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Qualitative/Quantitative:
Type of Instrument:
Number of Items:
77Subscale Information:
Evidence Assessment:
Amount of discord within the practice team about evidence (2)
Research evidence (3)
Clinical experience (3)
Patient preferences (4)
Context assessment:
Senior leadership culture (3)
Staff culture (4)
Leadership behaviour (4)
Measurement (leadership feedback) (4)
Readiness for Change/Opinion leaders (4)
General resources (4)
Facilitation Assessment:
Senior leaders practices (4)
Champion characteristics (4)
Leadership implementation roles (4)
Implementation team roles (4)
Implementation plan (4)
Project communication (4)
Project progress tracking (4)
Project resources and context (6)
Project evaluation (5)Language Availability:
Brief Description:
The Organizational Readiness to Change Assessment (ORCA) measures organizational readiness to implement evidence-based practices in clinical settings. It consists of three major scales that measure: 1. Strength of the evidence for the proposed change/innovation; 2. Quality of the organizational context to support the practice change; and 3. organizational capacity to facilitate the change.Website:
Instrument and/or related documentation:
Citing Literature - Development/Original:
Helfrich, C. D., Li, Y.-F., Sharp, N. D. & Sales, A. E. (2009). Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework. Implementation Science, 4: 38. doi: 10.1186/1748-5908-4-38.Citing Literature - Empirical Use/Application:
Hagedorn, H. J., & Heideman, P. W. (2010). The relationship between baseline Organizational Readiness to Change Assessment subscale scores and implementation of hepatitis prevention services in substance use disorders treatment clinics: a case study. Implementation science : IS, 5, 46. https://doi.org/10.1186/1748-5908-5-46
Amenta, E., Grigoryan, L., Braund, S., Ramsey, D., Donnelly, J., Hernandez, R., … Trautner, B. (2024). Organizational Readiness for Change Depends on Facility Complexity When Developing a National Stewardship Intervention. Antimicrobial Stewardship & Healthcare Epidemiology, 4(S1), s48–s48. doi:10.1017/ash.2024.163
Noe, T., Kaufman, C., Kaufmann, L., Brooks, E., & Shore, J. (2014). Providing culturally competent services for American Indian and Alaska Native veterans to reduce health care disparities.. American journal of public health, 104 Suppl 4, S548-54 . https://doi.org/10.2105/AJPH.2014.302140.Version:
Not FoundRelated Instruments:
Organizational readiness to change assessment (ORCA)
Qualitative/Quantitative:
The assessment instrument uses quantitative and/or qualitative data
- Quantitative
Type of Instrument:
The type of the assessment instrument
- Survey
Number of Items:
Number of items in the assessment instrument
77Subscale Information:
Names of each of the subscales and the number of items for each of the subscales
Evidence Assessment:Amount of discord within the practice team about evidence (2)
Research evidence (3)
Clinical experience (3)
Patient preferences (4)
Context assessment:
Senior leadership culture (3)
Staff culture (4)
Leadership behaviour (4)
Measurement (leadership feedback) (4)
Readiness for Change/Opinion leaders (4)
General resources (4)
Facilitation Assessment:
Senior leaders practices (4)
Champion characteristics (4)
Leadership implementation roles (4)
Implementation team roles (4)
Implementation plan (4)
Project communication (4)
Project progress tracking (4)
Project resources and context (6)
Project evaluation (5)
Language Availability:
Language(s) in which the assessment instrument is available
- English
Brief Description:
Brief summary description of assessment instrument
The Organizational Readiness to Change Assessment (ORCA) measures organizational readiness to implement evidence-based practices in clinical settings. It consists of three major scales that measure: 1. Strength of the evidence for the proposed change/innovation; 2. Quality of the organizational context to support the practice change; and 3. organizational capacity to facilitate the change.Website:
Website providing access to and/or describing the assessment instrument
Instrument and/or related documentation:
Related files uploaded (instrument if directly available) including descriptions for each
Citing Literature - Development/Original:
Reference for publication describing the development of the assessment instrument
Helfrich, C. D., Li, Y.-F., Sharp, N. D. & Sales, A. E. (2009). Organizational readiness to change assessment (ORCA): Development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework. Implementation Science, 4: 38. doi: 10.1186/1748-5908-4-38.Citing Literature - Empirical Use/Application:
Reference for publications on the application of the assessment instrument
Hagedorn, H. J., & Heideman, P. W. (2010). The relationship between baseline Organizational Readiness to Change Assessment subscale scores and implementation of hepatitis prevention services in substance use disorders treatment clinics: a case study. Implementation science : IS, 5, 46. https://doi.org/10.1186/1748-5908-5-46Amenta, E., Grigoryan, L., Braund, S., Ramsey, D., Donnelly, J., Hernandez, R., … Trautner, B. (2024). Organizational Readiness for Change Depends on Facility Complexity When Developing a National Stewardship Intervention. Antimicrobial Stewardship & Healthcare Epidemiology, 4(S1), s48–s48. doi:10.1017/ash.2024.163
Noe, T., Kaufman, C., Kaufmann, L., Brooks, E., & Shore, J. (2014). Providing culturally competent services for American Indian and Alaska Native veterans to reduce health care disparities.. American journal of public health, 104 Suppl 4, S548-54 . https://doi.org/10.2105/AJPH.2014.302140.
Version:
Number/name of the most recent version of the assessment instrument
Not FoundRelated Instruments:
Indicate if assessment instrument is related to another instrument in the repository.
