title: Influencing organisational culture: a leadership challenge.
abstract: In the wake of the Francis report, the need for NHS trusts and hospitals to adopt a culture of learning, safety and transparency has been highlighted. This article considers different aspects of culture in health care, and hones in on the link between culture and safety for patients in putting the patient first, embedding the 6Cs and considering the options to measure and influence organisational culture. The article reflects more deeply on how leadership across all levels can influence and inspire change in organisational culture, ensuring that the patient remains the focus of any changes in care delivery.
authors.affiliation: Macmillan Nurse Consultant (GI consequences of cancer treatment).
authors.forename: Ann
authors.initials: A
authors.lastname: Muls
authors.affiliation: Nurse Consultant (IV therapy).
authors.forename: Lisa
authors.initials: L
authors.lastname: Dougherty
authors.affiliation: Nurse Consultant (Living with and beyond cancer).
authors.forename: Natalie
authors.initials: N
authors.lastname: Doyle
authors.affiliation: Consultant Dietitian.
authors.forename: Clare
authors.initials: C
authors.lastname: Shaw
authors.affiliation: Teenage Cancer Trust Nurse Consultant for Adolescents and Young Adults.
authors.forename: Louise
authors.initials: L
authors.lastname: Soanes
authors.affiliation: Macmillan Nurse Consultant (Palliative care) Royal Marsden NHS Foundation Trust, London.
authors.forename: Anna-Marie
authors.initials: AM
authors.lastname: Stevens
mesh_terms: D003695:Delivery of Health Care; D007857:Leadership; D015279:Organizational Culture; D009936:Organizational Innovation; D061214:Patient Safety; D013222:State Medicine; D006113:United Kingdom
keywords: 6Cs; Health care; Influencing change; Leadership; Organisational culture; Schwartz rounds