PRONTIDÃO ORGANIZACIONAL NA ATENÇÃO PRIMÁRIA À SAÚDE PARA IMPLEMENTAÇÃO DE UMA CARTILHA DE INTRODUÇÃO ALIMENTAR NO MUNICÍPIO DE CAMPO GRANDE, MS.

Abstract

To implement changes in the service that allow for successful modification in the practice scenario, instruments aimed at assessing whether the healthcare organization is ready for innovation according to its professionals use scales designed to measure organizational readiness. This study aimed to assess the organizational readiness of Primary Health Care professionals before and after the implementation of a food introduction guide for children aged 0 to 2 years. A longitudinal mixed-methods study was conducted using the Organizational Readiness for Implementing Change (ORICBr) questionnaire and structured interviews in eight healthcare units in Campo Grande, Mato Grosso do Sul, Brazil. Three implementation strategies – control, synchronous, and asynchronous – were evaluated. The qualitative study involved a semi-structured interview based on the domains of the CFIR, applied before the intervention. Qualitative data were collected with the application of the ORIC-Br instrument and processed, analyzed, and subjected to descriptive and inferential statistics using the T Anova Test, considering a significance level of 5%. The mean organizational readiness score among nurses (M=4.11, SD=0.77) was significantly higher than that of dentists (M=3.47, SD=0.86) and physicians (M=3.48, SD=0.92) in the commitment dimension at the pre-implementation phase. However, this readiness decreased postimplementation (M=3.56, SD=0.95). Dentists exhibited the lowest mean organizational readiness score before implementation, with significant disparities observed in the commitment dimension (M=3.47, SD=0.86). No significant differences were identified in both dimensions at the post-implementation phase among professional categories. Furthermore, no significant discrepancies in readiness were observed between groups using different implementation strategies compared to the control group. Future research should adopt a more robust and adaptable approach to evaluate implementation strategies in Primary Health Care settings. The adoption of approaches that incorporate stakeholder feedback and adapt implementation strategies will be essential to promote improvement and address challenges proactively. Descriptors: implementation science; health management; child nutrition; family health strategy.