title: Overcoming resistance to culture change: nursing home administrators' use of education, training, and communication.
abstract: Nursing home culture change is becoming more prevalent, and research has demonstrated its benefits for nursing home residents and staff-but little is known about the role of nursing home administrators in culture change implementation. The purpose of this study was to determine what barriers nursing home administrators face in implementing culture change practices, and to identify the strategies used to overcome them. The authors conducted in-depth individual interviews with 64 administrators identified through a nationally representative survey. Results showed that a key barrier to culture change implementation reported by administrators was staff, resident, and family member resistance to change. Most nursing home administrators stressed the importance of using communication, education and training to overcome this resistance. Themes emerging around the concepts of communication and education indicate that these efforts should be ongoing, communication should be reciprocal, and that all stakeholders should be included.
authors.affiliation: a Center for Gerontology & Health Care Research, Brown University , Providence , Rhode Island , USA.
authors.forename: Denise A
authors.initials: DA
authors.lastname: Tyler
authors.forename: Michael
authors.initials: M
authors.lastname: Lepore
authors.forename: Renee R
authors.initials: RR
authors.lastname: Shield
authors.forename: Jessica
authors.initials: J
authors.lastname: Looze
authors.forename: Susan C
authors.initials: SC
authors.lastname: Miller
mesh_terms: D000288:Administrative Personnel; D003142:Communication; D005260:Female; D005853:Geriatrics / Q000193:education*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009735:Nursing Homes; D015279:Organizational Culture; D009936:Organizational Innovation; D014481:United States
keywords: culture change; nursing homes; resident-centered care