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What's the diagnosis? Organisational culture and palliative care delivery in residential aged care in New Zealand.
- Source :
- Health & Social Care in the Community; Jul2016, Vol. 24 Issue 4, p450-462, 13p, 1 Black and White Photograph, 1 Diagram, 4 Charts, 1 Graph
- Publication Year :
- 2016
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANALYSIS of variance
BEREAVEMENT
COMMUNICATION
CORPORATE culture
FAMILIES
INTERVIEWING
LEADERSHIP
MEDICAL care
MEDICAL quality control
MULTIVARIATE analysis
PALLIATIVE treatment
RESEARCH funding
STATISTICAL sampling
TEAMS in the workplace
QUALITATIVE research
JUDGMENT sampling
THEMATIC analysis
RESIDENTIAL care
REPEATED measures design
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 24
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 115832173
- Full Text :
- https://doi.org/10.1111/hsc.12220