Essay On Culture Of Care

“The culture of the healthcare workplace is influential in delivering care that is person-centered, clinically effective and continually improving in response to a changing context”. (Manley, Sanders, Cardiff, & Webster 2011, p.1). Furthermore, the culture of care created the infrastructure that sustain the dynamic of Evidence Based Practice leading to higher quality of service. The values and norms of an organization is an example of the commitment among the practice and behaviors of those who represent the organization. Certainly, the culture of care fall in the context of culture of innovation however, the culture of care is in a constantly moving dynamic so factors that allow the implementation of creativity, adaptation, refinement, improvement

and enhancement of practices and process are essential to sustain the culture of quality
. According to Davies, Nutley, Mannion (2000). Health policy focuses on the improvement of quality of health care and the USA, has identified specific concerns over quality issues and medical errors.

In the UK due to a series of scandals, quality improvement has become a policy area. Furthermore, Davies, Nutley, Mannion (2000), stated that the key to quality improvement is included the cultural change in alongside with the structural reorganization and systems reform. Indeed, the culture found in an organization perhaps is not uniform or coherent. However, some cultural attributes may be seen within the entire organization or may be prominent in some sections of that organization. Furthermore, the cultural difference could be also present among different occupational or professional groups. Therefore, these groups may differentiate themselves by their cultural artefacts or principles and subsequently, subcultures may be related to different levels of power and influence inside the organization. It is essential to understand cultural concepts to use them within the organization for instance: Integrated culture happens when there is an agreement between basic beliefs and behaviors in the organization, differentiated cultures refers when different groups in the organization possess incompatible views and norms. Fragmented culture is considered at the most extreme, differentiated cultures across the organization. The National health service

identify the different levels of culture for instance Assumptions are the basic and are the views of the world and how they are understanding and interfere in it which is known as ontology and epistemology. For example, medical research has traditionally use scientific methods to accumulated and generated knowledge so the assumptions about measurability, aggregation, and transferability of knowledge are profound rooted in medical care.Values are considered as the bases foundations for judgements and identify what is “right” from “wrong” behavior. Certainly, in the medical profession conduct has been based on the Hippocratic principle of positioning the needs of individual patients over the economic and objectives which has led to clinical freedom and highly prized cultural “value”. Artefacts are the physical and behavioral expression of culture. In the medical profession include such diverse issues for example dress codes (the doctors' white coat and tie), standard techniques of running services (physicians’ beds, the surgeon's list, juniors connected to seniors), or methods of performance (peer review, and self-regulation).