Creating Positive Environments in Skilled Nursing Facilities to Support Best Practice Implementation: An Overview and Practical Suggestions

Natalie F. Douglas, Ellen Hickey

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

The purpose of this article is to discuss various types of organizational cultures and climates in relationship to best practice implementation. Although not specific to speech-language pathology, positive organizational cultures and climates are associated with better clinician and patient outcomes in health care services than dysfunctional and/or hierarchical organizational cultures and climates. A goal of this article is to help the practicing speech-language pathologist (SLP) promote positive culture change in the skilled nursing facility (SNF) setting. Recommendations to improve the organizational culture and climate of SNFs will be presented through practical examples of collaborative practice. Further suggestions will be surmised from the organizational psychology and interprofessional education literature. The connection between organizational culture and climate, interprofessional education, collaborative practice, and SLPs' best practice implementation in the SNF setting will be discussed. Avenues for future work are suggested.

Original languageEnglish
Pages (from-to)167-178
Number of pages12
JournalSeminars in Speech and Language
Volume36
Issue number3
DOIs
StatePublished - Aug 21 2015

Keywords

  • Implementation science
  • collaborative practice
  • interprofessional education
  • long-term care
  • organizational culture and climate
  • skilled nursing facilities
  • speech-language pathologists

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