BACKGROUND: Increasing demands on general practice to manage chronic disease may warrant organisational change at the practice level. Staff's readiness for organisational change can act as a facilitator or barrier to implementing interventions aimed at organisational change. OBJECTIVES: To explore general practice staff readiness for organisational change and its association with staff and practices characteristics. METHODS: This is a cross-sectional study of practices in three Australian states involved in a randomised control trial on the effectiveness of an intervention to enhance the role of non-general practitioner staff in chronic disease management. Readiness for organisational change, job satisfaction and practice characteristics were assessed using questionnaires. RESULTS: 502 staff from 58 practices completed questionnaires. Practice characteristics were not associated with staff readiness for change. A multilevel regression analysis showed statistically significant associations between staff readiness for organisational change (range 1 to 5) and having a non-clinical staff role (vs general practitioner; B=-0.315; 95% CI -0.47 to -0.16; p<0.001), full-time employment (vs part-time; B=0.175, 95% CI 0.06 to 0.29; p<0.01) and lower job satisfaction (B=-0.277, 95% CI -0.40 to -0.15; p<0.001). CONCLUSIONS: The results suggest that different approaches are needed to facilitate change which addresses the mix of practice staff. Moderately low job satisfaction may be an opportunity for organisational change.
BACKGROUND: Increasing demands on general practice to manage chronic disease may warrant organisational change at the practice level. Staff's readiness for organisational change can act as a facilitator or barrier to implementing interventions aimed at organisational change. OBJECTIVES: To explore general practice staff readiness for organisational change and its association with staff and practices characteristics. METHODS: This is a cross-sectional study of practices in three Australian states involved in a randomised control trial on the effectiveness of an intervention to enhance the role of non-general practitioner staff in chronic disease management. Readiness for organisational change, job satisfaction and practice characteristics were assessed using questionnaires. RESULTS: 502 staff from 58 practices completed questionnaires. Practice characteristics were not associated with staff readiness for change. A multilevel regression analysis showed statistically significant associations between staff readiness for organisational change (range 1 to 5) and having a non-clinical staff role (vs general practitioner; B=-0.315; 95% CI -0.47 to -0.16; p<0.001), full-time employment (vs part-time; B=0.175, 95% CI 0.06 to 0.29; p<0.01) and lower job satisfaction (B=-0.277, 95% CI -0.40 to -0.15; p<0.001). CONCLUSIONS: The results suggest that different approaches are needed to facilitate change which addresses the mix of practice staff. Moderately low job satisfaction may be an opportunity for organisational change.
Authors: Benjamin F Crabtree; William L Miller; Jane M Gunn; William E Hogg; Cathie M Scott; Jean-Frederic Levesque; Mark F Harris; Sabrina M Chase; Jenny R Advocat; Lisa M Halma; Grant M Russell Journal: Fam Pract Date: 2018-05-23 Impact factor: 2.267
Authors: Mark F Harris; Jane Lloyd; John Litt; Mieke van Driel; Danielle Mazza; Grant Russell; Jane Smith; Chris Del Mar; Elizabeth Denney-Wilson; Sharon Parker; Yordanka Krastev; Upali W Jayasinghe; Richard Taylor; Nick Zwar; Jinty Wilson; Helen Bolger-Harris; Justine Waters Journal: Implement Sci Date: 2013-01-18 Impact factor: 7.327
Authors: Mark F Harris; Jenny Advocat; Benjamin F Crabtree; Jean-Frederic Levesque; William L Miller; Jane M Gunn; William Hogg; Cathie M Scott; Sabrina M Chase; Lisa Halma; Grant M Russell Journal: J Multidiscip Healthc Date: 2016-01-29