What's the diagnosis? Organisational culture and palliative care delivery in residential aged care in New Zealand
Organisational culture has been shown to impact on resident outcomes in residential aged care (RAC). This is particularly important given the growing number of residents with high palliative care needs. The study described herein (conducted from January 2013 to March 2014) examined survey results fr...
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Published in | Health & social care in the community Vol. 24; no. 4; pp. 450 - 462 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
England
Blackwell Publishing Ltd
01.07.2016
Hindawi Limited |
Subjects | |
Online Access | Get full text |
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Summary: | Organisational culture has been shown to impact on resident outcomes in residential aged care (RAC). This is particularly important given the growing number of residents with high palliative care needs. The study described herein (conducted from January 2013 to March 2014) examined survey results from a convenience sample of 46 managers, alongside interviews with a purposively selected sample of 23 bereaved family members in order to explore the perceptions of organisational culture within New Zealand RAC facilities in one large urban District Health Board. Results of the Organisational Culture Assessment Instrument (OCAI) completed by managers indicated a preference for a ‘Clan’ and the structured ‘Hierarchy’ culture. Bereaved family interviews emphasised both positive and negative aspects of communication, leadership and teamwork, and relationship with residents. Study results from both managers’ OCAI survey scores and next of kin interviews indicate that while the RAC facilities are culturally oriented towards providing quality care for residents, they may face barriers to adopting organisational processes supportive of this goal. |
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Bibliography: | ark:/67375/WNG-2CX09K3H-D ArticleID:HSC12220 University of Auckland Faculty Research Development Fund - No. 3702047 istex:832D8A38C14177B04B0234878E76BB93C573AC6A ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0966-0410 1365-2524 |
DOI: | 10.1111/hsc.12220 |