Changing organisational culture: another role for self-advocacy?. Issue 2 (7th April 2015)

• Record Type: Journal Article
• Authors: Miller, Robin
• Is Part Of: Tizard learning disability review. Volume 20:Issue 2(2015)
• Page Start: 69
• Page End: 76
• Publication Date: 2015-04-07
• Subjects: Learning disabilities -- Periodicals; Learning disabled -- Periodicals; Social service -- Periodicals; 362.2
• DOI: 10.1108/TLDR-08-2014-0026
• Languages: English
• ISSNs: 1359-5474

Abstract

<abstract> <title> <x content-type="archive" xml:space="preserve">Abstract</x> </title> <sec> <title content-type="abstract-heading">Purpose</title> <p> – Improvements in organisational culture are a common recommendation of enquiries into system failure and an aspiration of policy. The purpose of this paper is to explore an initiative to change culture in a low-secure service through the introduction of a self-advocacy group. </p> </sec> <sec> <title content-type="abstract-heading">Design/methodology/approach</title> <p> – An independent evaluation was carried out by a university research team. A theory-based methodology was deployed with qualitative data gathered through observations, interviews and focus groups. </p> </sec> <sec> <title content-type="abstract-heading">Findings</title> <p> – Culture change was reported by senior managers and clinicians in relation to the transparency of the service, decision making regarding resources, and engagement of patients in redesign. Self-advocacy group members reported a different relationship with senior management which in turn enabled greater influence in the organisation. Achieving these impacts relied on independent and skilled external facilitation, support from senior managers, and a calm and democratic atmosphere in the meetings. Ward staff were kept at an arms-length from the group and were less certain that it had made any difference to the way in which the ward operated. </p> </sec> <sec> <title content-type="abstract-heading">Research limitations/implications</title> <p> – The research was only based in one organisation and the impacts of the initiative may vary with a different local context. Research in a wider sample of organisations and culture change initiatives will provide greater insights. </p> </sec> <sec> <title content-type="abstract-heading">Practical implications</title> <p> – Self-advocacy groups can lead to organisation culture change alongside benefits for individual group members but require funding, external and independent facilitation, and organisational endorsement and support. </p> </sec> <sec> <title content-type="abstract-heading">Originality/value</title> <p> – This paper adds to the limited literature regarding culture change in secure services and services for people with a learning disability in general and also to the understanding of the impact of self-advocacy groups.</p> </sec> </abstract>