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Cited by 18Geriatric Care and Nursing HomesHealthcare Quality and ManagementOrganizational Management and Innovation

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An integrative review of research evaluating organisational culture in residential aged care facilities

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Churruca, Kate, Falkland, Emma, Saba, Maree, Ellis, Louise A, Braithwaite, Jeffrey·2023·BMC Health Services Research
DOI 10.1186/s12913-023-09857-yPMC PMC10424376

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Abstract

Background: Evidence suggests that the culture of healthcare organisations, including residential aged care facilities (RACFs), is linked to the quality of care offered. The number of people living in RACFs has increased globally, and in turn, attention has been placed on care quality. This review aimed to identify how organisational culture is studied, sought to elucidate the results of previous studies, and aimed to establish what interventions are being used to improve organisational culture in RACFs. Methods: We employed an integrative review design to provide a comprehensive understanding of organisational culture. Five academic data bases were searched (Ovid Medline, Scopus, PsycInfo, CINAHL, Embase). Articles were included if they were empirical studies, published in peer reviewed journals in English, conducted in a RACF setting, and were focused on organisational culture/climate. Results: Ninety-two articles were included. Fifty-nine studies (64.1%) utilised a quantitative approach, while 24 (26.0%) were qualitative, and nine used mixed methods (9.8%). Twenty-two (23.9%) aimed to describe the culture within RACFs, while 65 (70.7%) attempted to understand the relationship between culture and other variables, demonstrating mixed and indeterminate associations. Only five (5.4%) evaluated an intervention. Conclusions: This review highlights the heterogenous nature of this research area, whereby differences in how culture is demarcated, conceptualised, and operationalised, has likely contributed to mixed findings. Future research which is underpinned by a sound theoretical basis is needed to increase the availability of empirical evidence on which culture change interventions can be based.

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Metadata

Authors
Churruca, K., Falkland, E., Saba, M., Ellis, L. A., & Braithwaite, J.
Affiliations
Macquarie University (AU)
Corresponding author
Churruca, Kate
ORCID
Venue
BMC Health Services Research
Publisher
Springer Science and Business Media LLC
Published
2023-08-14
Volume
23
Issue
1
Pages
857-857
ISSN
1472-6963 (ISSN-L)
DOI
10.1186/s12913-023-09857-y
PMC
PMC10424376
OpenAlex
W4385809943
Cited by
18
References
1
Citations by year
2026: 9 · 2025: 6 · 2024: 3
FWCI
5.43
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Health Services Research (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
National Health and Medical Research Council Investigator Grant (2007765)
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Organizational Management and Innovation
Keywords
organizational culture, residential aged care facilities, quality of care, organizational climate, nursing homes
MeSH terms
Aged, Delivery of Health Care, Homes for the Aged, Humans, Quality of Health Care, Organizational Culture

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