Exploring the Organizational Culture in Adult Day Services (ADS) and Its Effect on Healthcare Delivery in Taiwan.

Autor: Liou CL; Department of Human Development and Family Studies, Kent State University at Stark, North Canton, OH 44721, USA., Dellmann-Jenkins M; Department of Human Development and Family Studies, Kent State University, Kent, OH 44242, USA.
Jazyk: angličtina
Zdroj: Current gerontology and geriatrics research [Curr Gerontol Geriatr Res] 2020 Feb 13; Vol. 2020, pp. 4934983. Date of Electronic Publication: 2020 Feb 13 (Print Publication: 2020).
DOI: 10.1155/2020/4934983
Abstrakt: Studies conducted in nursing homes/hospitals have shown that organizational culture plays an important role in care delivery and group culture leads to better quality of care. To explore the organizational culture and care delivery in adult day services (ADS) centers in Taiwan, we used both quantitative and qualitative research methods. Quantitative data from the Competing Values Framework (CVF) assessment showed that the group culture was dominant at all three centers. Qualitative data from observation and staff interviews uncovered both group and nongroup cultural elements. The group cultural elements, such as flexible management, teamwork environment, and sharing the same values, contributed to good care; however, the nongroup cultural elements, such as the staff-centered view, hierarchy, and conflicts within the leadership, led to negative staff-staff and staff-clients interactions. Further research is needed to untangle the complexity between quality care delivery and organizational culture.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2020 Chih-Ling Liou and Mary Dellmann-Jenkins.)
Databáze: MEDLINE
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