title: Relationship between staff-reported culture change and occupancy rate and organizational commitment among nursing homes in South Korea.
abstract: OBJECTIVE
  This study aims to examine culture change in nursing homes in South Korea and to identify the outcomes of culture change implementation.
  
  
  METHODS
  Data were taken from survey responses from 223 top- or mid-level staff among nursing homes in South Korea that were selected through a proportionate random-stratified sampling method from four regions nationwide. Culture change in nursing homes was operationalized by five person-directed care (PDC) constructs and three organizational environment constructs, and outcome quality was indicated by changes to occupancy rate and organizational commitment.
  
  
  RESULTS
  After controlling for facility characteristics, the effect of staff-reported culture change on occupancy rate and organizational commitment was analyzed through the multiple-regression method. Consistent with previous research, this study revealed positive effects of culture change for nursing homes in South Korea. The study found that staff-reported culture change correlated with occupancy rate and organizational commitment.
  
  
  CONCLUSIONS
  Given that culture change variables were significantly related to occupancy rate and organizational commitment, the findings of the study provide a persuasive argument that policies and/or programs to support culture change in nursing homes should be enhanced. Management-level workers in these facilities should have the skills and knowledge to foster more PDC and a more person-directed environment.
authors.affiliation: Department of Social Welfare, Yonsei University, 134 Shinchon-dong, Seodaemun-gu, Seoul, Korea.
authors.forename: Minhong
authors.initials: M
authors.lastname: Lee
authors.forename: Jae-Sung
authors.initials: JS
authors.lastname: Choi
authors.forename: Jinseop
authors.initials: J
authors.lastname: Lim
authors.forename: Young Sun
authors.initials: YS
authors.lastname: Kim
mesh_terms: D000328:Adult; D001509:Bed Occupancy / Q000706:statistics & numerical data*; D003468:Cultural Evolution; D004059:Diffusion of Innovation; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000458:organization & administration*; D009740:Nursing Staff / Q000523:psychology*; D015279:Organizational Culture; D011787:Quality of Health Care; D012044:Regression Analysis; D056910:Republic of Korea; D057566:Self Report; D011795:Surveys and Questionnaires