title: Organizational and individual conditions associated with depressive symptoms among nursing home residents over time.
abstract: OBJECTIVE
  To examine the effect of organizational culture and climate on depressive symptoms among nursing home residents.
  
  
  METHODS
  Using a pooled cross-sectional design, this study examines a sample of 23 nursing homes, 1,114 employees, and 5,497 residents. Depressive symptoms were measured using the Minimum Data Set, Depression Rating Scale. Organizational culture and climate were measured using the Organizational Social Context Scale. Data were analyzed using hierarchical linear modeling.
  
  
  RESULTS
  Depressive symptoms were associated with 2 dimensions of organizational culture (proficiency and resistance), 3 dimensions of climate (stress, engagement, and functionality), geographic location, facility size, staffing ratios, and impairments in activities of daily living and cognition.
  
  
  CONCLUSIONS
  Findings suggest that values and beliefs that guide behavior in an organization and employees' perceived impact of the work environment of their well-being have a significant impact on resident mental health.
authors.affiliation: College of Social Work, University of Tennessee, 193 Polk Avenue, Suite E, Nashville, TN 37210, USA. kmcclur1@utk.edu
authors.forename: Kimberly M
authors.initials: KM
authors.lastname: Cassie
authors.forename: William E
authors.initials: WE
authors.lastname: Cassie
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D015577:Geriatric Assessment; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D007297:Inpatients; D007902:Length of Stay; D008134:Long-Term Care; D008297:Male; D009735:Nursing Homes / Q000458:organization & administration*; D015279:Organizational Culture; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012959:Socioeconomic Factors; D014481:United States