组织因素如何相互作用以影响养老院部门中老年人的护理质量。
How organizational factors interact to influence the quality of care of older people in the care home sector.
作者信息
Killett Anne, Hyde Paula, Burns Diane, Gray Richard, Poland Fiona
机构信息
Lecturer in Occupational Therapy, School of Allied Health Professions, University of East Anglia, UK
Senior Lecturer in Organisation Studies, University of Manchester, Manchester Business School, UK.
出版信息
J Health Serv Res Policy. 2013 Apr;18(1 Suppl):14-22. doi: 10.1177/1355819613476016.
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.
目标
研究组织因素如何影响养老院中老年人的优质护理和虐待情况。
方法
八家老年人寄宿护理院（包括私营部门、地方当局和国民保健服务提供者）参与了一项基于参与式观察的研究，该研究关注影响护理质量的组织因素。
结果
将组织因素分为基础设施、管理与程序、人员配备、居民群体特征和文化，我们展示了这些因素之间相互作用的情境敏感性。当这些因素积极结合时，这些相互作用可以提高护理质量。相反，当一个因素破坏另一个因素时，它们会放大困难，从而限制护理质量。
结论
该分析为以下问题提供了实证见解：在护理提供方面类似的全行业变革如何以及为何在养老院层面产生不同的影响。它表明了组织因素相互作用的具体且不可预测的方式，这意味着需要进行因地制宜的质量评估和改进行动。
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