An environmental scan of an aged care workplace using the PARiHS model: assessing preparedness for change. Gibb, H. Journal of nursing management, 21(2):293-303, Blackwell Publishing Ltd, 3, 2013. abstract bibtex AIM: The environmental scan aimed to deepen our understanding of the aged care work culture and to ascertain the readiness of the workers to advance towards team-based quality care provision. BACKGROUND: The workplace context was a high-care unit within a large residential aged care facility. METHODS: We used the Promoting Action on Research Implementation in Health Services (PARiHS) framework to assess workplace readiness via interviews, individual surveys and observation of practice. RESULTS: A profile of current culture emerged as mutually supportive and task focused, but at the same time lacking corporate team features of shared decision-making and feedback for practice improvement. However, latent within the frontline leaders and personal care staff, there was evidence of some embedded knowledge and capacity for corporate team performance. CONCLUSIONS: This study has validated an evidence-based method for conducting environmental scanning in aged care, recommended before any major change is introduced. IMPLICATIONS FOR NURSING MANAGEMENT: Environmental scanning helps gauge workforce capacity and limitations; this information can enable managers to capitalize on identified cultural strengths to fortify change and avoid pitfalls of personal and collective vulnerabilities.
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title = {An environmental scan of an aged care workplace using the PARiHS model: assessing preparedness for change},
type = {article},
year = {2013},
identifiers = {[object Object]},
keywords = {Aged, 80 and over,Focus Groups,Homes for the Aged/organization & administration/s,Humans,Models, Theoretical,Organizational Culture,Organizational Innovation,Patient Care Team,Workplace},
pages = {293-303},
volume = {21},
month = {3},
publisher = {Blackwell Publishing Ltd},
city = {Research and Development Unit, Helping Hand Aged Inc Care, North Adelaide, South Australia, Australia. hgibb@helpinghand.org.au},
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abstract = {AIM: The environmental scan aimed to deepen our understanding of the aged care work culture and to ascertain the readiness of the workers to advance towards team-based quality care provision. BACKGROUND: The workplace context was a high-care unit within a large residential aged care facility. METHODS: We used the Promoting Action on Research Implementation in Health Services (PARiHS) framework to assess workplace readiness via interviews, individual surveys and observation of practice. RESULTS: A profile of current culture emerged as mutually supportive and task focused, but at the same time lacking corporate team features of shared decision-making and feedback for practice improvement. However, latent within the frontline leaders and personal care staff, there was evidence of some embedded knowledge and capacity for corporate team performance. CONCLUSIONS: This study has validated an evidence-based method for conducting environmental scanning in aged care, recommended before any major change is introduced. IMPLICATIONS FOR NURSING MANAGEMENT: Environmental scanning helps gauge workforce capacity and limitations; this information can enable managers to capitalize on identified cultural strengths to fortify change and avoid pitfalls of personal and collective vulnerabilities.},
bibtype = {article},
author = {Gibb, H},
journal = {Journal of nursing management},
number = {2}
}
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