Transforming Nurse Home Culture

Evidence for Practice and Policy

Published in: The Gerontologist, v. 54, suppl. 1, Feb. 2014, p. S1-S5

Posted on RAND.org on February 01, 2014

by Sheryl Zimmerman, Victoria Shier, Debra Saliba

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This article was published outside of RAND. The full text of the article can be found at the link above.

The nursing home culture change movement aims to improve resident quality of life and quality of care by emphasizing the deinstitutionalization of nursing home culture and focusing on person-centered care. This article briefly reviews the history of culture change, discusses some of the challenges related to culture change in nursing homes, and overviews the conceptualization and select models of culture change. Building from this background, it critiques current understanding, identifies critical research questions, and notes key issues arising during a workshop that addressed existing and emerging evidence in the field. This review and analysis provide a context for how 9 accompanying papers in this supplemental issue of The Gerontologist fill identified evidence gaps and provide evidence for future practice and policies that aim to transform nursing home culture.

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