+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Measuring change attitudes in health care organizations



Measuring change attitudes in health care organizations



Journal of Health Organization and Management 33(3): 266-285



Measuring attitudes of healthcare providers and managers toward change in health care organizations (HCOs) has been of widespread interest. The purpose of this paper is to evaluate the psychometric characteristics and usability of an abbreviated German version of the Change Attitude Scale. The Change Attitude Scale was used in a survey of healthcare providers and managers in German hospitals after the implementation of a breast cancer center concept. Reliability analysis, confirmatory factor analysis, structural equation modeling and bivariate analysis were conducted. Data from 191 key persons in 82 hospitals were analyzed. The item-scale structure produced an acceptable model fit. Convergent validity was shown by significant correlations with measures of individuals' general opinions of the breast center concept. A non-significant correlation with a scale measuring the hospital's hierarchical structure of leadership verified discriminant validity. The interaction of key persons' change attitude and hospitals' change performance through change culture as a mediator supported the predictive validity. The study found general support for the validity and usability of a short version of the German Change Attitude Scale. Since attitudes toward change influence successful implementation, the survey may be used to tailor the design of implementation programs and to create a sustainable culture of high readiness for change. This is the first study finding that a short instrument can be used to measure attitudes toward change among healthcare providers and managers in HCOs.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066813933

Download citation: RISBibTeXText

PMID: 31122117

DOI: 10.1108/jhom-06-2018-0177


Related references

Measuring influenza immunization coverage among health care workers in acute care hospitals and continuing care organizations in Canada. American Journal of Infection Control 41(4): 340-344, 2013

Measuring attributes of health literate health care organizations from the patients' perspective: Development and validation of a questionnaire to assess health literacy-sensitive communication (HL-COM). Zeitschrift für Evidenz Fortbildung und Qualitat Im Gesundheitswesen 121: 58-63, 2017

Attitudes of health care professionals towards Mutual Health Organizations: evidence from two regions in the Northwest Province of Cameroon. Journal of Public Health 24(3): 175-183, 2016

Measuring attitudes related to interdisciplinary training: revisiting the Heinemann, Schmitt and Farrell attitudes toward health care teams' scale. Journal of Interprofessional Care 14(3): 249-258, 2000

Measuring resilience in health care provider organizations. Health Manpower Management 24(4-5): 148-152, 1998

Measuring technical efficiency in health care organizations. Journal of Medical Systems 14(5): 307-322, 1990

Measuring resilience in health care provider organizations. Health Manpower Management 24(4): 148-152, 1998

Methods of measuring patient satisfaction in health care organizations. Health Care Management Review 22(2): 74-89, 1997

Managing change in health care organizations. Medical Care 15(8): 693-704, 1977

Knowledge and change in health care organizations. Studies in Health Technology and Informatics 76: 63-69, 2000

Guidelines for change in health care organizations. Health Care Management Review 6(3): 9, 1981

Change in health care organizations: an overview. Tennessee Nurse 59(1): 15-16, 1996

Health Maintenance Organizations. Part II--An excerpt from a study of Missouri Health Maintenance Organizations, preferred provider organizations, hospital satellite clinics and freestanding emergency care centers. Missouri Medicine 81(6): 326-327, 1984

Understanding and managing change in health care organizations. Nursing Administration Quarterly 21(2): 65-73, 1997

Managing health care organizations in an age of rapid change. Health Care Supervisor 16(3): 43-53, 1998