Answer 3 for NUR 590 Compare two organizational readiness tools

Assessing an organization’s readiness for change is a core element in implementing an efficacious intervention to improve patient health outcomes. Readiness is the level to which organizational members are psychologically and behaviorally prepared and willing to implement change. Change implementers in organizations can use various tools to evaluate the readiness for change and determine overall reception (Weiner, 2020). Two prevalent tools are the organizational readiness to change assessment (ORCA) tool and organizational readiness for implementing change (ORIC). At the core of these tools is change implementation in an organization and steps on how entities can execute new processes and activities to attain better patient outcomes. The organization readiness to change assessment (ORCA) evaluates organizational readiness to implement evidence-based practice in nursing settings. It comprises three major scales that measure the strength of the evidence for the proposed intervention or innovation, the quality of the entity’s context to support practice change, and organizational capacity in facilitating the proposed change (Goebel et al., 2020). On its part, the organizational readiness for implementing change (ORIC) tool measures organizational readiness for change based on members’ shared resolve and commitment to implement a change and their perceived collective capabilities to execute change or efficacy (Adelson et al., 2021). As such, the two tools measure various aspects of change implementation to determine possible successes. The ORIC tool assesses determinants and effects of organizational readiness for change while the ORCA evaluates the overall capacity of an entity to implement change. The selected tool for my organization is the organization readiness to change assessment (ORCA) since it is comprehensive and covers a host of factors that include knowledge of the task, availability of resources, and focus on collective efficacy. For instance, the tool emphasizes the collective capacity of the organization to implement change. Organizational change is a collective effort and ORCA ensures that it assesses all components to attain synergy for executing new processes and activities (Randall et al., 2020). For instance, emphasis on the quality of organizational context to support change, capacity to facilitate change, and strength of evidence for the proposed intervention are critical when implementing hourly rounding protocols and structured education to reduce and prevent falls among elderly residents in long-term care facilities.

References

Adelson, P., Yates, R., Fleet, J. A., & McKellar, L. (2021). Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia. BMC Health Services Research, 21: 1-6. DOI: 10.1186/s12913-021-06373-9. Goebel, M., Trautner, B., Wang, Y., Van, J., Dillon, L., Patel, P., … & Grigoryan, L. (2020).