Factors affecting the management of change in Saudi Arabian healthcare environments: a stakeholder assessment

Purpose – This study evaluates the factors affecting successful implementation of management of change (MOC) in Saudi Arabian healthcare environments. Design/methodology/approach – A literature review identified 23 factors impacting MOC implementation in healthcare environments. These were categorized into five groups: technical, functional, statutory requirements and communication. A questionnaire was designed, tested, and distributed to facilities managers, healthcare providers and administrative staff, to assess the factors' importance. Factor rankings were determined based on their relative importance index values. The Spearman's coefficient of rank correlation measured the ranking consistency. Findings – The top-ranking factors were: “Availability of comprehensive project documentation”, “Insufficient acquisition of new technology and equipment”, “Non-compliance with accreditation standards”, “Inadequate budget planning” and “Resistance to sharing information with stakeholders”. High agreement in rankings was observed between facilities managers and both healthcare providers and administrative staff, as well as between healthcare providers and administrative staff. This was supported by a Spearman's coefficient of rank correlation of 0.89, 0.93 and 0.88, respectively. Research limitations/implications – This study provides empirical evidence on stakeholder agreement levels, improving understanding of inter-professional perspectives in healthcare MOC. Practical implications – Identifying MOC implementation factors in healthcare is essential for patient safety, operational continuity and staff efficiency. Social implications – This study highlights communication and documentation issues that, if addressed, can strengthen collaboration among healthcare staff. Originality/value – This research enriches the literature by integrating stakeholder perspectives in healthcare management and offers guidance for policymakers and administrators to address MOC challenges and ensure effective implementation.