Implementation Science Considerations
- Adherence Optimization Framework
- Advancing health disparities research within the health care system
- Availability, Responsiveness & Continuity (ARC): An Organizational & Community Intervention Model
- Behaviour Change Wheel
- Blueprint for Dissemination
- Canadian Institutes of Health Research Knowledge Translation within the Research Cycle Model or Knowledge Action Model
- Choosing Wisely Deimplementation Framework
- Conceptual Model of Knowledge Utilization
- Consolidated Framework for Implementation Research (CFIR)
- Consolidated Framework for Implementation Research (CFIR) 2.0
- Context and Implementation of Complex Interventions (CICI) framework
- Coordinated Implementation Model
- Critical Realism & the Arts Research Utilization Model (CRARIUM)
- Dissemination and Implementation Framework for an Early Childhood Obesity Prevention Program
- Dissemination of Evidence-based Interventions to Prevent Obesity
- Dynamic Sustainability Framework
- EMTReK - Evidence-based Model for the Transfer and Exchange of Research Knowledge
- EQ-DI Framework
- Effective Dissemination Strategies
- Evidence Integration Triangle
- Exploration, Preparation, Implementation, Sustainment (EPIS) model (Conceptual Model of Evidence-based Practice Implementation in Public Service Sectors)
- Facilitating Adoption of Best Practices (FAB) Model
- Framework for Analyzing Adoption of Complex Health Innovations
- Framework for Enhancing the Value of Research for Dissemination and Implementation
- Framework for Knowledge Translation
- Framework for Spread
- Framework for the Dissemination & Utilization of Research for Health-Care Policy & Practice
- Framework of Dissemination in Health Services Intervention Research
- General theory of implementation
- Generic Implementation Framework
- Greenhalgh Diffusion of Innovations in Service Organizations
- Health Equity Implementation Framework
- Health Promotion Research Center Framework
- Implementation Effectiveness Model
- Interactive Systems Framework
- Knowledge Exchange Framework
- Knowledge Transfer and Exchange
- Model for Predictors of Adoption
- Organizational Theory of Innovation Implementation
- Pathways to Evidence Informed Policy
- Practical, Robust Implementation and Sustainability Model (PRISM)
- Pragmatic-Explanatory Continuum Indicator Summary 2
- Precede-Proceed Model
- Process Model of Implementation from a Policy Perspective Depicting the Process at One Policy Level
- Promoting Action on Research Implementation in Health Services (PARIHS)
- Push-Pull Capacity Model
- RAND Model of Persuasive Communication and Diffusion of Medical Innovation
- RE-AIM 2.0/Contextually Expanded RE-AIM
- Real-World Dissemination
- Replicating Effective Programs Framework
- Six-Step Framework for International Physical Activity Dissemination
- The SPIRIT Action Framework
- Theoretical Domains Framework
- Transcreation Framework for Community-engaged Behavioral Interventions to Reduce Health Disparities
- Weiner organizational readiness
- conNECT Framework
- Implementation
- Use of evaluative and iterative strategies
- Assess for readiness and identify barriers and facilitators
- Develop implementation blueprint
- Pre-Implementation
- Implementation
- Sustainment
Constructs Assessed:
Constructs assessed by the assessment instrument (linked to constructs included in the D&I models webtool)
Theories, Models, Frameworks Relevant:
The D&I TMFs relevant for the assesment instrument based on constructs assessed
Implementation Outcomes:
The relevance of the assessment instrument to various implementation outcomes
Implementation Strategies:
The implementation strategy/ies evaluated by the assessment instrument
Phase of Implementation Process:
Phase of implementation process when the assessment instrument can be used
Intended Focus
- Implementer
- Organizational
- Clinician
- Administrator
- Public Health Practitioner
- Clinical Outpatient
- Clinical Inpatient
- Residential Care
- Community Organization
- Public Health Agency
- School
- Workplace
Levels of Data Collection:
The level(s) from which the assessment instrument collects data
Intended Priority Population:
Intended priority population from whom data are collected using the assessment instrument
Intended Priority Setting:
Intended priority setting in which the assessment instrument is used
Policy:
Not FoundAssessment instrument is relevant to policy
Equity Focus:
Not Found
Psychometric Properties
- Discriminant Validity
- Convergent Validity
- Internal Consistency
Scoring:
YesThe assessment instrument produces a composite score
Norms:
Not FoundMeasures of central tendency and distribution for the total score are based on small, medium, large sample size
Responsiveness:
Not FoundThe ability of the assessment instrument to detect change over time (i.e., sensitivity to change or intervention effects).
Validity:
The extent to which an instrument measures what it is intended to measure accurately.
Reliability:
The extent to which results are consistent results over time, across raters, across settings, or across items intended to measure the same thing.
Factor Analysis:
YesA statistical method that uses the correlation between observed variables to identify common factors.
Pragmatic Properties
- Guidance to Administer
- Guidance to Interpret
- Medium: Asyncronous collection of data
Time to Administer:
Not FoundThe amount of time required to complete the assessment instrument
Secondary Data:
Not FoundCost:
FreeCost associated with access to assessment instrument (Some instruments might require login.)
Literacy:
Not FoundReadability of the items reported on.
Interpretation:
Not FoundExpertise needed for interpretation of data is reported.
Training:
Not FoundExpertise needed to use the assessment instrument is reported
Resources Required to Administer:
None/LowResources needed to administer the assessment instrument (FTE for data collector, equipment, etc.)
User Guidance:
Guides are provided to support administration of assessment instrument/data collection, and/or analysis of data from the assessment instrument, and/or interpretation of data, and/or action/decision on how to use data
Obtrusiveness:
Degree of intrusion the participants will experience because of the data collection when using the assessment instrument (e.g., assessment instruments that rely on use of secondary data or automated data will be less obtrusive)
Interactivity:
Not FoundData collection and/or result generation involves interactive components.
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