The role of organizational structure in readiness for change: A conceptual integration.
The purpose of this review is to extend extant conceptualizations of readiness for change as an individual-level phenomenon. This review-of-reviews focuses on existing conceptual frameworks from the dissemination, implementation, quality improvement, and organizational transformation literatures in order to integrate theoretical rationales for how organization structure, a key dimension of the organizational context, may impact readiness for change. We propose that the organization structure dimensions of differentiation and integration impact readiness for change at the individual level of analysis by influencing four key concepts of relevance, legitimacy, perceived need for change, and resource allocation. We identify future research directions that focus on these four key concepts.
1 Department of Veterans Affairs, Center for Healthcare Organization and Implementation Research, Boston, MA, USA.|2 Department of Veterans Affairs, VISN 17 Center of Excellence for Research on Returning Veterans, Waco, TX, USA.|3 Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station, TX, USA.
Justin K
JK
Benzer
1 Department of Veterans Affairs, Center for Healthcare Organization and Implementation Research, Boston, MA, USA.|4 Department of Health Policy, Law, and Management, School of Public Health, Boston University, Boston, MA, USA.
Martin P
MP
Charns
1 Department of Veterans Affairs, Center for Healthcare Organization and Implementation Research, Boston, MA, USA.|5 School of Medicine, Tufts University, Boston, MA, USA.
Sami
S
Hamdan
1 Department of Veterans Affairs, Center for Healthcare Organization and Implementation Research, Boston, MA, USA.|4 Department of Health Policy, Law, and Management, School of Public Health, Boston University, Boston, MA, USA.
Melissa
M
Afable
D006801:Humans; D009936:Organizational Innovation; D058996:Quality Improvement
implementation science; organizational context; organizational innovation; readiness for change