{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T09:03:57Z","timestamp":1784538237345,"version":"3.55.0"},"reference-count":0,"publisher":"University of the Philippines Manila","issue":"13","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Philipp"],"abstract":"<jats:p>Background. The challenges and opportunities of the 21st century necessitate transformative change in health\u00a0professions education toward a collaborative and quality-oriented culture. A transformational learning approach,\u00a0facilitated by organizational support, strong change valence, and psychological safety, can promote organizational\u00a0readiness to change and engagement in initiatives that yield measurable outcomes at the individual, group, and\u00a0organizational levels.\nObjective. The study aimed to identify factors that contribute to organizational readiness to change, describe the\u00a0impact of the process of change at the individual, group and organizational levels, determine appropriate indicators\u00a0to measure the intended and emergent outcomes, and describe the effect of the use of reflexivity on the researcher\u00a0and the research process.\nMethods. The study used an explanatory sequential mixed methods design. Data sources included structured\u00a0observations, surveys, interviews, and document review, allowing for methodological triangulation. The study site is\u00a0a clinical department in a national university with a total of ninety (90) participants.\nResults. Quantitative results identified supportive situational\u00a0factors (\u03b2 = 0.462\u20130.486, 95% CIs excluding zero)\u00a0and task demands (\u03b2 = 0.238\u20130.283, 95% CIs excluding\u00a0zero) as the only statistically significant predictors of\u00a0organizational readiness to change. Change valence and\u00a0psychological safety demonstrated small, non-significant\u00a0effects (|\u03b2| &lt;0.20). Readiness was therefore strongly\u00a0associated with organizational support and clarity of\u00a0expectations even in the context of perceived resource\u00a0constraints. The transformative learning approach was\u00a0associated with enhanced leadership development, a\u00a0strengthened collaborative culture, and measurable\u00a0gains in education, training, research, and service.\u00a0Reflexive practice contributed to methodological rigor\u00a0and informed key research decisions.\nConclusion. The findings have validated and refined\u00a0the conceptual framework on the process of promoting\u00a0change toward desired outcomes in the clinical department\u00a0under study. The insights gained have also\u00a0informed the next steps in facilitating the progression\u00a0of the department in becoming future-proofed and may\u00a0be considered for application in organizations similarly\u00a0undergoing change.<\/jats:p>","DOI":"10.47895\/amp.v60i13.13750","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T08:18:24Z","timestamp":1784535504000},"source":"Crossref","is-referenced-by-count":0,"title":["Development of a Transformative Model of Change for Mental Health Education, Research, and Service"],"prefix":"10.47895","volume":"60","author":[{"given":"Evangeline","family":"Bascara dela Fuente, MD, MHA, MHPEd, DrHPEd","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27557","published-online":{"date-parts":[[2026,7,15]]},"container-title":["Acta Medica Philippina"],"original-title":[],"link":[{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/13750\/7195","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/13750\/7195","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T08:18:24Z","timestamp":1784535504000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/view\/13750"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":0,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2026,7,15]]}},"URL":"https:\/\/doi.org\/10.47895\/amp.v60i13.13750","relation":{},"ISSN":["2094-9278","0001-6071"],"issn-type":[{"value":"2094-9278","type":"electronic"},{"value":"0001-6071","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7,15]]}}}