Governance and stewardship in the aged care industry : evaluating a model for corporate social entrepreneurship : the relationship of board culture to entrepreneurial behaviour.
| dc.contributor.advisor | Gillin, Laurence Murray | en |
| dc.contributor.author | Hazelton, Lois Marjorie | en |
| dc.contributor.school | Entrepreneurship, Commercialisation and Innovation Centre (ECIC) | en |
| dc.date.issued | 2013 | en |
| dc.description.abstract | Not-for-profit ventures, including community and church sponsored, seeking to exploit socially responsible opportunities in the provision of Aged Care, find themselves dependent on government grants and a major set of regulations to be complied with. Academic and empirical research has generally focused on issues of quality and compliance in meeting the physical needs of Aged Care residents rather than assessing entrepreneurial opportunities in the provision of innovative approaches to the stewardship of Aged Care facilities and with a focus on resident values. To explore the research question the choice was made to use a qualitative study that focuses on understanding the naturalistic setting, or everyday life in a residential aged care organisation. Given the wide variability in the performance of aged care facilities in Australia, a purposefully selected sample of six innovative aged care facilities (best exemplar cases) was the subject of this research. Significantly each case readily accepted participating in a “Health Audit” as a tool to assess the degree to which its employees, leadership and Board engage in entrepreneurial behaviour as exercised through innovative, risk-taking, autonomous and proactive actions. This audit comprised two instruments to measure both entrepreneurial conditions and innovation intensity in each case. The findings confirm the power of the Social Entrepreneurship Conditions Instrument (SECI) and Social Entrepreneurship Innovation Intensity (SEII) to discriminate between various perspectives on innovation from differing management positions in the organisation, such as Board Chair, CEO or Director of Nursing (DON). A major conclusion is the primary presence of trust/respect within the internal environment and management team of the residential aged care organisation and its association with the espoused values of the organisation and the perceived delivery of services. Some understanding of the dynamics of this multi dimension environment and the elements for a strategic model of sustainable innovation is considered in terms of complexity theory (or emergence of order). It is also shown that the observed characteristics of the management team are in accord with the principles of stewardship theory where organizational managers and directors’ demonstrably act as responsible stewards of the assets available to deliver the mission of the organisation and the managers seek other ends besides financial ones. Indeed this interplay between trust and governance is a strong component of Residential Aged Care organisation (RACO) culture and confirms the finding This sense of social mission is indeed the motivation for action in each of the RACOs researched for this study. Examination of the five dimensions of Entrepreneurial Orientation (EO), innovativeness; proactiveness; risk taking; competitive aggressiveness; and autonomy reveals the relevance of the concept in understanding the outcomes of the RACOs in meeting resident valued needs with the addition of a further dimension of ‘governance’. Within the demonstrated culture, 92% of residents agreed ‘staff members are caring and helpful’, with 98% of residents expressing a positive endorsement to the consolidated question ‘do you personally feel this is your home?’ comprising responses to the sub elements of: overall satisfaction, comfort, welcome, privacy and dignity, personal belongings, culture/spiritual, independence. Overall the research instruments applied in this thesis do provide feedback on education and training needs to enhance entrepreneurial decision making; provide information on conditions, characteristics and motivations to manage internal culture; and guide the development of an entrepreneurial culture to deliver sustainable resident valued services. | en |
| dc.description.dissertation | Thesis (Ph.D.) -- University of Adelaide, Entrepreneurship, Commercialisation and Innovation Centre (ECIC), 2013 | en |
| dc.identifier.uri | http://hdl.handle.net/2440/81394 | |
| dc.provenance | Copyright material removed from digital thesis. See print copy in University of Adelaide Library for full text. | en |
| dc.subject | governance; aged care; stewardship; entrepreneurship; innovation | en |
| dc.title | Governance and stewardship in the aged care industry : evaluating a model for corporate social entrepreneurship : the relationship of board culture to entrepreneurial behaviour. | en |
| dc.type | Thesis | en |
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