title: Culture-change training: nursing facility staff perceptions of culture change.
abstract: Identifying effective alternative strategies for training staff and implementing culture change can be useful to nursing facilities striving to provide optimal resident-centered care. This study assessed the perceptions of nearly 400 nursing facility staff experiencing organizational culture change. Formal and informal training methods were used. We used a pre- and post-test to evaluate leadership practices and 6 subscales related to culture change (systemwide culture change, resident choice, organization design, empowering supervision, job design, decision making, and permanent assignments). Staff of formally trained facilities perceived improvements in all subscales; 2 were statistically significant (resident choice and organization design). Respondents for informally trained facilities identified improvement in decision making, although this was not statistically significant. Formalized culture-change training produced better outcomes than did the informal strategy. Culture change is a complex process and may continue to evolve over time. A 3-year evaluation period may be insufficient to demonstrate the full extent of these changes.
authors.affiliation: Northern Illinois University School of Nursing and Health Studies, DeKalb, IL, USA.
authors.forename: Donna J
authors.initials: DJ
authors.lastname: Munroe
authors.forename: Poonam L
authors.initials: PL
authors.lastname: Kaza
authors.forename: David
authors.initials: D
authors.lastname: Howard
mesh_terms: D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D006801:Humans; D007318:Inservice Training; D007857:Leadership; D009723:Nurse-Patient Relations; D009735:Nursing Homes / Q000458:organization & administration*; D009740:Nursing Staff / Q000523:psychology*; D015279:Organizational Culture; D009936:Organizational Innovation; D011787:Quality of Health Care / Q000458:organization & administration*; D011795:Surveys and Questionnaires