title: Nursing home culture: a critical component in sustained improvement.
abstract: In the third in a series of articles exploring working conditions and quality improvement in nursing homes, 31 nursing homes were surveyed using an adaptation of the Competing Values Framework (CVF) Organizational Assessment. The CVF provides information about the organizational culture through describing dominant perceived values, distribution of values across organizational characteristics, and orientation of values toward flexibility. Staff reported a dominant group culture, reflecting a family and team orientation within their settings. Leaders, however, were more often reported to reflect a hierarchy value orientation, emphasizing efficiency of operations and following rules and procedures.
authors.affiliation: Sinclair School of Nursing, University of Missouri--Columbia, 65211, USA. scottji@missouri.edu
authors.forename: Jill
authors.initials: J
authors.lastname: Scott-Cawiezell
authors.forename: Katherine
authors.initials: K
authors.lastname: Jones
authors.forename: Laurie
authors.initials: L
authors.lastname: Moore
authors.forename: Carol
authors.initials: C
authors.lastname: Vojir
mesh_terms: D001291:Attitude of Health Personnel; D003120:Colorado; D017598:Efficiency, Organizational; D005260:Female; D006126:Group Processes; D006272:Health Facility Environment / Q000458:organization & administration; D006276:Health Facility Size / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007857:Leadership; D008297:Male; D017146:Models, Organizational; D008960:Models, Psychological; D009735:Nursing Homes / Q000458:organization & administration*; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology; D009745:Nursing, Supervisory / Q000458:organization & administration; D015279:Organizational Culture; D009937:Organizational Objectives; D010067:Ownership / Q000706:statistics & numerical data; D036301:Qualitative Research; D012945:Social Values; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration*; D017132:Workplace / Q000458:organization & administration / Q000523:psychology