Liou Chih-Ling, Dellmann-Jenkins Mary
Department of Human Development and Family Studies, Kent State University at Stark, North Canton, OH 44721, USA.
Department of Human Development and Family Studies, Kent State University, Kent, OH 44242, USA.
Curr Gerontol Geriatr Res. 2020 Feb 13;2020:4934983. doi: 10.1155/2020/4934983. eCollection 2020.
Studies conducted in nursing homes/hospitals have shown that organizational culture plays an important role in care delivery and group culture leads to better quality of care. To explore the organizational culture and care delivery in adult day services (ADS) centers in Taiwan, we used both quantitative and qualitative research methods. Quantitative data from the Competing Values Framework (CVF) assessment showed that the group culture was dominant at all three centers. Qualitative data from observation and staff interviews uncovered both group and nongroup cultural elements. The group cultural elements, such as flexible management, teamwork environment, and sharing the same values, contributed to good care; however, the nongroup cultural elements, such as the staff-centered view, hierarchy, and conflicts within the leadership, led to negative staff-staff and staff-clients interactions. Further research is needed to untangle the complexity between quality care delivery and organizational culture.
在疗养院/医院进行的研究表明，组织文化在护理服务中起着重要作用，群体文化能带来更高的护理质量。为了探究台湾成人日间服务（ADS）中心的组织文化和护理服务情况，我们采用了定量和定性研究方法。竞争价值观框架（CVF）评估的定量数据显示，在所有三个中心，群体文化占主导地位。观察和员工访谈的定性数据揭示了群体和非群体文化元素。群体文化元素，如灵活管理、团队合作环境和共同价值观，有助于提供优质护理；然而，非群体文化元素，如以员工为中心的观点、等级制度以及领导层内部的冲突，导致了员工之间和员工与客户之间的负面互动。需要进一步研究来理清优质护理服务与组织文化之间的复杂关系。
