Universität zu Köln

Hower, Kira Isabel ORCID: 0000-0002-7123-3296, Pfaff, Holger ORCID: 0000-0001-9154-6575, Kowalski, Christoph, Wensing, Michel and Ansmann, Lena ORCID: 0000-0002-8628-7166 (2019). Measuring change attitudes in health care organizations: Psychometric evaluation of the Change Attitude Scale. J. Health Organ. Manag., 33 (3). S. 266 - 286. BINGLEY: EMERALD GROUP PUBLISHING LTD. ISSN 1758-7247

Full text not available from this repository.

Abstract

Purpose 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. Design/methodology/approach 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. Findings 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. Research limitations/implications The study found general support for the validity and usability of a short version of the German Change Attitude Scale. Practical implications 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. Originality/value 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hower, Kira Isabel UNSPECIFIED orcid.org/0000-0002-7123-3296 UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Kowalski, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Wensing, Michel UNSPECIFIED UNSPECIFIED UNSPECIFIED Ansmann, Lena UNSPECIFIED orcid.org/0000-0002-8628-7166 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-138764
DOI:	10.1108/JHOM-06-2018-0177
Journal or Publication Title:	J. Health Organ. Manag.
Volume:	33
Number:	3
Page Range:	S. 266 - 286
Date:	2019
Publisher:	EMERALD GROUP PUBLISHING LTD
Place of Publication:	BINGLEY
ISSN:	1758-7247
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CLIMATE; LEADERSHIP; READINESS; RESISTANCE; INNOVATION; DETERMINANTS; COMMUNICATION; PHYSICIANS; SUPPORT Multiple languages Health Policy & Services Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13876