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Changing Care Culture: Exploring the Relationship between Employee Beliefs, Affective Commitment and Job Satisfaction Following a Change from Traditional to Person-Centred Care in Two Irish Nursing Homes

Bell, Grace (2014) Changing Care Culture: Exploring the Relationship between Employee Beliefs, Affective Commitment and Job Satisfaction Following a Change from Traditional to Person-Centred Care in Two Irish Nursing Homes. Masters thesis, Dublin, National College of Ireland.

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Abstract

Irish nursing home care has become a complex and contentious issue in recent years with the traditional approach of care coming in for a lot of criticism. In response, a change in care culture to a person-centred approach has been growing steadily in popularity, focusing on placing resident care in their own hands, effectively giving them the ability to decide how they wish to be cared for. This new way of caring for residents requires significant organisational change in how homes operate, are designed and, most importantly, how staff are trained to deliver care. Anecdotally, the culture change and person-centered care is regarded as beneficial to residents and families but there is minimal research into whether staff experience satisfaction with the approach.

Using a survey, this study investigated staff beliefs, affective organisational commitment and overall job satisfaction for 42 employees of two Irish nursing homes. Both homes had recently experienced similar structural redesign, training programmes and a resulting change of care culture from a traditional to a person-centered approach. The results identified that employees held: positive beliefs about the culture change; similar values to those of the organisations which implemented the change of care culture and; an increased sense of self-fulfilment following changes made to their roles. It was identified that the sharing of values with the organisation greatly enhanced employees’ affective commitment towards their nursing home and led to them expressing that they would put in a great deal of effort beyond that normally expected to help their nursing home succeed. Overall the findings identified that the majority of nursing home employees experienced high levels of job satisfaction following the change of care culture. It is recommended that this study be replicated in similar nursing home environments to test the findings.

Item Type: Thesis (Masters)
Subjects: H Social Sciences > HD Industries. Land use. Labor > Non Profit Organisations. Voluntary Sector. > Carers
H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management > Management of Change
H Social Sciences > HD Industries. Land use. Labor > Issues of Labour and Work > Quality of Work Life / Job Satisfaction
Divisions: School of Business > Master of Arts in Human Resource Management
Depositing User: Claire Wallnutt
Date Deposited: 15 Nov 2014 12:12
Last Modified: 15 Nov 2014 12:12
URI: http://trap.ncirl.ie/id/eprint/1772

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