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The Influence of Organizational Systems on Information Exchange in Long-Term Care Facilities

An Institutional Ethnography

Dados Bibliográficos

ID4621279
AutoresSienna Caspar (0000-0002-6517-1551, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada, autor correspondente), Pamela A Ratner (0000-0002-1006-0774, University of British Columbia, Vancouver, Canada), Alison Phinney (0000-0003-3025-0396, University of British Columbia, Vancouver, Canada), Karen Mackinnon (0000-0003-2390-6668, University of Victoria, Victoria, British Columbia, Canada)
Ano2016
Volume26
Fascículo7
Páginas951-965
Data de publicação2016-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoQualitative Health Research (JOURNAL)
Identificadores do periódicoISSN: 1049-7323 • E-ISSN: 1552-7557
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732315619893
PMID26758177
OpenAlexW2235648668
IdiomaEN
Citações recebidas8
Referências citadas23

Person-centered care is heavily dependent on effective information exchange among health care team members. We explored the organizational systems that influence resident care attendants' (RCAs) access to care information in long-term care (LTC) settings. We conducted an institutional ethnography in three LTC facilities. Investigative methods included naturalistic observations, in-depth interviews, and textual analysis. Practical access to texts containing individualized care-related information (e.g., care plans) was dependent on job classification. Regulated health care professionals accessed these texts daily. RCAs lacked practical access to these texts and primarily received and shared information orally. Microsystems of care, based on information exchange formats, emerged. Organizational systems mandated written exchange of information and did not formally support an oral exchange. Thus, oral information exchanges were largely dependent on the quality of workplace relationships. Formal systems are needed to support structured oral information exchange within and between the microsystems of care found in LTC

Business · Information system · Knowledge management · Long-term care · Political science · Computer Science · Geriatric Care and Nursing Homes · Medicine · Migration, Aging, and Tourism Studies · Nursing · Psychology

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Obras citantes distintas8
Citações por ano1
Intervalo de citações2018 - 2026 (9)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 8
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