An Integrative Review of Organizational Factors Influencing Successful Large-Scale Changes in Healthcare

Objective The aim of this study was to review organizational factors influencing successful large-scale change (LSC) in healthcare. Background LSC is necessary achieve sustained and meaningful healthcare improvement. However, readiness needs be considered promote LSC. Methods Four databases were searched for articles published between 2009 2018. Thematic analysis used identify enabling or hindering Results Seven consistently described as facilitators barriers healthcare: infrastructure support, culture, leadership, management approach, roles responsibilities, networks, measurement feedback. Conclusion that emerged from are consistent with concepts implementation but broadened highlight learning organizations results informed the development a reflective tool on nurse leaders.