Evaluation of Subscription-based Culture Change Models in Care Settings: Findings From a Systematic Review

Petriwskyj, A; Parker, D; Brown Wilson, C; Gibson, A

Evaluation of Subscription-based Culture Change Models in Care Settings: Findings From a Systematic Review

Petriwskyj, A Parker, D

Brown Wilson, C Gibson, A

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Publication Type:: Journal Article
Citation:: The Gerontologist, 2016, 56 (4), pp. e46 - e62
Issue Date:: 2016-08-01

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Field	Value	Language
dc.contributor.author	Petriwskyj, A	en_US
dc.contributor.author	Parker, D https://orcid.org/0000-0003-2552-8613	en_US
dc.contributor.author	Brown Wilson, C	en_US
dc.contributor.author	Gibson, A	en_US
dc.date.available	2015-11-23	en_US
dc.date.issued	2016-08-01	en_US
dc.identifier.citation	The Gerontologist, 2016, 56 (4), pp. e46 - e62	en_US
dc.identifier.uri	http://hdl.handle.net/10453/103534
dc.description.abstract	© The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. PURPOSE OF THE STUDY: Person-centered culture change models to which aged care service providers subscribe are gaining increasing traction. It has been suggested that culture change initiatives broadly are subject to a range of issues. It is difficult, however, to draw out from the existing literature specific information about the scope and quality of evidence regarding subscription-based approaches. The purpose of this study was to identify and review the peer-reviewed literature regarding these subscription-based models.DESIGN AND METHODS: The review used the Joanna Briggs Institute process and tools. Studies reporting on subscription-based person-centered culture change models in health and aged care, published in peer-reviewed literature in English up to and including 2015 were identified and assessed. In all, 28 articles reporting on 33 studies were included in the review.RESULTS: There was no single model for which a significant body of evidence was identified, and approaches to outcomes were fragmented. Research approaches varied. Rigor and reporting were of concern; however, strengths of the evidence base included generally adequate sample sizes and the use of multiple methods including large data sets and standardized scales.IMPLICATIONS: Despite their structured approaches, research and evaluation for subscription-based models are limited, ad hoc, and fragmented. A more comprehensive program of research that is embedded in the implementation process is needed. Recommendations include use of longitudinal study designs, attention to implementation and contextual factors, and measurement of both process and outcomes across the full range of culture change domains.	en_US
dc.relation.ispartof	The Gerontologist	en_US
dc.relation.isbasedon	10.1093/geront/gnw012	en_US
dc.subject.classification	Gerontology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Culture	en_US
dc.subject.mesh	Cultural Evolution	en_US
dc.subject.mesh	Health Services for the Aged	en_US
dc.subject.mesh	Patient-Centered Care	en_US
dc.subject.mesh	Delivery of Health Care	en_US
dc.title	Evaluation of Subscription-based Culture Change Models in Care Settings: Findings From a Systematic Review	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	56	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	56	en_US

Abstract:

© The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. PURPOSE OF THE STUDY: Person-centered culture change models to which aged care service providers subscribe are gaining increasing traction. It has been suggested that culture change initiatives broadly are subject to a range of issues. It is difficult, however, to draw out from the existing literature specific information about the scope and quality of evidence regarding subscription-based approaches. The purpose of this study was to identify and review the peer-reviewed literature regarding these subscription-based models.DESIGN AND METHODS: The review used the Joanna Briggs Institute process and tools. Studies reporting on subscription-based person-centered culture change models in health and aged care, published in peer-reviewed literature in English up to and including 2015 were identified and assessed. In all, 28 articles reporting on 33 studies were included in the review.RESULTS: There was no single model for which a significant body of evidence was identified, and approaches to outcomes were fragmented. Research approaches varied. Rigor and reporting were of concern; however, strengths of the evidence base included generally adequate sample sizes and the use of multiple methods including large data sets and standardized scales.IMPLICATIONS: Despite their structured approaches, research and evaluation for subscription-based models are limited, ad hoc, and fragmented. A more comprehensive program of research that is embedded in the implementation process is needed. Recommendations include use of longitudinal study designs, attention to implementation and contextual factors, and measurement of both process and outcomes across the full range of culture change domains.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/103534