Sustaining organizational culture change in health systems

Willis, Claire; Saul, Jessie E.; Bevan, Helen; Scheirer, Mary Ann; Best, Allan; Greenhalgh, Trisha; Mannion, Russell; Cornelissen, Evelyn; Howland, David; Jenkins, Emily; Bitz, Jennifer

doi:10.1108/jhom-07-2014-0117

Cited by 126 publications

(159 citation statements)

References 72 publications

Supporting

Mentioning

150

Contrasting

Unclassified

Order By: Relevance

“…Owing to this limited focus, only two relevant studies were included in that systematic review 4. On the other hand, Willis et al 17 used a realist review method to examine relationships between interventions and sustained culture change. Separate review work has yielded results with limited generalisability by focusing on prespecified healthcare environmental variables, such as nursing culture18–20 or surgical procedures 21.…”

Section: Introductionmentioning

confidence: 99%

Association between organisational and workplace cultures, and patient outcomes: systematic review protocol

et al. 2016

View full text Add to dashboard Cite

IntroductionDespite widespread interest in the topic, no current synthesis of research is available analysing the linkages between organisational or workplace cultures on the one hand, and patient outcomes on the other. This protocol proposes a systematic review to analyse and synthesise the literature to date on this topic. The resulting review will discuss characteristics of included studies in terms of the type of healthcare settings researched, the measurements of organisational and workplace culture, patient outcomes measured and the influence of these cultures on patient outcomes.Methods and analysisA systematic review will be conducted aiming to examine the associations between organisational and workplace cultures, and patient outcomes, guided by the Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) statement. An English language search of abstracts will be executed using the following academic databases: CINAHL, EMBASE, Ovid MEDLINE, Web of Science and PsycINFO. The review will include relevant peer-reviewed articles from randomised controlled trials (RCTs), non-RCTs, controlled before and after studies, interrupted time series studies, cross-sectional analyses, qualitative studies and mixed-method studies. Multiple researchers will be involved in assessing the quality of articles for inclusion in the review. This protocol documents a detailed search strategy, including terms and inclusion criteria, which will form the basis of the subsequent systematic review.Ethics and disseminationEthics approval is not required as no primary data will be collected. Results will be disseminated through a peer-reviewed publication and conference presentations.

show abstract

Section: Introductionmentioning

confidence: 99%

Association between organisational and workplace cultures, and patient outcomes: systematic review protocol

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Participants mentioned that Swiss people do not like to share data and that Switzerland is a 'paper country'. Culture of change was not discussed even though there is a lot of academic literature on this topic [11,21], because participants assumed that in our connected world people are open to digital innovation adoption. It was not expected that risk of losing employment was an important issue in Switzerland given its high employment rate and difficulty with hiring specialised people.…”

Section: Discussion Principal Resultsmentioning

confidence: 99%

Sustainable Adoption of Digital Health Innovations: Perspectives From a Stakeholder Workshop (Preprint)

Velthoven¹,

Cordón²

2018

Preprint

View full text Add to dashboard Cite

Background: There are various complex reasons that influence sustainable adoption of innovations in healthcare systems. Low adoption can be caused by a lack of support from one or more stakeholders and their needs and expectations are not always considered or aligned. Objective: To identify stakeholders' perceptions on barriers and facilitators towards the sustainable adoption of digital health innovations. Methods: A stakeholder workshop was attended by twelve participants with a range of backgrounds on 25

show abstract

“…The development of treatment in the home programs may also be valuable as a means to reducing time spent in the hospital environment. Changes in workplace culture require motivation, leadership, strategy, resources, and time 52,53 and necessitate a collective shift in beliefs, values, behaviors, and routines of treating staff 54 . Many of the changes proposed in this study rely upon funding for professional services and equipment, in addition to a change in mindset in the provision of care.…”

Section: Discussionmentioning

confidence: 99%

Physical activity for children undergoing acute cancer treatment: A qualitative study of parental perspectives

Grimshaw

Taylor

Méchinaud

et al. 2020

Pediatric Blood & Cancer

View full text Add to dashboard Cite

Background:Little is known about how to facilitate participation in physical activity among children receiving acute cancer treatment.Objective: To understand the parental perspectives on physical activity for children during acute cancer treatment and explore strategies to overcome physical inactivity. Methods:A qualitative study was completed. Data were collected via semistructured interviews with parents of children (aged 4-18 years) who were in their first nine months of cancer treatment.Data were analyzed thematically.Results: Twenty parents were interviewed. A childhood cancer diagnosis and subsequent treatment were described as setting in motion a spiral of physical inactivity. Parents identified movement restrictions as a result of commencing treatment and the hospital environment as factors initiating this decline. Parents described the subsequent impact of movement restrictions on their child over time including loss of independence, isolation, and low motivation. These three consequences further contributed to an inability and unwillingness to be physically active. Parents responded in a variety of ways to their child's inactivity, and many were motivated to overcome the barriers to physical activity yet exhibited a reduced capacity to do so. Suggested intervention strategies highlighted the need for comprehensive support from the organization providing treatment. Conclusions:Reasons for reduced physical activity in children receiving acute treatment for cancer are complex and multifactorial. Inactivity cannot be addressed by children and parents alone but requires support from the oncology team through changes to the environment, services, and policies to promote physical activity. These findings may be used to inform targeted, effective, and feasible physical activity interventions. K E Y W O R D Scancer, child, exercise, parents, pediatric, physical activity, qualitative

show abstract

Sustaining organizational culture change in health systems

Abstract: This is the first study to adopt a realist approach for understanding how changes in organizational culture may be sustained. Through doing so, this review highlights the broad principles by which organizational action may be organized within enabling contextual settings.

Cited by 126 publications

References 72 publications

Association between organisational and workplace cultures, and patient outcomes: systematic review protocol

Association between organisational and workplace cultures, and patient outcomes: systematic review protocol

Sustainable Adoption of Digital Health Innovations: Perspectives From a Stakeholder Workshop (Preprint)

Physical activity for children undergoing acute cancer treatment: A qualitative study of parental perspectives

Contact Info

Product

Resources

About