Research Article
Volume 2 Issue 12 - 2020
Assessment of Nurses’ Readiness to Applying Nursing Process Kardex based on ADKAR Model
Alice khachian1, Sona Elyasi2*, Hamid Hghani3 and Saeideh Shakeri4
1Associate Professor, Medical Surgical Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2Instructor, Medical Surgical Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
3Instructor, Department of Statistics, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran
4Instructor, Medical Surgical Nursing, Faculty of Paramedical Sciences, Arak University of Medical Sciences, Arak, Iran
*Corresponding Author: Sona Elyasi, Instructor, Medical Surgical Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Received: September 15, 2020; Published: November 30, 2020




Abstract

Introduction: The purpose of this study was to assess nurses' readiness for applying nursing process kardex using ADKAR model.

Methods: This descriptive-analytic cross-sectional study was performed among 320 nurses employing in educationalenters of Iran University of Medical Sciences. Sampling was carried out as classification, with appropriate allocation in an accessible method. Nurses' demographic information questionnaire and ADKAR model questionnaire were used to collect data also validity and reliability were measured. The data were analyzed using SPSS software version 16.

Results: Based on obtained results, 95% of the participants were women. Their average age was 31.86 and their work experience was 8.21 years. Mostly had the bachelor's degree and they employed as formal sector. The results show that according to earning score needed for the majority of samples in all components of ADKAR model including knowledge, desire, knowledge, ability and Reinforcement, nurses were ready to apply nursing process kardex as a change.

Discussion: The results also indicated that desire was the only component that has not meaningful relation with any of the demographic variables. The results show that training courses and supporting people during the course of changes can contribute and implement this change.

