Evaluation of subscription-based culture change models in care settings: findings from a systematic review

Petriwskyj, Andrea, Parker, Deborah, Brown Wilson, Christine and Gibson, Alexandra (2016) Evaluation of subscription-based culture change models in care settings: findings from a systematic review. The Gerontologist, 56 4: E46-E62. doi:10.1093/geront/gnw012


Author Petriwskyj, Andrea
Parker, Deborah
Brown Wilson, Christine
Gibson, Alexandra
Title Evaluation of subscription-based culture change models in care settings: findings from a systematic review
Journal name The Gerontologist   Check publisher's open access policy
ISSN 0016-9013
1758-5341
Publication date 2016-01-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1093/geront/gnw012
Open Access Status Not Open Access
Volume 56
Issue 4
Start page E46
End page E62
Total pages 17
Place of publication Cary, NC, United States
Publisher Oxford University Press
Language eng
Abstract 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.

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.

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.

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.
Formatted abstract
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.
Keyword Systematic review
Culture change
Models of care
Person-centered care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
School of Nursing, Midwifery and Social Work Publications
 
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Created: Mon, 22 Feb 2016, 20:30:57 EST by Dr Andrea Petriwskyj on behalf of School of Nursing, Midwifery and Social Work