal responses to change | A | <60% (57,1%) | 3 | 2 | 3 | 1 | |
I | <60% (57,1%) | 4 | 2 | 3 | 1 | |||
None | 10.4 Desired and perceived involvement | A | <60% (50%) | 3 | 2 | 3 | 1 | |
I | <60% (57,2%) | 4 | 2 | 3 | 1 | |||
Strong | 10.5 Perceptions of benefits | A | ≥75% (92,9%) | 5 | 3 | 4 | 1 | |
I | ≥75% (92,9%) | 5 | 3 | 4 | 1 | |||
None | 10.6 Satisfaction | A | <60% (35,7%) | 3 | 2 | 3 | 1 | |
I | <60% (35,7%) | 3 | 1 | 3 | 2 | |||
Strength of consensus | ORKT dimensions & sub-dimensions | Criteria | Consensus (Agreement in %) | 5-point Likert score | Percentile score | Inter-quartile range | ||
10th | 25th | |||||||
Partial | Dimension | 11. External influence | A | 60-74% (71,4%) | 5 | 4 | 4 | 1 |
I | <60% (57,2%) | 4 | 3 | 3 | 1 | |||
None | Sub-dimensions | 11.1 External system | A | <60% (28,6%) | 3 | 2 | 2 | 2 |
I | <60% (28,5%) | 3 | 2 | 2 | 2 | |||
None | 11.2 Features of the change setting | A | <60% (57,1%) | 4 | 2 | 3 | 1 | |
I | <60% (57,2%) | 4 | 2 | 3 | 2 | |||
Partial | Dimension | 12. Operational readiness | A | 60-74% (64,3%) | 4 | 3 | 3 | 1 |
I | <60% (57,2%) | 3 | 2 | 3 | 2 | |||
None | Sub-dimensions | 12.1 Durability | A | <60% (42,9%) | 4 | 1 | 2 | 2 |
I | <60% (42,9%) | 4 | 1 | 2 | 2 | |||
None | 12.2 Consistency | A | <60% (28,6%) | 3 | 1 | 3 | 1 | |
I | <60% (35,7%) | 3 | 1 | 2 | 2 | |||
None | 12.3 Reliability | A | <60% (35,7%) | 3 | 1 | 3 | 1 | |
I | <60% (28,5%) | 3 | 1 | 3 | 1 | |||
Moderate | 12.4 Accessibility | A | 60-74% (64,3%) | 4 | 1 | 3 | 2 | |
I | 60-74% (64,3%) | 4 | 1 | 3 | 2 | |||
None | 12.5 Processing speed | A | <60% (42,8%) | 3 | 1 | 2 | 1 | |
I | <60% (35,7%) | 3 | 1 | 2 | 1 | |||
Moderate | 12.6 Ease to use | A | 60-74% (71,4%) | 4 | 2 | 3 | 1 | |
I | 60-74% (71,4%) | 4 | 3 | 3 | 1 | |||
None | Dimension | 13. Organizational change content | A | <60% (57,1%) | 5 | 2 | 3 | 2 |
I | <60% (57,2%) | 5 | 2 | 3 | 2 | |||
Partial | Sub-dimensions | 13.1 Values and goals | A | 60-74% (64,3%) | 4 | 3 | 3 | 1 |
I | <60% (57,2%) | 3 | 2 | 3 | 2 | |||
Strong | 13.2 Attributes of change | A | ≥75% (78,6%) | 4 | 3 | 4 | 1 | |
I | ≥75% (78,6%) | 4 | 3 | 4 | 1 | |||
None | Dimension | 14. Perceived options for change | A | <60% (57,2%) | 5 | 2 | 3 | 2 |
I | <60% (57,2%) | 4 | 2 | 3 | 2 | |||
None | Sub-dimensions | 14.1 Understand history of change | A | <60% (50%) | 2 | 1 | 2 | 1 |
I | <60% (35,7%) | 3 | 1 | 2 | 1 | |||
Partial | 14.2 Approach to change initiatives | A | <60% (57,1%) | 4 | 2 | 3 | 1 | |
I | 60-74% (64,3%) | 3 | 3 | 3 | 2 | |||
None | 14.3 Evaluation of opportunities for change | A | <60% (50%) | 3 | 2 | 3 | 1 | |
I | <60% (50%) | 3 | 2 | 3 | 1 | |||
Strength of consensus | ORKT dimensions & sub-dimensions | Criteria | Consensus (Agreement in %) | 5-point Likert score | Percentile score | Inter-quartile range | ||
10th | 25th | |||||||
None | Dimension | 15. Knowledge readiness | A | <60% (35,7%) | 3 | 2 | 3 | 2 |
I | <60% (42,9%) | 3 | 2 | 3 | 2 | |||
None | Sub-dimensions | 15.1 General knowledge | A | <60% (35,7%) | 3 | 1 | 2 | 2 |
I | <60% (35,7%) | 3 | 1 | 2 | 2 | |||
Moderate | 15.2 Specific knowledge | A | 60-74% (71,5%) | 4 | 3 | 3 | 2 | |
I | 60-74% (71,5%) | 4 | 3 | 3 | 2 | |||
None | Dimension | 16. Process readiness | A | <60% (50%) | 3 | 2 | 3 | 1 |
I | <60% (42,8%) | 3 | 2 | 3 | 1 | |||
Moderate | Sub-dimensions | 16.1 Evaluation process | A | 60-74% (71,4%) | 4 | 3 | 3 | 2 |
I | 60-74% (71,4%) | 4 | 3 | 3 | 2 | |||
None | 16.2 Quality process | A | <60% (57,1%) | 4 | 2 | 3 | 1 | |
I | <60% (50%) | 4 | 2 | 3 | 1 | |||
None | 16.3 Financial management | A | <60% (42,9%) | 3 | 2 | 3 | 2 | |
I | <60% (42,8%) | 3 | 2 | 3 | 1 | |||
Strong | 16.4 Strategic planning process | A | ≥75% (78,6%) | 4 | 3 | 4 | 1 | |
I | ≥75% (78,6%) | 4 | 3 | 4 | 1 | |||
Strong | 16.5 Decision-making process | A | ≥75% (78,6%) | 4 | 3 | 4 | 1 | |
I | ≥75% (85,7%) | 4 | 2 | 4 | 0 | |||
None | Dimension | 17. Innovation customization process | A | <60% (42,9%) | 2 | 2 | 2 | 2 |
I | <60% (42,9%) | 2 | 2 | 2 | 2 | |||
Partial | Sub-dimensions | 17.1 Routine use | A | <60% (57,1%) | 4 | 1 | 2 | 2 |
I | 60-74% (64,3%) | 4 | 1 | 2 | 3 | |||
Partial | 17.2 Adoption consequences | A | 60-74% (71,4%) | 4 | 3 | 3 | 1 | |
I | <60% (51,5%) | 4 | 3 | 3 | 1 | |||
None | 17.3 Innovation diffusion | A | <60% (21,4%) | 5 | 1 | 2 | 3 | |
I | <60% (21,4%) | 5 | 1 | 1 | 4 | |||
Moderate | 17.4 Innovation implementation | A | ≥75% (85,7%) | 4 | 3 | 4 | 0 | |
I | 60-74% (71,5%) | 4 | 3 | 3 | 2 | |||
Moderate | 17.5 Innovation adoption | A | 60-74% (64,3%) | 5 | 1 | 3 | 2 | |
I | 60-74% (64,3%) | 5 | 1 | 3 | 2 |