Keywords: Change Management; Readiness for Change; ADKAR Model; Nursing Process

References

  1. Hiatt J and Creasey TJ. “Change Management: the people side of change”. Dirst edition. Loveland: Prosci Reacerch (2003).
  2. Maleki M., et al. “Relationship Between Structural Empowering And Nurses’ Readiness For Change”. Iran Journal of Nursing (IJN)76 (2012): 10-18.
  3. Pellettiere V. “Organization Self-Assessment To Determine The Readiness And Risk For A Planned Change”. Organization Development Journal4 (2006): 38.
  4. Armenakis AA., et al. “Creating Readiness For Organizational Change”. Human Relations6 (1993): 681-703.
  5. Norshidah N. “The Influence Of Emotional Intelligence, Leadership Behaviour And Organizational Commitment On Organizational Readiness For Change In Higher Learning Institution”. Procedia-Social And Behavioral Sciences 29 (2011): 129-138.
  6. Ahmadi M., et al. “Nursing Information Management”. Tehran: Jaafari (2011).
  7. Hagos F., et al. “Application Of Nursing Process And Its Affecting Factors Among Nurses Working In Mekelle Zone Hospitals, Northern Ethiopia”. Nursing Research And Practice (2014): 1-9.
  8. Farahani ZB., et al. “The Impact of Training on Nursing Process Implementation Skills of Surgical Ward Nurses”. Health Sciences7s (2016): 268-272.
  9. Mahmoud MH and Bayoumy HM. “Barriers and facilitators for execution of nursing process from nurses’ perspective”. International Journal of Advanced Research2 (2014): 300-315.
  10. Wittenstein RD. “Factors influencing individual readiness for change in a health care environment”. United States The George Washington University (2008).
  11. Choi M and Ruona WE. “Individual Readiness For Organizational Change And Its Implications For Human Resource And Organization Development”. Human Resource Development Review1 (2011): 46-73.
  12. “ADKAR Change Management Model Overview”. Change Management Learning Center (2015).
  13. “ADKAR Model”. Change Management Learning Center (2015).
  14. Truong TLA and Swierczek FW. “Predicting The Relationships Between Human Resource Factors And The Effectiveness Of A Change Project”. Asia Pacific Management Review1 (2009): 69-83.
  15. Boca GD. “Adkar Model Vs. Quality Management Change”. International Conference Risk In Contemporary Economy; Galati, Romania (2013).
  16. Hiatt J. “ADKAR: a model for change in business, government, and our community”. First edition. Loveland: Prosci Learning Center Publications (2006).
  17. “Why Use The Adkar Model”. Change Management Learning Center (2015).
  18. Brand CGM. “Factors Influencing Change Management In A Selected Hospital In Saudi Arabia”. Saudi Arabia: Stellenbosch University (2013).
  19. Dehghan A., et al. “A Comparison Of The Difference Between Public And Private Health Centers Readiness In Terms Of Using Health”. Business Intelligence Systems Health Management 64 (2016): 31-42.
  20. Mehraram M., et al. “Evaluation Of Knowledge, Attitude, Ability And Preparedness For Elearning Among Continuing Medical Education Learners Iranian”. Journal of Medical Education80 (2016).
  21. Jasemi M., et al. “Assessing Quality Of Nursing Documentations And Effective Factors On It In Medical-Surgical Units”. Quarterly Journal of Nursing Management3 (2012).
  22. Hashemi M. “Relationship Between Readiness For Chang In Maternality Ward With Promotion Of Physiologic Childbirth In Hospitals Affiliated To Iran University Of Medical Sciences”. Unpublished: Iran Univercity Of Medical Sciences (2016).
  23. Matbouei M., et al. “Assessment Of Barriers For Recording Nursing Diagnoses By Nurses And Proposing A Solution”. Journal of Nursing and Midwifery Faculty Shahid Beheshti University of Medical Sciences and Health Services84 (2014): 27-33.
  24. Sanjaghi M., et al. “The Effect of Emotional Intelligence and Learning Culture in Organizations on the Relationship Between Leader Behavior and Staff Readiness for Change”. Journal of Organizational Behavior Studies3 (2016): 163-195.
  25. Barber VA. “A Study of Change Readiness: Factors That Influence the Readiness of Frontline Workers Towards a Nursing Home Transformational Change Initiative [Dissertation]”. New York St. John Fisher College (2010).
  26. Nedaii T., et al. “Readiness (Ability and Desire) of sports federation staff with their effectiveness”. Research in Sport Management and Motor Behavior11 (2016).
  27. Akhtar S., et al. “Barriers and facilitators for execution of nursing process among nurses from medical and surgical wards in a public hospital Lahore”. International Journal of Social Sciences and Management3 (2018): 170-186.
  28. Lowery MS. “Change Management In A Dynamic Information Technology Environment: Inquiries Into The Adkar Model For Change Management Results [Thesis - Open Access]”. Denver, Colorado: Regis University (2010).
  29. Vaezi R., et al. “An Attitude to the Change in the Perspective of Islamic Teachings and Its Constraints on the Excitement of Employees to Change”. Journal of Organizational Behavior Studies1-2 (2016): 1-30.
  30. Bikmoradi A., et al. “The Correlation Between Demographic Characteristics And Learning Organization In Intensive Care Units Of Teaching Hospitals, Hamadan, Iran”. Scientific Journal of Hamedan Nursing and Midwifery Faculty3 (2015): 27-39.
  31. Alazzam A-O., et al. “Effects Of Demographic Characteristics, Educational Background, And Supporting Factors On Ict Readiness Of Technical And Vocational Teachers In Malaysia”. International Education Studies6 (2012): 229-243.
  32. Kahouei M and Babamohamadi H. “Factors Affecting Information Technology Acceptance In Clinical Settings From Nurses”. Perspective Journal of Paramedicine Faculty of Tehran University of Medical Sciences 3 (2013).
Citation: Sona Elyasi., et al. “Assessment of Nurses’ Readiness to Applying Nursing Process Kardex based on ADKAR Model”. EC Nursing and Healthcare 2.12 (2020): 184-194.

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