What do we really assess with organisational culture tools in healthcare? An interpretive systematic umbrella review of tools in healthcare
| Autor: | Nesibe Akdemir, Carina G J M Hilders, Martina Buljac-Samardžić, Romana Fattimah Malik, Fedde Scheele |
|---|---|
| Přispěvatelé: | Health Services Management & Organisation (HSMO), IOO, Other Research |
| Rok vydání: | 2020 |
| Předmět: |
leadership
Knowledge management Quality Assurance Health Care Leadership and Management media_common.quotation_subject organisational culture Organizational culture Context (language use) Psychological safety 03 medical and health sciences Patient safety 0302 clinical medicine Surveys and Questionnaires Health care Openness to experience patient safety SDG 13 - Climate Action Humans 030212 general & internal medicine Qualitative Research Netherlands media_common Academic Medical Centers lcsh:R5-920 Teamwork business.industry communication 030503 health policy & services Public Health Environmental and Occupational Health health policy Training and development Organizational Culture Systematic Review lcsh:Medicine (General) 0305 other medical science business Psychology Delivery of Health Care |
| Zdroj: | Malik, R F, Buljac-Samard3/4ić, M, Akdemir, N, Hilders, C & Scheele, F 2020, ' What do we really assess with organisational culture tools in healthcare? An interpretive systematic umbrella review of tools in healthcare ', BMJ Open Quality, vol. 9, no. 1 . https://doi.org/10.1136/bmjoq-2019-000826 BMJ Open Quality. BMJ Publishing Group Malik, R F, Buljac-Samardžić, M, Akdemir, N, Hilders, C & Scheele, F 2020, ' What do we really assess with organisational culture tools in healthcare? An interpretive systematic umbrella review of tools in healthcare ', BMJ Open Quality, vol. 9, no. 1, e000826 . https://doi.org/10.1136/bmjoq-2019-000826 BMJ Open Quality, Vol 9, Iss 1 (2020) BMJ Open Quality BMJ Open Quality, 9(1):e000826. BMJ Publishing Group |
| ISSN: | 2399-6641 |
| DOI: | 10.1136/bmjoq-2019-000826 |
| Popis: | IntroductionA toxic organisational culture (OC) is a major contributing factor to serious failings in healthcare delivery. Poor OC with its consequences of unprofessional behaviour, unsafe attitudes of professionals and its impact on patient care still need to be addressed. Although various tools have been developed to determine OC and improve patient safety, it remains a challenge to decide on the suitability of tools for uncovering the underlying factors which truly impact OC, such as behavioural norms, or the unwritten rules. A better understanding of the underlying dimensions that these tools do and do not unravel is required.ObjectivesThe aim of this study is to provide an overview of existing tools to assess OC and the tangible and intangible OC dimensions these tools address.MethodsAn interpretive umbrella review was conducted. Literature reviews were considered for inclusion if they described multiple tools and their dimensional characteristics in the context of OC, organisational climate, patient safety culture or climate. OC tools and the underlying dimensions were extracted from the reviews. A qualitative data analysis software program (MAX.QDA 2007) was used for coding the dimensions, which resulted in tangible and intangible themes.ResultsFifteen reviews met our inclusion criteria. A total of 127 tools were identified, which were mainly quantitative questionnaires covering tangible key dimensions. Qualitative analyses distinguished nine intangible themes (commitment, trust, psychological safety, power, support, communication openness, blame and shame, morals and valuing ethics, and cohesion) and seven tangible themes (leadership, communication system, teamwork, training and development, organisational structures and processes, employee and job attributes, and patient orientation).ConclusionThis umbrella review identifies the essential tangible and intangible themes of OC tools. OC tools in healthcare do not seem to be designed to determine deeper underlying dimensions of culture. We suggest approaching complex underlying OC problems by focusing on the intangible dimensions, rather than putting the tangible dimensions up front. |
| Databáze: | OpenAIRE |
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