Development of a toolkit to support sustainable culture change in residential aged care
Australasian Journal on Ageing
School of Nursing and Midwifery
Australian Government Department of Social Services
© 2020 AJA Inc. Objective: This study aimed to develop and evaluate a Toolkit to support implementation of the Towards Organisational Culture Change (TOrCCh) intervention, with minimal external facilitation, in aged care facilities, to implement long-lasting organisational change. Methods: Eight residential aged care facilities across two Australian states participated. A Toolkit was drafted iteratively, engaging staff from participating sites and a reference group. Participating facilities undertook two change projects utilising the Toolkit. Qualitative data were collected from site project sponsors, work teams and other care staff, and analysed thematically. Results: The intervention was perceived to provide a generic approach that could be applied to solve agreed challenges in the workplace generating useful outcomes including staff development, increased communication, teamwork and leadership. The role of a project sponsor, and organisational support, was perceived as important for sustainability. Conclusion: Aged care facility staff teams report they can work together effectively for sustainable improvements when provided with a Toolkit.