An environmental scan of an aged care workplace using the PARiHS model: assessing preparedness for change

Abstract

<h4>Aim</h4>The environmental scan aimed to deepen our understanding of the aged care work culture and to ascertain the readiness of the workers to advance towards team-based quality care provision.<h4>Background</h4>The workplace context was a high-care unit within a large residential aged care facility.<h4>Methods</h4>We used the Promoting Action on Research Implementation in Health Services (PARiHS) framework to assess workplace readiness via interviews, individual surveys and observation of practice.<h4>Results</h4>A profile of current culture emerged as mutually supportive and task focused, but at the same time lacking corporate team features of shared decision-making and feedback for practice improvement. However, latent within the frontline leaders and personal care staff, there was evidence of some embedded knowledge and capacity for corporate team performance.<h4>Conclusions</h4>This study has validated an evidence-based method for conducting environmental scanning in aged care, recommended before any major change is introduced.<h4>Implications for nursing management</h4>Environmental scanning helps gauge workforce capacity and limitations; this information can enable managers to capitalize on identified cultural strengths to fortify change and avoid pitfalls of personal and collective vulnerabilities.