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Measuring and Assessing Healthcare Organisational Culture in the England’s National Health Service: A Snapshot of Current Tools and Tool Use

机译：衡量和评估英格兰国家卫生局中医疗保健组织的文化：当前工具和工具使用的快照

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摘要

Healthcare Organisational Culture (OC) is a major contributing factor in serious failings in healthcare delivery. Despite an increased awareness of the impact that OC is having on patient care, there is no universally accepted way to measure culture in practice. This study was undertaken to provide a snapshot as to how the English National Health Service (NHS) is currently measuring culture. Although the study is based in England, the findings have potential to influence the measurement of healthcare OC internationally. An online survey was sent to 234 NHS hospital trusts, with a response rate of 35%. Respondents who completed the online survey, on behalf of their representative organisations, were senior clinical governance leaders. The findings demonstrate that the majority of organisations, that responded, were actively measuring culture. Significantly, a wide variety of tools were in use, with variable levels of satisfaction and success. The majority of tools had a focus on patient safety, not on understanding the determining factors which impact upon healthcare OC. This paper reports the tools currently used by the respondents. It highlights that there are deficits in these tools that need to be addressed, so that organisations can interpret their own culture in a standardised, evidence-based way.
机译：医疗保健组织文化（OC）是导致医疗保健服务严重失败的主要因素。尽管人们越来越意识到OC对患者护理的影响，但在实践中尚没有一种普遍接受的衡量文化的方法。进行这项研究的目的是提供有关英国国家卫生局（NHS）当前如何衡量文化的快照。尽管该研究是基于英格兰进行的，但这些发现可能会影响国际医疗保健OC的衡量。在线调查已发送给234个NHS医院信托，答复率为35％。代表其代表机构完成在线调查的受访者是高级临床治理负责人。调查结果表明，做出回应的大多数组织都在积极地衡量文化。重要的是，使用了各种各样的工具，其满意度和成功水平各不相同。大多数工具都将重点放在患者的安全上，而不是理解影响医疗保健OC的决定性因素。本文报告了受访者当前使用的工具。它强调指出，这些工具中存在缺陷，需要解决，以便组织可以以标准化，基于证据的方式解释其自身的文化。

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