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The influence of organisational climate on care of patients with schizophrenia: a qualitative analysis of health care professionals’ views

Background Organizational climate relates to how employees perceive and describe the characteristics of their employing organization. It has been found to have an impact on healthcare professionals’ and patients’ experiences of healthcare (e.g. job satisfaction, patient satisfaction), as well as org...

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Autores principales: Sutton, Jane, Family, Hannah E., Scott, Jennifer A., Gage, Heather, Taylor, Denise A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828467/
https://www.ncbi.nlm.nih.gov/pubmed/26797771
http://dx.doi.org/10.1007/s11096-016-0247-z
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author Sutton, Jane
Family, Hannah E.
Scott, Jennifer A.
Gage, Heather
Taylor, Denise A.
author_facet Sutton, Jane
Family, Hannah E.
Scott, Jennifer A.
Gage, Heather
Taylor, Denise A.
author_sort Sutton, Jane
collection PubMed
description Background Organizational climate relates to how employees perceive and describe the characteristics of their employing organization. It has been found to have an impact on healthcare professionals’ and patients’ experiences of healthcare (e.g. job satisfaction, patient satisfaction), as well as organizational outcomes (e.g. employee productivity). This research used organizational theory to explore dynamics between health care professionals (pharmacists, doctors and nurses) in mental health outpatients’ services for patients taking clozapine, and the perceived influence on patient care. Setting Seven clozapine clinics (from one NHS mental health Trust in the UK) which provided care for people with treatment resistant schizophrenia. Methods This study used qualitative methods to identify organizational climate factors such as deep structures, micro-climates and climates of conflict that might inhibit change and affect patient care. Using Interpretative Phenomenological Analysis, semistructured interviews were conducted with 10 healthcare professionals working in the clinics to explore their experiences of working in these clinics and the NHS mental health Trust the clinics were part of. Main outcome measure Health Care Professionals’ perceptions of the care of patients with treatment resistant schizophrenia. Results Three superordinate themes emerged from the data: philosophy of care, need for change and role ambiguity. Participants found it difficult to articulate what a philosophy of care was and in spite of expressing the need for change in the way the clinics were run, could not see how ‘changing things would work’. There was considerable role ambiguity with some ‘blurring of the boundaries between roles’. Factors associated with organizational climate (role conflict; job satisfaction) were inhibiting team working and preventing staff from identifying the patients’ health requirements and care delivery through innovation in skill mix. There were mixed attitudes towards the pharmacist’s inclusion as a team member. Conclusions Our findings suggest deficiencies within the clinics that may be manifestations of the wider culture of the NHS. The implications for mental health outpatient clinics are that local initiatives are crucial to the implementation of recovery models; clear guidance should be provided on the skill mix required in clozapine clinics and interprofessional learning should be encouraged to reduce role conflict.
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spelling pubmed-48284672016-04-21 The influence of organisational climate on care of patients with schizophrenia: a qualitative analysis of health care professionals’ views Sutton, Jane Family, Hannah E. Scott, Jennifer A. Gage, Heather Taylor, Denise A. Int J Clin Pharm Research Article Background Organizational climate relates to how employees perceive and describe the characteristics of their employing organization. It has been found to have an impact on healthcare professionals’ and patients’ experiences of healthcare (e.g. job satisfaction, patient satisfaction), as well as organizational outcomes (e.g. employee productivity). This research used organizational theory to explore dynamics between health care professionals (pharmacists, doctors and nurses) in mental health outpatients’ services for patients taking clozapine, and the perceived influence on patient care. Setting Seven clozapine clinics (from one NHS mental health Trust in the UK) which provided care for people with treatment resistant schizophrenia. Methods This study used qualitative methods to identify organizational climate factors such as deep structures, micro-climates and climates of conflict that might inhibit change and affect patient care. Using Interpretative Phenomenological Analysis, semistructured interviews were conducted with 10 healthcare professionals working in the clinics to explore their experiences of working in these clinics and the NHS mental health Trust the clinics were part of. Main outcome measure Health Care Professionals’ perceptions of the care of patients with treatment resistant schizophrenia. Results Three superordinate themes emerged from the data: philosophy of care, need for change and role ambiguity. Participants found it difficult to articulate what a philosophy of care was and in spite of expressing the need for change in the way the clinics were run, could not see how ‘changing things would work’. There was considerable role ambiguity with some ‘blurring of the boundaries between roles’. Factors associated with organizational climate (role conflict; job satisfaction) were inhibiting team working and preventing staff from identifying the patients’ health requirements and care delivery through innovation in skill mix. There were mixed attitudes towards the pharmacist’s inclusion as a team member. Conclusions Our findings suggest deficiencies within the clinics that may be manifestations of the wider culture of the NHS. The implications for mental health outpatient clinics are that local initiatives are crucial to the implementation of recovery models; clear guidance should be provided on the skill mix required in clozapine clinics and interprofessional learning should be encouraged to reduce role conflict. Springer International Publishing 2016-01-21 2016 /pmc/articles/PMC4828467/ /pubmed/26797771 http://dx.doi.org/10.1007/s11096-016-0247-z Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Research Article
Sutton, Jane
Family, Hannah E.
Scott, Jennifer A.
Gage, Heather
Taylor, Denise A.
The influence of organisational climate on care of patients with schizophrenia: a qualitative analysis of health care professionals’ views
title The influence of organisational climate on care of patients with schizophrenia: a qualitative analysis of health care professionals’ views
title_full The influence of organisational climate on care of patients with schizophrenia: a qualitative analysis of health care professionals’ views
title_fullStr The influence of organisational climate on care of patients with schizophrenia: a qualitative analysis of health care professionals’ views
title_full_unstemmed The influence of organisational climate on care of patients with schizophrenia: a qualitative analysis of health care professionals’ views
title_short The influence of organisational climate on care of patients with schizophrenia: a qualitative analysis of health care professionals’ views
title_sort influence of organisational climate on care of patients with schizophrenia: a qualitative analysis of health care professionals’ views
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828467/
https://www.ncbi.nlm.nih.gov/pubmed/26797771
http://dx.doi.org/10.1007/s11096-016-0247-z
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