Projects per year
Abstract
Objectives: To examine how organizational factors affect good care and mistreatment of older people in care homes.
Methods: Eight residential care homes for older people (including private sector, local authority and NHS providers)
took part in a participatory observation-based study of organizational factors affecting care quality.
Results: Grouping organizational factors into infrastructure, management and procedures, staffing, resident population
characteristics and culture, we show the context-sensitive nature of interactions between these factors. These interactions
could enhance care quality where factors combined positively. Conversely, they could amplify difficulties where
one factor came to undermine another, thereby limiting care quality.
Conclusions: This analysis provides empirical insights into how and why similar sector-wide changes to care provision
have differential effects at the care home level. It indicates the situated and unpredictable ways in which organizational
factors interact, implying the need for locally contextualized quality assessment and improvement actions.
Methods: Eight residential care homes for older people (including private sector, local authority and NHS providers)
took part in a participatory observation-based study of organizational factors affecting care quality.
Results: Grouping organizational factors into infrastructure, management and procedures, staffing, resident population
characteristics and culture, we show the context-sensitive nature of interactions between these factors. These interactions
could enhance care quality where factors combined positively. Conversely, they could amplify difficulties where
one factor came to undermine another, thereby limiting care quality.
Conclusions: This analysis provides empirical insights into how and why similar sector-wide changes to care provision
have differential effects at the care home level. It indicates the situated and unpredictable ways in which organizational
factors interact, implying the need for locally contextualized quality assessment and improvement actions.
Original language | English |
---|---|
Pages (from-to) | 14-22 |
Number of pages | 9 |
Journal | Journal of Health Services Research and Policy |
Volume | 18 |
Issue number | S1 |
DOIs | |
Publication status | Published - Apr 2013 |
Keywords
- elder care, organizational dynamics, participatory research
Projects
- 1 Finished
-
Organisational dynamics of respect and dignity in elder care
Killett, A., Gray, R., Hyde (Manchester), P. & Poland, F.
National Institute for Health and Care Research
1/04/09 → 30/11/12
Project: Research
Research output
- 13 Citations (Scopus)
- 1 Commissioned report
-
Organizational dynamics of respect and elder care: Final report DoH Policy Research Programme 025/0054
Killett, A., Burns, D., Hyde, P., Poland, F., Gray, R. & Kenkmann, A., 2011, London: Prevention of Abuse and Neglect in Care of Older Adults (PANICOA). 110 p.Research output: Book/Report › Commissioned report