ORGANIZATIONAL READINESS TO IMPLEMENT HEALTH PROMOTION PROGRAMS IN HEALTHCARE

Chronic kidney disease is a complex condition that undermines quality of life in older adults. Health promotion interventions (HPIs) could facilitate quality of life improvements, but there is limited information about dialysis organizational readiness to implement HPIs. Staff in three dialysis facilities were surveyed to assess organizational readiness. The surveys consisted of demographic questions, the Organizational Readiness for Implementing Change instrument, and open-ended questions developed from Organizational Readiness for Change Theory. Of the 70 surveys that were emailed, 63 were completed. Bivariate analyses revealed profession (p=0.002), education (p=0.007), and age (p=0.001) were significantly associated with change efficacy. The mean readiness for change rating was 3.07 (range 1 to 5; SD=1.31). Textual data revealed perceived benefits to patients, a supportive environment, and facility culture could facilitate or impede HPI implementation. The findings of the current study point to moderate readiness to implement HPIs in dialysis facilities.