An environmental scan of an aged care workplace using the PARiHS model: Assessing preparedness for change

H. Gibb

Research output: Contribution to journalArticle

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. © 2012 Blackwell Publishing Ltd.
Original languageEnglish
Pages (from-to)293-303
Number of pages11
JournalJournal of Nursing Management
Volume21
Issue number2
DOIs
Publication statusPublished - Mar 2013
Externally publishedYes

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