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Cultures of aged care delivery: Qualitative content analysis of Australia's Royal Commission into Aged Care Quality and Safety

Cultures of aged care delivery: Qualitative content analysis of Australia's Royal Commission into... Practice impactThe final report of the Royal Commission into Aged Care Quality and Safety recognised the importance of culture in the delivery of high‐quality care to older people but provided limited guidance on changing it. Providers wanting to improve their culture might partner with researchers who can provide theoretical and methodological expertise to facilitate understanding of its evaluation and achievement.INTRODUCTIONOrganisational culture, the shared values, attitudes, beliefs and norms of behaviour of a group of people within a workplace, has become an important topic in health care over the past two decades.1,2 A positive culture characterised by open communication, teamwork, and engaged leadership is associated with reduced mortality, falls, hospital‐acquired infections and increased patient satisfaction.3 Residential aged care facilities (RACFs) with a safety culture tend to have fewer health care deficiencies and complaints, higher quality ratings, lower use of physical restraints and deliver person‐centred care.4–6The importance of culture is increasingly recognised in policy: National Safety and Quality Standards for health service organisations and the Aged Care Quality Standards both include the promotion of a culture of safety and quality.7,8 Findings of the recent Australian Royal Commission into Aged Care Quality and Safety (RCAC)9 provide a further opportunity to examine the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Australasian Journal on Ageing Wiley

Cultures of aged care delivery: Qualitative content analysis of Australia's Royal Commission into Aged Care Quality and Safety

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Publisher
Wiley
Copyright
© 2023 AJA Inc.
ISSN
1440-6381
eISSN
1741-6612
DOI
10.1111/ajag.13175
Publisher site
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Abstract

Practice impactThe final report of the Royal Commission into Aged Care Quality and Safety recognised the importance of culture in the delivery of high‐quality care to older people but provided limited guidance on changing it. Providers wanting to improve their culture might partner with researchers who can provide theoretical and methodological expertise to facilitate understanding of its evaluation and achievement.INTRODUCTIONOrganisational culture, the shared values, attitudes, beliefs and norms of behaviour of a group of people within a workplace, has become an important topic in health care over the past two decades.1,2 A positive culture characterised by open communication, teamwork, and engaged leadership is associated with reduced mortality, falls, hospital‐acquired infections and increased patient satisfaction.3 Residential aged care facilities (RACFs) with a safety culture tend to have fewer health care deficiencies and complaints, higher quality ratings, lower use of physical restraints and deliver person‐centred care.4–6The importance of culture is increasingly recognised in policy: National Safety and Quality Standards for health service organisations and the Aged Care Quality Standards both include the promotion of a culture of safety and quality.7,8 Findings of the recent Australian Royal Commission into Aged Care Quality and Safety (RCAC)9 provide a further opportunity to examine the

Journal

Australasian Journal on Ageing – Wiley

Published: Mar 5, 2023

Keywords: nursing homes; organizational cultures; organizational change; policy; residential facilities

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