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The impact of organisational culture on the delivery of person-centred care in services providing respite care and short breaks for people with dementia.
- Source :
- Health & Social Care in the Community; Jul2011, Vol. 19 Issue 4, p438-448, 11p, 4 Charts
- Publication Year :
- 2011
-
Abstract
- Ensuring the development and delivery of person-centred care in services providing respite care and short breaks for people with dementia and their carers has a number of challenges for health and social service providers. This article explores the role of organisational culture in barriers and facilitators to person-centred dementia care. As part of a mixed-methods study of respite care and short breaks for people with dementia and their carers, 49 telephone semi-structured interviews, two focus groups ( N = 16) and five face-to-face in-depth interviews involving front-line staff and operational and strategic managers were completed in 2006-2007. Qualitative thematic analysis of transcripts identified five themes on aspects of organisational culture that are perceived to influence person-centred care: understandings of person-centred care, attitudes to service development, service priorities, valuing staff and solution-focused approaches. Views of person-centred care expressed by participants, although generally positive, highlight a range of understandings about person-centred care. Some organisations describe their service as being person-centred without the necessary cultural shift to make this a reality. Participants highlighted resource constraints and the knowledge, attitudes and personal qualities of staff as a barrier to implementing person-centred care. Leadership style, the way that managers' support and value staff and the management of risk were considered important influences. Person-centred dementia care is strongly advocated by professional opinion leaders and is prescribed in policy documents. This analysis suggests that person-centred dementia care is not strongly embedded in the organisational cultures of all local providers of respite-care and short-break services. Provider organisations should be encouraged further to develop a shared culture at all levels of the organisation to ensure person-centred dementia care. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of dementia
ANALYSIS of variance
ASSOCIATIONS, institutions, etc.
ATTITUDE (Psychology)
CAREGIVERS
CORPORATE culture
FAMILIES
FOCUS groups
PROPRIETARY health facilities
HEALTH services accessibility
INTERVIEWING
LEADERSHIP
RESEARCH methodology
MEDICAL needs assessment
MEDICAL personnel
NATIONAL health services
NONPROFIT organizations
ORGANIZATIONAL change
RESEARCH funding
RESPITE care
SOCIAL services
TELEPHONES
QUALITATIVE research
JUDGMENT sampling
THEMATIC analysis
PATIENT-centered care
EVALUATION of human services programs
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 19
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 61247270
- Full Text :
- https://doi.org/10.1111/j.1365-2524.2011.00998.x