Volume 4, Issue 4 (Autumn 2018)                   JCCNC 2018, 4(4): 203-212 | Back to browse issues page


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1- Department of Medical Surgical Nursing, School of Nursing & Midwifery, Iran University of Medical sciences, Tehran, Iran.
2- Department of Medical Surgical Nursing, School of Nursing & Midwifery, Iran University of Medical sciences, Tehran, Iran. , selyasi1989@gmail.com
3- Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (11031 Views)
Background: Transformation is the greatest problem that all organizations face today. By the participation of people in the change projects, the possible resistance rate is reduced and the process of change is accelerated. The readiness of individuals makes them more involved in the change process. The current study aimed at investigating the readiness of using nursing Kardex through applying ADKAR Model by nurses working in hospitals affiliated to Iran University of Medical Sciences. 
Methods: current descriptive, cross sectional study was conducted on 320 nurses working in hospitals in Tehran, Iran. The subjects in each hospital were selected proportional to the size of the population, using convenient sampling method. Data were collected by demographic and ADKAR model questionnaires and analyzed by descriptive statistics with SPSS V. 16.
Results: Most of the subjects (95%) were female. The mean age of the subjects was 31.86 years with a mean working experience of 8.21 years. Moreover, 90% of the samples hold a bachelor's degree and most of them served as an official employee; 67.2% of nurses worked in university teaching hospitals and 32.8% in general hospitals. The results showed relative readiness of the nurses (more than half of the subjects got average score above 3 in all components) and the efficiency of the ADKAR model to assess their readiness.
Conclusion: According to the results, it is recommended to increase the knowledge and ability of nurses to employ nursing Kardex, strengthen supportive factors, especially in non-educational hospitals, to make the changes, and increase the participation of nurses.
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● Transformation and change are one of the greatest challenges of any organizations.
● Participation of the staff in the change reduces the possible resistance and accelerates the process of change.
● The readiness of individuals makes them more involved in the change process.
● We aimed to evaluate the readiness of Iranian nurses in using Nursing Kardex, by using the ADKAR Model.
● The results showed relative readiness of the nurses and the efficiency of the ADKAR model to assess their readiness.
Plain Language Summary
Today, transformation and change is the greatest challenge of all organizations. By participation of staff in the change process, the possible resistance is reduced, and the process of change is accelerated. The readiness of individuals makes them more involved in the change process. We tried to evaluate the preparedness of nurses to use Nursing Kardex by applying the ADKAR Model for change. The study samples were nurses working in educational hospitals in Tehran City, Iran. The results showed relative readiness of the nurses and the efficiency of the ADKAR model to assess their readiness. Thus, we suggest that the nurses should be encouraged to employ Nursing Kardex be increased, especially in non-educational hospitals to increase the participation of nurses.

Type of Study: Research | Subject: General
Received: 2018/05/23 | Accepted: 2018/08/27 | Published: 2018/11/1

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