Organisational and structural reform in aged care organisations: empowerment towards a change process

Publisher:
Blackwell Science LTD
Publication Type:
Journal Article
Citation:
Journal of Nursing Management, 2002, 10 (4), pp. 235 - 244
Issue Date:
2002-01
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AimsThe aims were first to explore strategies for both structural and organizational reform by the process of action research, and second to use collective self-inquiry by all study participants as a way of examining problems and deciding on actions to bring about change. RationaleIt was hoped that this process would empower the staff, aged residents and family members to own and therefore be meaningfully involved in improving practice and care standards. Background/introductionThree aged care centres expressed a desire to enhance the quality of care provided in order to meet the criteria for accreditation. They wanted to participate in a process that would assist them in critically examining their resource allocation, service delivery patterns and outcomes for residents. Research methodsOriginal data were collected in three different aged care facilities over a three-year period from 1996 to 1998 in order to seek answers to the usefulness of action research in the change process. The methodology included participant observation, interviews and focus group discussions with all participants. Results/findingsOrganizational change occurred across the three centres with subsequent changes in the outcomes for both residents and staff.
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