Culture change

About: Culture change is a research topic. Over the lifetime, 1531 publications have been published within this topic receiving 41922 citations. The topic is also known as: cultural change & culture changes.

Accelerating Research Translation in Healthcare: The Australian Approach

Abstract: Many health systems around the world are currently focused on how they might encourage and accelerate research translation activities. This is for the improvement of the health system and citizens, but also in search of commercial advantage. In this chapter we explore three of the organizational mechanisms being used to drive this agenda in Australia—Centres of Research Excellence, Advanced Health Research and Translation Centres, and Clinical Networks. For each we outline the nature of these mechanisms and the evidence available locally and internationally concerning their influence. We note an overall emphasis on governance and structural arrangements, rather than how these arrangements develop locally significant processes of culture change and collaboration or create original capabilities for research translation. Empirical research is needed to understand how these mechanisms operate in practice and interact in the Australian context, while large-scale evaluations could track the types of population health, economic and organizational outcomes that may result from these initiatives, and how they compare with other research translation programmes internationally.

Can we learn civility? Reflections on the challenge of changing culture.

Abstract: Academic medicine shares the handicap of many hierarchical organizations in that it is difficult for those lower in the hierarchy to speak up when doing so requires challenging their chronologic and administrative elders. Elsewhere in this issue, Dankoski and colleagues offer specific recommendations for combating this "organizational silence," including training and mentorship for junior faculty. In this related Commentary, the authors cite their lack of success with isolated initiatives to address the problem of organizational silence in their own institution. They suggest that nothing short of a comprehensive, visible, high-priority organizational commitment to culture change is likely to be effective in facilitating respectful and candid communication up and down the academic hierarchy. Until the culture of academic medicine affirms that broad input is vital, learners and junior faculty are unlikely to feel safe in expressing concerns, providing feedback, reporting mistreatment or unprofessional behaviors, and offering suggestions for improvement.

‘Measuring the unmeasurable’: gender mainstreaming and cultural change

Abstract: In this article, Oxfam Novib presents part of the results of the implementation of the Measuring Milestones Initiative, which aimed to make visible deep changes related to gender equality in the structure and culture of development organisations and their programmes in the communities where they work. Some conclusions from 123 Most Significant Change stories are that continuous and consistent work on gender mainstreaming does induce transformational change in favour of gender justice. The analysis of the stories made clear that transformation is about small steps forward. It became also clear that change in gender relations can start in different ways – there is not ‘one way to go’ in this complex matter. To measure these changes various tools should be used, as they are complementary and generate different information.