Journal Article

A “Recipe” for Culture Change? Findings From the THRIVE Survey of Culture Change Adopters

Amy Elliot, Lauren W. Cohen, David Reed, Kimberly Nolet and Sheryl Zimmerman

in The Gerontologist

Published on behalf of The Gerontological Society of America

Volume 54, issue Suppl_1, pages S17-S24
Published in print February 2014 | ISSN: 0016-9013
Published online January 2014 | e-ISSN: 1758-5341 | DOI: http://dx.doi.org/10.1093/geront/gnt133
A “Recipe” for Culture Change? Findings From the THRIVE Survey of Culture Change Adopters

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Purpose of the Study: 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. Design and 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. Implications: The adoption patterns suggest that the co-occurrence of components should be considered when pursuing organizational transformations to support culture change.

Keywords: Nursing homes; Consumer-directed care; Person-centered care; Institutional care/residential care; Long-term care; Autonomy and self-efficacy; Organizational and institutional issues

Journal Article.  3388 words. 

Subjects: Gerontology and Ageing ; Psychology ; Geriatric Medicine ; Biological Sciences

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