Scahill Shane, Harrison Jeff, Carswell Peter
School of Pharmacy, Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92019, Auckland, New Zealand.
Pharm World Sci. 2010 Feb;32(1):73-80. doi: 10.1007/s11096-009-9345-5. Epub 2009 Oct 31.
To describe the dimensions of organisational culture within a selection of community pharmacies.
Community pharmacy in the New Zealand primary care sector which is partially government funded and currently undergoing major reform. Community pharmacy is under pressure to take on new roles, integrate within the wider primary care team and deliver the expectations of contemporary health policy.
The mixed methods approach of concept mapping was undertaken with 10 representatives from six community pharmacies selected as case sites. The process was split into three parts (a) face to face brainstorming to generate statements describing culture, followed by (b) statement reduction, piloting and approval of statement list by participants, followed by (c) sorting the statements into 'like' groups. Multidimensional scaling analysis of participant sorting allows the development of discrete clusters of statements that describe aspects of organizational culture.
A set of 105 statements were generated at the brainstorming meeting. Eight clusters of organisational culture resulted from participant sorting: leadership and staff management; valuing each other and the team; free thinking, fun and open to challenge; trusted behaviour; customer relations; focus on external integration; providing systematic advice; embracing innovation.
Community pharmacy is under pressure to take on new roles and deliver and there is some evidence organisational culture of pharmacy may be a barrier. Our paper outlines the development of a survey instrument for describing organisational culture through Concept mapping, a tool borrowed from social sciences. This tool can be used for exploration of aspects of culture that may be important in the change management process for improving the effectiveness of community pharmacy as expected by contemporary primary health care policy.
描述部分社区药房的组织文化维度。
新西兰初级医疗部门的社区药房，部分由政府资助，目前正在进行重大改革。社区药房面临着承担新角色、融入更广泛的初级医疗团队以及实现当代卫生政策期望的压力。
采用概念映射的混合方法，选取了来自六家社区药房的10名代表作为案例点。该过程分为三个部分：（a）面对面头脑风暴以生成描述文化的陈述，接着（b）减少陈述、进行试点并由参与者批准陈述列表，然后（c）将陈述分类为“相似”组。对参与者分类的多维尺度分析有助于形成描述组织文化各个方面的离散陈述集群。
在头脑风暴会议上生成了一组105条陈述。参与者分类产生了八个组织文化集群：领导与员工管理；相互重视与团队；自由思考、乐趣与接受挑战；可信赖行为；客户关系；关注外部整合；提供系统建议；拥抱创新。
社区药房面临着承担新角色并交付成果的压力，有证据表明药房的组织文化可能是一个障碍。我们的论文概述了通过概念映射开发一种用于描述组织文化的调查工具的过程，概念映射是一种从社会科学借用的工具。该工具可用于探索文化方面，这些方面在变革管理过程中可能很重要，以提高社区药房的有效性，达到当代初级卫生保健政策的预期。
