A "recipe" for culture change? Findings from the THRIVE survey of culture change adopters.
OBJECTIVE
Descriptions of culture change adoption are often complex and varied, creating a challenge for those seeking guidance about which of the many components of culture change to adopt and in what order and combination.


METHODS
To begin to address this question, members of The Research Initiative Valuing Eldercare (THRIVE) developed and distributed an online survey to 327 known culture change adopters. Of these, 164 (50%) completed the survey. Data were analyzed to identify adopted components, co-occurrence of adopted components, and differences in these across various types of nursing home models (i.e., traditional unit, household, and small house).


RESULTS
Our findings support unique co-occurrence of components across nursing home models. Results also show that homes with more traditional environments have been able to implement certain culture change components without large capital investments required by renovations.


CONCLUSIONS
The adoption patterns suggest that the co-occurrence of components should be considered when pursuing organizational transformations to support culture change.
*Address correspondence to Amy Elliot, Pioneer Network, 35 E. Wacker Drive, Suite 850, Chicago, IL 60601-2106. E-mail: amy.elliot@pioneernetwork.net.
Amy
A
Elliot
Lauren W
LW
Cohen
David
D
Reed
Kimberly
K
Nolet
Sheryl
S
Zimmerman
D000368:Aged; D000369:Aged, 80 and over; D003468:Cultural Evolution; D004059:Diffusion of Innovation; D019538:Health Care Surveys; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D009735:Nursing Homes / Q000458:organization & administration*; D015279:Organizational Culture; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D018802:Patient-Centered Care
Autonomy and self-efficacy; Consumer-directed care; Institutional care/residential care; Long-term care; Nursing homes; Organizational and institutional issues; Person-centered care