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Centre for Policy on Ageing | |
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Digging deep
— how organisational culture affects care home residents' experiences | | Author(s) | Ann Killett, Diane Burns, Fiona Kelly |
| Journal title | Ageing and Society, vol 36, no 1, January 2016 |
| Publisher | Cambridge University Press, January 2016 |
| Pages | pp 160-188 (and erratum, p 224) |
| Source | journals.cambridge.org/aso |
| Keywords | Residents [care homes] ; Care homes ; Management [care] ; Quality ; Case studies. |
| Annotation | Organisational culture of institutions providing care for older people is increasingly recognised as influential in the quality of care provided. There is little research, however, that specifically examines the processes of care home culture and how these may be associated with quality of care. The authors draw from an empirical study carried out in the United Kingdom (UK) investigating the relationship between care home culture and residents' experience of care. Eleven UK care homes were included in an in-depth comparative case study design using extensive observation and interviews. Analysis indicates how the organisational culture of care homes affects the quality of care residents receive. Seven inter-related cultural elements were of key importance to quality of care. The authors applied Schein's conceptualisation of organisational culture, to examine the dynamic relationship between these elements in order to show how organisational culture is locally produced and shifting. A particular organisational culture in a care home cannot be achieved simply by importing a set of organisational values or the 'right' leader or staff. Rather, it is necessary to find ways of resolving the everyday demands of practice in ways that are consistent with espoused values. It is through this everyday practice that assumptions continuously evolve, either consistent with or divergent from espoused values. Implications for policy makers, providers and practitioners are discussed. The study was funded by the Department of Health (DH) and the charity Comic Relief through the PANICOA Preventing Abuse and Neglect in Institutional Care of Older Adults) research programme. (RH). |
| Accession Number | CPA-160105008 A |
| Classmark | KX: KW: QA: 59: 69P |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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