title: Ethical perspectives of sustaining residents' autonomy: a cultural transformation best practice.
abstract: Baby boomers are demanding changes in care delivery models that reflect patient autonomy, individuality, and dignity. To meet this challenge, the Veterans Administration has adopted a cultural transformation model of patient-centered care. Veterans Administration nursing homes are now community living centers; the staff's mission is to deliver patient-centered care in a homelike environment. How the challenge was met and how the ethics committee helps to sustain the changes, are discussed in this article.
authors.affiliation: Haley's Cove Community Living Center, James A Haley Veterans Hospital, Tampa, Florida 33612, USA. berthenya.dunbar@va.gov
authors.forename: Berthenya
authors.initials: B
authors.lastname: Dunbar
authors.forename: Paul
authors.initials: P
authors.lastname: Sink
authors.forename: Devon
authors.initials: D
authors.lastname: Alsobrook
authors.forename: Bonita
authors.initials: B
authors.lastname: Bailey
authors.forename: Terry
authors.initials: T
authors.lastname: Lonczak
authors.forename: Rhonda
authors.initials: R
authors.lastname: Starnes
mesh_terms: D019985:Benchmarking; D017598:Efficiency, Organizational; D017041:Ethics Committees; D004993:Ethics, Nursing; D006801:Humans; D009735:Nursing Homes / Q000941:ethics; D015279:Organizational Culture; D018802:Patient-Centered Care / Q000941:ethics*; D026684:Personal Autonomy; D028723:Personhood; D011788:Quality of Life / Q000523:psychology*; D012944:Social Support; D014481:United States; D014493:United States Department of Veterans Affairs