Development of a Toolkit to support sustainable culture change in residential aged care.
communication
homes for the aged
leadership
organisational culture
quality improvement
Journal
Australasian journal on ageing
ISSN: 1741-6612
Titre abrégé: Australas J Ageing
Pays: Australia
ID NLM: 9808874
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
revised:
21
08
2020
received:
04
05
2020
accepted:
22
10
2020
pubmed:
19
12
2020
medline:
25
6
2021
entrez:
18
12
2020
Statut:
ppublish
Résumé
This study aimed to develop and evaluate a Toolkit to support implementation of the Towards Organisational Culture Change (TOrCCh) intervention, with minimal external facilitation, in aged care facilities, to implement long-lasting organisational change. Eight residential aged care facilities across two Australian states participated. A Toolkit was drafted iteratively, engaging staff from participating sites and a reference group. Participating facilities undertook two change projects utilising the Toolkit. Qualitative data were collected from site project sponsors, work teams and other care staff, and analysed thematically. The intervention was perceived to provide a generic approach that could be applied to solve agreed challenges in the workplace generating useful outcomes including staff development, increased communication, teamwork and leadership. The role of a project sponsor, and organisational support, was perceived as important for sustainability. Aged care facility staff teams report they can work together effectively for sustainable improvements when provided with a Toolkit.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
77-83Subventions
Organisme : Australian Government, Department of Social Services
Organisme : Department of Social Services
Informations de copyright
© 2020 AJA Inc.
Références
Mavromaras K, Knight G, Isherwood L, et al. 2016 National Aged Care Workforce Census and Survey - The Aged Care Workforce, 2016 Australian Government Department of Health and Ageing; 2017.
Hunter S, Levett-Jones T. The practice of nurses working with older people in long term care: an Australian perspective. J Clin Nurs. 2010;19(3-4):527-536. https://doi.org/10.1111/j.1365-2702.2009.02967.x
Savvas S, Toye C, Beattie E, Gibson SJ. Implementation of sustainable evidence-based practice for the assessment and management of pain in residential aged care facilities. Pain Manag Nurs. 2014;15(4):819-825. https://doi.org/10.1016/j.pmn.2013.09.002
Robinson GE, Gallagher A. Culture change impacts quality of life for nursing home residents. Top Clin Nutr. 2008;23(2):120-130. https://doi.org/10.1097/01.TIN.0000318908.08617.49
Henningsen N, McAlister M. Paradigm shift: shaping policy to meet the needs of our aging population. Healthcare Papers. 2011;11:20-24, 86-91.
Etherton-Beer C, Venturato L, Horner B. Organisational culture in residential aged care facilities: a cross-sectional observational study. PLoS One. 2013;8(3):e58002. https://doi.org/10.1371/journal.pone.0058002
Low L-F, Fletcher J, Goodenough B, et al. A systematic review of interventions to change staff care practices in order to improve resident outcomes in nursing homes. PLoS One. 2015;10(11):e0140711. https://doi.org/10.1371/journal.pone.0140711
Beer C, Horner B, Almeida OP, et al. Current experiences and educational preferences of general practitioners and staff caring for people with dementia living in residential facilities. BMC Geriatr. 2009;9:36. https://doi.org/10.1186/1471-2318-9-36
Vollmar HC, Butzlaff ME, Lefering R, Rieger MA. Knowledge translation on dementia: a cluster randomized trial to compare a blended learning approach with a “classical” advanced training in GP quality circles. BMC Health Serv Res. 2007;7(1):92. https://doi.org/10.1186/1472-6963-7-92
Beer C, Horner B, Flicker L, et al. A cluster-randomised trial of staff education to improve the quality of life of people with dementia living in residential care: the DIRECT study. PLoS One. 2011;6(11):e28155. https://doi.org/10.1371/journal.pone.0028155
Brownie S, Nancarrow S. Effects of person-centered care on residents and staff in aged-care facilities: a systematic review. Clin Interv Aging. 2013;8:1-10. https://doi.org/10.2147/CIA.S38589
Venturato L, Horner B, Etherton-Beer C. Development and evaluation of an organisational culture change intervention in residential aged care facilities. Australas J Ageing. 2020;39:56-63. https://doi.org/10.1111/ajag.12667
Stringer ET, Genat W. Action Research in Health. Upper Saddle River, NJ: Merrill Prentice Hall; 2004.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa
https://www.uwa.edu.au/Facilities/WACHA#anchor-Resources-BB61691F-9BFD-4376-B930-213120507D38. Accessed May 1, 2020.
Arendts G, Deans P, O'Brien K, et al. A clinical trial of nurse practitioner care in residential aged care facilities. Arch Gerontol Geriatr. 2018;77:129-132. https://doi.org/10.1016/j.archger.2018.05.001
Gilmartin JF, Marriott JL, Hussainy SY. Improving Australian care home medicine supply services: evaluation of a quality improvement intervention. Australas J Ageing. 2016;35(2):E1-E6. https://doi.org/10.1111/ajag.12236
Petriwskyj A, Power S. Supporting staff as change leaders in consumer engagement in aged care: learnings from action research. J Nurs Manag. 2020;28(3):643-652. https://doi.org/10.1111/jonm.12968
Lea E, Andrews S, Stronach M, Marlow A, Robinson AL. Using action research to build mentor capacity to improve orientation and quality of nursing students' aged care placements: what to do when the phone rings. J Clin Nurs. 2017;26(13-14):1893-1905. https://doi.org/10.1111/jocn.13502
Nitz J, Cyarto E, Andrews S, et al. Outcomes from the implementation of a facility-specific evidence-based falls prevention intervention program in residential aged care. Geriatr Nurs. 2012;33(1):41-50.