Evidence map›Paper›PMID 39299792›Full record

ArticleBMJ open2024

Building a culture of safety in Australian residential aged care facilities: protocol for a longitudinal mixed methods research programme.

Kate Churruca, Jane Graham, Louise A Ellis, Johanna Westbrook, Nasir Wabe, Peter D Hibbert, Kristiana Ludlow, Rachel Urwin, Isabelle Meulenbroeks, Jey Thanigasalam and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kate ChurrucaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia kate.churruca@mq.edu.au.ORCID 0000-0002-9923-3116
Jane GrahamCalvary Health Care, Sydney, New South Wales, Australia.
Louise A EllisAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-6902-4578
Johanna WestbrookAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0003-1083-8192
Nasir WabeAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-9740-6319
Peter D HibbertAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-7865-343X
Kristiana LudlowAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Rachel UrwinAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Isabelle MeulenbroeksAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Jey ThanigasalamCalvary Health Care, Sydney, New South Wales, Australia.
Ingerlise SvalengCalvary Health Care, Sydney, New South Wales, Australia.
Jo-Ann SardellisCalvary Health Care, Sydney, New South Wales, Australia.
Jeffrey BraithwaiteAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0003-0296-4957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe quality and safety of care within residential aged care facilities (RACFs) have been linked to their organisational culture. However, evidence for understanding and improving culture in this setting is limited. This research programme aims to validate a survey to measure organisational culture and determine the relationship of culture with safety and quality of care, then to evaluate an organisational culture change programme in Australian RACFs. METHODS AND ANALYSIS: This is a longitudinal mixed methods programme of research conducted across four studies in collaboration with a national aged care provider that cares for more than 5000 residents:Study 1: Cross-sectional staff survey of organisational culture in >50 RACFs with concurrent collection of data on quality and safety of care, and staff outcomes, to explore their associations with culture.Study 2: Ethnographic fieldwork in eight RACFs sampled to achieve maximum variation. Data from interviews, observations and documents will be analysed to identify the underlying assumptions and how cultural assumptions influence the enactment of safety and quality.Study 3: Evaluation of the implementation of the Speak Up for Safety culture change programme, focusing on its contextualisation for RACFs, implementation determinants and outcomes. Data will be collected through semistructured interviews, complimented with secondary data from program training and feedback system usage.Study 4: Evaluation of the effectiveness of the culture change programme using baseline data from study 1 and a follow-up survey of organisational culture postimplementation to assess changes in organisational culture and staff behaviour. ETHICS AND DISSEMINATION: The study has received approval from the Macquarie University Human Research Ethics Committee. Informed consent will be sought from all participants. Findings will be disseminated through journal articles, conference presentations and reports to the collaborating provider and RACFs. Survey data will be deposited into a data repository for use by others working on related research.

Indexed as

Homes for the AgedOrganizational CulturePatient SafetyAgedAustraliaCross-Sectional StudiesHumansLongitudinal StudiesNursing HomesQuality of Health CareResearch DesignSurveys and QuestionnairesAgedChange managementClinical governanceHealth Services for the AgedQuality in health care

Identifiers

PMID39299792
PMCPMC11429349

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.