The Influence of Organizational Systems on Information Exchange in Long-Term Care Facilities
An Institutional Ethnography
Bibliographic Data
| ID | 4621279 |
|---|---|
| Authors | Sienna Caspar (0000-0002-6517-1551, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada, corresponding author), 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) |
| Year | 2016 |
| Volume | 26 |
| Issue | 7 |
| Pages | 951-965 |
| Publication date | 2016-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732315619893 |
| PMID | 26758177 |
| OpenAlex | W2235648668 |
| Language | EN |
| Citations received | 8 |
| References cited | 23 |
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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| Unique citing works | 8 |
|---|---|
| Citations per year | 1 |
| Citation span | 2018 - 2026 (9) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 8 |