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hi what I want to talk about today is culture and culture change I'm Jeffery Braithwaite professor of health systems research at Macquarie University so I do research in ale system and when I and my team move into the health system and do research in community health settings or public health units or hospitals or aged care facilities we often hear people talking about culture got to change the culture gotta have a good culture by which to deliver care to patients and often wonder what people mean by that and what they think they mean by that we know that we know what's behind this what people would like to do is create and work in effective productive supportive dynamic cultures that deliver good care to patients but what is that that's a definition but what does that actually mean think about it this way imagine an iceberg and above the iceberg are the behaviors and the practices of the people in the organization below the waterline are the mental construct stuff the kinda stuff you...