Organizational Climate: Implications for the Home Healthcare Workforce


  • Patricia Stone,

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    • Patricia Stone, PhD RN, is a nurse health services researcher at Columbia University. She is interested in the effect of nurses' working conditions on patient safety, healthcare worker safety, and organizational outcomes and is currently conducting two large studies examining these relationships. One study, “Outcomes of ICU Working Conditions,” is part of the Agency for Healthcare Research and Quality's Patient Safety Working Conditions portfolio, in which Dr. Stone led the organizational climate/culture working group.

  • Diane K. Pastor,

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    • Diane K. Pastor, MBA BSN, is a doctoral nursing student at Columbia University School of Nursing. Her dissertation research will examine patient, nurse, and system-level outcomes of home telemonitoring technology for frail elders.

  • Michael I. Harrison

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    • Michael I. Harrison, PhD, is senior research scientist for organizations and systems research in the Center for Delivery, Organization, and Markets at the Agency for Healthcare Research and Quality in Rockville, MD. He is the agency lead for research on health system redesign and is a member of the core teams for health information technology and cost, organization, and socioeconomics.


Abstract: Organizational climate generally refers to staff members' perceptions of organizational features like decision making, leadership, and norms. It is widely acknowledged that these perceptions influence patient, employee, and system outcomes. However, there has been little consensus on how best to measure these important relationships. This article examines how organizational climate has been defined and measured in health services research and identifies factors most important in home healthcare delivery. Standardization of climate measures will facilitate the ultimate goal of translating results into evidence-based management practices to improve the quality of care delivery.