title: A conceptual model for culture change evaluation in nursing homes.
abstract: This article describes the development and particulars of a new, comprehensive model of nursing home culture change, the Nursing Home Integrated Model for Producing and Assessing Cultural Transformation (Nursing Home IMPACT). This model is structured into four categories, "meta constructs," "care practices," "workplace practices," and "environment of care," with multiple domains under each. It includes detailed, triangulated assessment methods capturing various stakeholder perspectives for each of the model's domains. It is hoped that this model will serve two functions: first, to help practitioners guide improvements in resident care by identifying particular areas in which culture change is having positive effects, as well as areas that could benefit from modification; and second, to emphasize the importance in culture change of the innumerable perspectives of residents, family members, staff, management, and leadership.
authors.affiliation: Center for Health Quality, Outcomes, and Economic Research, Bedford VA Medical Center, 200 Springs Road, Bedford, MA 01730, USA; Department of Health Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA. Electronic address: christine.hartmann@va.gov.
authors.forename: Christine W
authors.initials: CW
authors.lastname: Hartmann
authors.forename: A Lynn
authors.initials: AL
authors.lastname: Snow
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Allen
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Parmelee
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Palmer
authors.forename: Dan
authors.initials: D
authors.lastname: Berlowitz
mesh_terms: D006801:Humans; D007297:Inpatients / Q000523:psychology; D017146:Models, Organizational; D009735:Nursing Homes / Q000458:organization & administration*; D015279:Organizational Culture; D009936:Organizational Innovation; D010561:Personnel Staffing and Scheduling; D011788:Quality of Life; D017751:Safety Management; D017132:Workplace
keywords: Culture change; Individualized care; Nursing homes; Quality of care