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C56. Organizational readiness and innovation adoption in OST services- results from a systematic review and preliminary research findings from a study of Irish OST services

C56. Organizational readiness and innovation adoption in OST services- results from a systematic review and preliminary research findings from a study of Irish OST services

Learner category:

  • Intermediate Level

Learning objectives:

  • Participants will explore the concept of organizational readiness to change (ORC) and innovation adoption in the context of opiate substitution treatment (OST) services To get a brief overview of results from two systematic reviews conducted on ORC and (i) innovation adoption (ii) client engagement in addiction treatment services To understand the importance from a policy and treatment delivery perspective of having appropriate evidence on what organizational characteristics make some OST services better than others at responding to change. To understand the relationship between organizational functioning and the process of innovation adoption in the context of Irish OST services.


Translating innovation, such as contemporary research evidence, into policy and practice is a challenge, not just in substance misuse treatment programs, but across all spheres of healthcare. Organizational readiness to change (ORC) has been described as a fundamental concept, and an important determinant of the process of innovation adoption. ORC measurements provide us with a measure of organizational functioning which can be important in terms of predicting how successfully new innovations are adopted. This cross sectional mixed methods study explores the relationship between ORC and innovation adoption in the context of Irish OST services (n=12). The ORC tool utilized demonstrates reliability in the Irish context. Better program resources and specific staff attributes increase the likely hood of successful innovation adoption. A good organizational climate is potentially the strongest predictor for the adoption of new practices.


Peter Kelly
MSc, BSc, Dip Counselling, RPN University College Cork

Mr Peter Kelly is a Lecturer in Mental Health Nursing and The Programme Co-coordinator for the Post Graduate Diploma in Recovery Focused Mental Health Nursing at the Catherine McAuley School of Nursing and Midwifery, UCC. He has been a registered mental health nurse since 2001 and has worked in mental health services as a staff nurse and nurse manager. Peter has spent the majority of his clinical career working in substance misuse treatment services where he has worked in both Ireland and the UK as a senior manager, nurse practitioner and clinical nurse specialist. Peter was the first president of The Ireland Chapter of IntNSA which was founded in 2016 as the first chapter outside of the US. He continues to contribute to national drug policy as a member of a working group at the Department of Health in Ireland aimed at expanding the role of nurses in substance misuse services. His current PhD study is focusing on the relationship between organizational readiness to change and (i) innovation adoption (ii) service user engagement in community opiate substitute prescribing services in Ireland.

Comments (3)

  1. Dennis Hagarty

    Thank you Peter
    Good to hear your presentation. This was an interesting study. I found some of the findings were surprising. Particular that nurses had higher burn out rates and were lower users of the project training. You bring up a good point about supervision. Many times nurses are brought in to work and are given minimal training and no supervision. Social workers and counselors have that opportunity to discuss issues and to get feedback from non-administrative supervisors. Nurses traditionally don’t have this opportunity. Mostly supervision of nurses is based on administrative enforcement of the needs of the organization rather than the needs of the individual nurse.

  2. Virginia Coletti

    Thank you for bring these points to light. Focusing on the staff nurses is so important.

  3. Rachel Shuster, BSN, RN, CARN, CAAP

    Thank you for your presentation!

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