Tangling with the barriers to culture change: creating a resident-centered nursing home environment.
Prior to beginning culture change, nursing homes should analyze potential barriers, such as staff turnover, and develop plans to deal with these barriers. Infusion of culture change is dependent on inversion of the organizational structure, placing decision-making in the hands of the older adults. Although data from this study indicated decreased depression in older adults and increased family satisfaction with culture change, there were many confounding variables. Evaluation of culture change can be enhanced by using repeated measures and qualitative techniques.
Robinson
Sherry B
SB
General Internal Medicine, Southern Illinois University School of Medicine, Springfield 62794-9636, USA.
Rosher
Richard B
RB
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D005190:Family / Q000523:psychology; D006272:Health Facility Environment / Q000458:organization & administration*; D006801:Humans; D015146:Midwestern United States; D015403:Nursing Evaluation Research; D009735:Nursing Homes / Q000458:organization & administration*; D015404:Nursing Methodology Research; D015279:Organizational Culture; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*; D010687:Philosophy, Nursing; D015397:Program Evaluation; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration