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Open AccessArticle

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

1
School of Health and Life Sciences, Teesside University, Middlesbrough TS1 3BX, UK
2
Teesside Centre for Evidence-Informed Practice: A JBI Centre of Excellence Middlesbrough TS1 3BX, UK
3
NHS Calderdale Clinical Commissioning Group, Halifax HX3 5AX, UK
4
Cardiac Intensive Care, South Tees NHS Foundation Trust, Middlesbrough TS4 3BW, UK
*
Author to whom correspondence should be addressed.
Healthcare 2019, 7(4), 127; https://doi.org/10.3390/healthcare7040127
Received: 30 August 2019 / Revised: 18 October 2019 / Accepted: 21 October 2019 / Published: 1 November 2019
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. View Full-Text
Keywords: organisational culture; healthcare culture; NHS; patient safety culture; defining culture; clinical governance; patient safety measurement; measuring culture organisational culture; healthcare culture; NHS; patient safety culture; defining culture; clinical governance; patient safety measurement; measuring culture
MDPI and ACS Style

Simpson, D.; Hamilton, S.; McSherry, R.; McIntosh, R. Measuring and Assessing Healthcare Organisational Culture in the England’s National Health Service: A Snapshot of Current Tools and Tool Use. Healthcare 2019, 7, 127.

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