Abstract
There is increasing recognition of the importance of culture and values in the running and improvement of health, care and wider community services. Culture, or ‘the way we do things round here’, has been connected to the quality and safety of such services both positively and negatively. An enabling and learning culture is seen to promote opportunities for identifying, reflecting and acting on any concerns, whilst a controlling and blaming culture is seen to stifle such concerns being raised and so responded to appropriately. In turn values, both those expressed by an organization within its mission and strategy and those which practically underpin the everyday decisions made by teams are a key component of institutional culture. Personal values based on professional standards and individual beliefs further influence the choices and priorities of practitioners. Any organization seeking to achieve effective change must take account of these multi-layered and multi-dimensional factors. Integrated care initiatives, which commonly bring together professionals, practitioners and services from established silos add yet more complexity. The clashes in values and culture which can emerge through their new arrangements can be a powerful obstacle as the parties involved are exposed to alternative ways of seeing and interpreting the world. Inter-professional learning and inter-professional teams provide a means to positively respond to diversity in culture and values, and enable professionals to collaborate successfully together.
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References
Allport, G. W. (1954). The nature of prejudice. Cambridge, MA: Perseus Books.
Barr, H. (2015). Toward a theoretical framework for interprofessional education. Journal of Integrated Care, 27, 4–9.
Barwell, J., Arnold, F., & Berry, H. (2013). How interprofessional learning improves care. Nursing Times, 109(21), 14–16.
BASW. (2012). The code of ethics for social work statement of principles. Retrieved December 2, 2015, from https://www.basw.co.uk/codeofethics/
Billingsley, R., & Lang, L. (2002). The case for interprofessional learning in health and social care. Journal of Integrated Care, 10(4), 31–34.
Bissell, G. (2012). Organisational behavior for social work. Bristol: Policy Press.
Braithwaite, J., Iedema, R. A., & Jorm, C. (2007). Trust, communication, theory of mind and the social brain hypothesis: Deep explanations for what goes wrong in health care. Journal of Health Organization and Management, 21(4), 353–367.
Branson, C. M. (2008). Achieving organisational change through values alignment. Journal of Educational Administration, 46(3), 376–395.
CAIPE. (2002). Interprofessional education. Retrieved November 15, 2015, from http://caipe.org.uk/about-us/the-/definition-and-principles-of-interprofessional-education//
Cameron, A. (2011). Impermeable boundaries? Developments in professional and inter-professional practice. Journal of Interprofessional Care, 25(1), 53–58.
Cameron, A., Lart, R., Bostock, L., & Coomber, C. (2012). Factors that promote and hinder joint and integrated working between health and social care services. Retrieved from www.scie.org.uk
Carroll, J. S., & Quijada, M. A. (2004). Redirecting traditional professional values to support safety: Changing organizational culture in health care. Quality and Safety in Health Care, 13(1), 16–21.
CIHC. (2010). Canadian Interprofessional Health Collaboration. A national inter professional competency framework. Retrieved from www.cihc.ca/files/CIHC_IPCompetencies_Feb1210.pd
Cummings, T., & Worley, C. (2014). Organization development and change. Stamford: Cengage Learning.
Department of Health. (2002). Care trusts: Background briefing. Retrieved from www.dh.gov.uk
Dickinson, H., Peck, E., & Davidson, D. (2007). Opportunity seized or missed? A case study of leadership and organisational change in the creation of a Care Trust. Journal of Interprofessional Care, 21(5), 503–513.
Doel, M., & Shardlow, S. M. (Eds.). (2009). Educating professionals, practice learning in health and social care. Farnham: Ashgate.
Dovido, J. F., Glick, P., & Rudman, L. A. (Eds.). (2005). On the nature of prejudice fifty years after Allport. Malden: Blackwell.
Drumm, M. (2014). Culture change in the public sector. Glasgow: IRISS.
Foster, R., & Clark, J. M. (2015). Moderating the stereotypical views of health and social care students: The role of interprofessional education. Journal of Interprofessional Care, 29, 34–40.
Franx, G., Kroon, H., Grimshaw, J., Drake, R., Grol, R., & Wensing, M. (2008). Organizational change to transfer knowledge and improve quality and outcomes of care for patients with severe mental illness: A systematic overview of reviews. Canadian Journal of Psychiatry, 53(5), 294.
Frenk, J., Chen, L., Bhutta, Z., Cohen, J., Crisp, N., Evans, T., et al. (2010). Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. The Lancet, 376(9756), 1923–1958.
Gale, N. K., Shapiro, J., McLeod, H. S., Redwood, S., & Hewison, A. (2014). Patients-people-place: Developing a framework for researching organizational culture during health service redesign and change. Implementation Science, 9(1), 106.
