Topic
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.
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TL;DR: The trans-disciplinary model is the gold standard for teams in neurorehabilitation because they entail more integrated service delivery than do other teams and represent a more persons-centered approach.
Abstract: Introduction Neurorehabilitation requires a team effort. Over time the nature of teams has evolved from single discipline work through multi-disciplinary and inter-disciplinary teams to trans-disciplinary teams. However, there are inconsistencies in the literature and clinical practice as to the structure and function of these team models. Each model engenders advantages over its predecessor and unless the models are well understood clinicians may labor in a model that is less efficacious than the most transcendent model. Objectives To define and examine the models of single discipline care, multi-disciplinary teams, inter-disciplinary teams, and trans-disciplinary teams and to review in depth trans-disciplinary teams as the most advanced team model. This paper will also consider professional roles and integration across disciplines as well as the crucial topics of staff selection, attendance in rounds and the nature of rounds, staff physical plant assignments, and leadership responsibilities. Leadership responsibilities that will be addressed include scope of practice and role release, peer pressure, and culture change issues. Conclusions The trans-disciplinary model is the gold standard for teams in neurorehabilitation because they entail more integrated service delivery than do other teams. Trans-disciplinary teams also represent a more persons-centered approach. To initiate a trans-disciplinary model, team members must have excellent communication and shared decision making including persons with brain injury. Leadership must address staff selection, scope of practice and role-release. Otherwise, the model will fail due to peer pressure and institutional or program cultural variables.
37 citations
TL;DR: LTC facility managers may need to adjust their own attitudes and behaviour to support teamwork in their facilities, which has implications for facilities attempting to de-institutionalise.
Abstract: Aims: Most developed countries are taking steps to move away from institutional models of care for the aged, in an attempt to both improve quality of life for those receiving care and improve the w...
37 citations
TL;DR: The idiosyncratic nature and influence of warrior culture and subculture is examined and recommendations to promote culture change are offered and Faith-based spirituality and prayer are examined as adjunct modalities for stress management and emotional healing.
Abstract: Research has shown an increase in suicides by military veterans and law enforcement officers in the United States. Etiologic research elucidates warrior culture and subculture as contributing factors of this pathology. This paper examines the idiosyncratic nature and influence of warrior culture and subculture and offers recommendations to promote culture change. Faith-based spirituality and prayer are examined as adjunct modalities for stress management and emotional healing. Further research is recommended to assess the associated hidden cost factors and long-term financial impact of warrior culture on society.
37 citations
TL;DR: In this paper, the authors identify areas where ethical issues might arise in the process of corporate culture change, particularly the role of change agents, and the ethical outcomes of the “unfreeze-change-refreeze" process.
Abstract: Considers corporate culture management as an area where ethical concern and analysis has been weak. Examines justification of corporate culture management as an essential ingredient for corporate success, and finds little evidence to support a consequentialist ethic. Proceeds to identify areas where ethical issues might arise in the process of corporate culture change, particularly the role of change agents, and the ethical outcomes of the “unfreeze‐change‐refreeze” process. Illustrates these by reference to two case studies of corporate culture change programmes. Finally, concludes with reflection on potential ethical frameworks for the interpretation and guidance of corporate culture management initiatives. Makes a case for communitarian ethics, and outlines their implications for culture management.
37 citations
TL;DR: In this article, the authors trace the saga of the organizational culture literature from the organization development model through to the recent interest in total quality management, forming a link between the three concepts, and argue that while TQM had separate origins from the culture movement, the two fields have converged recently with the idea that to achieve "excellence" and "quality", it is necessary either to change or work with the culture of an organization.
Abstract: The first in a series of two articles, traces the saga of the organizational culture literature from the organization development model through to the recent interest in total quality management, forming a link between the three concepts. The literature has, at various times ‐ and sometimes concurrently ‐ defined the concept of culture, prescribed methods of study and diagnosis, discussed the possibility of culture change and often prescribed change methods, recommended methods to evaluate the extent and success of change and, most recently, looked at the part culture and culture change play in achieving total quality through the medium of total quality management. With few exceptions, the notion of managerial control is not addressed. Argues that, while TQM had separate origins from the culture movement, the two fields have converged recently with the idea that to achieve “excellence” and “quality”, it is necessary either to change or work with the culture of an organization. Reviews the literature concerned with defining the concept of culture itself and recommended methods of study, diagnosis and measurement, themes that occur predominantly in the early literature.
37 citations