Abstract
Abstract: Aim: To evaluate whether a two‐part culture improvement programme aimed at nurses in clinical and managerial positions in an inpatient mental health service was associated with culture change, and safety‐related behaviour and knowledge improvements. Background: Due to serious failings in the delivery of physiological care to mentally disordered inpatients, it was deemed important that interventions be applied to improve service culture. Methods: A pre‐test and post‐test study was conducted to evaluate change associated with a mandated intervention aimed at culture change. Nurses in clinical and managerial positions at all levels attended relevant sessions. All were invited to participate in evaluation measures. Results: N = 241 nurses participated in the evaluation (n = 137 and n = 104, pre‐test and post‐test, respectively). There was a small but significant change in organisational culture indicating greater adhocracy and less clan culture in the second survey period and a small decline in reported safety behaviour. Measures of safety culture, knowledge and emergency‐related educational satisfaction were unchanged. Conclusion: Only a small change in measured culture was associated with the programme. Implications for Nursing Management: Attempts to evaluate culture change need to align anticipated outcomes with appropriate outcome measures. A mandated programme of culture change had little tangible effect on the outcomes measured.
| Original language | English |
|---|---|
| Pages (from-to) | 690-698 |
| Number of pages | 9 |
| Journal | Journal of Nursing Management |
| Volume | 29 |
| Issue number | 4 |
| Early online date | 22 Nov 2020 |
| DOIs | |
| Publication status | Published - 14 May 2021 |
| Externally published | Yes |
Keywords
- culture
- mental health
- nursing
- organisational behaviour
- patient safety
- physiological deterioration