Gould, P. R., Lee, Y., Berkowitz, S., & Bronstein, L. (2015). Impact of collaborative interprofessional learning experience upon medical and social work students in geriatric health care. Journal of Interprofessional Care, 29(4), 372–373.
Hammick, M., Freeth, D., Koppel, I., Reeves, S., & Barr, H. (2007). A best evidence systematic review of interprofessional education: BEME Guide no. 9. Medical Teacher, 29(8), 753–751. doi:10.1080/01421590701682576.
Heginbotham, C. (2012). Values-based commissioning of health and social care. Cambridge: Cambridge University Press.
Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, DC: Interprofessional Education Collaborative. Retrieved from www.aacp.org/resource/education/Documents/10-2421PECFullReprtfinal.pdf
Jelphs, K., Dickinson, H., & Miller, R. (2016). Working in teams. Bristol: Policy Press.
Lencioni, P. (2006). The five dysfunctions of a team. Hoboken, NJ: Wiley.
Mangan, C., Miller, R., & Ward, C. (2015). Knowing me, knowing you. Journal of Integrated Care, 23(2), 62–73.
McKimm, J., & Brake, D.-J. (2010). Interprofessional learning. British Journal of Hospital Medicine, 71(10), 580–583.
Meyerson, D., & Martin, J. (1987). Cultural change: An integration of three different views. Journal of Management Studies, 24(6), 0022–2380.
Miller, R., Dickinson, H., & Glasby, J. (2011). The care trust pilgrims. Journal of Integrated Care, 19(4), 14–21.
Miller, R., Mangan, C., & Brown, H. (2016). Integrated care in action: A practical guide for health, social care and housing support. London: Jessica Kingsley.
Minkman, M. M. (2012). The current state of integrated care: An overview. Journal of Integrated Care, 20(6), 346–358.
NES. (2005). Educational development. http://www.nes.scot.nhs.uk/education-and-training/educational-development/
Parmelli, E., Flodgren, G., Beyer, F., Baillie, N., Schaafsma, M. E., & Eccles, M. P. (2011). The effectiveness of strategies to change organisational culture to improve healthcare performance: A systematic review. Implementation Science, 6(1), 33.
Perry, E., Barber, J., & England, E. (2013). A review of values-based commissioning in mental health. London: National Survivor User Network.
Petch, A. (2014). Delivering integrated care and support. Glasgow: IRISS.
Pettigrew, T. F., & Tropp, L. R. (2011). When groups meet: The dynamics of intergroup contact. New York: Psychology Press.
Prades, J., Remue, E., van Hoof, E., & Borras, J. M. (2015). Is it worth reorganising cancer services on the basis of multidisciplinary teams (MDTs)? A systematic review of the objectives and organisation of MDTs and their impact on patient outcomes. Health Policy, 119(4), 464–474.
RAND Europe, & Ernst & Young LLP. (2012). National evaluation of the department of health’s integrated care pilots. Retrieved from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_133124
Reeves, S., Lewin, S., Espin, S., & Zwarenstein, M. (2011). Interprofessional teamwork for health and social care (Vol. 8). Hoboken, NJ: Wiley.
Reeves, S., Perrier, L., Goldman, J., Barr, H., Freeth, D., & Zwarenstein, M. (2013). Interprofessional education: Effects on professional practice and health care outcomes (update) (Review). New York: The Cochrane Collaboration.
Schein, E. (2010). Organizational culture and leadership (4th ed.). San Francisco: Jossey Bass.
Schneider, B., & Barbera, K. M. (2014). Introduction: The oxford handbook of organizational climate and culture. In B. Schneider & K. M. Barbera (Eds.), The Oxford handbook of organizational climate and culture (pp. 3–20). Oxford University Press: Oxford.
Sullivan, H., & Williams, P. (2012). Whose kettle? Exploring the role of objects in managing and mediating the boundaries of integration in health and social care. Journal of Health Organization and Management, 26(6), 697–712.
Taylor, I., Whiting, R., & Sharland, E. (2008). Integrated children’s services in higher education project (ICS-HE): Knowledge review. Southampton: Higher Education Academy.
Thistlethwaite, P. (2011). Integrating health and social care in Torbay: Improving care for Mrs Smith. London: Kings’ Fund.
Thistlethwaite, J. (2012). Interprofessional education: A review of context, learning and the research agenda. Medical Education, 46, 58–70.
West, M. A., & Lyubovnikova, J. (2013). Illusions of team working in health care. Journal of Health Organization and Management, 27(1), 134–142.
WHO. (2010). Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization.
Woodbridge, K., & Fulford, K. W. M. (2004). Whose values? A workbook for values-based practice in mental health care. London: Sainsbury Centre for Mental Health.
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Miller, R. et al. (2017). Culture and Values. In: Amelung, V., Stein, V., Goodwin, N., Balicer, R., Nolte, E., Suter, E. (eds) Handbook Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-319-56103-5_15
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