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Articles on Culture Change
Articles on Culture Change
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(Articles are listed in chronologically descending order)
2004
Schnelle
JF, Bates-Jensen BM, Chu L, Simmons SF.
Accuracy of nursing home medical record information about care-process
delivery: implications for staff management and improvement.
J Am Geriatr Soc. 2004 Aug;52(8):1378-83.
Arguments
have been made that the culture of nursing homes (NHs) must change to
improve the quality of care, and two initiatives have been designed
to accomplish this goal. One initiative is to provide resident outcome
information (quality indicators) to NH management and consumers via
public reporting systems. A separate staffing initiative argues that
NH care will not improve until there are resources available to increase
the number of direct care staff and improve staff training. This initiative
also assumes that systems are in place to manage staff resources. Medical
record documentation about daily care-process implementation may be
so erroneous that even the best-intentioned efforts to improve the care
received by residents will not be successful. A culture of inaccurate
documentation is largely created by a discrepancy between care expectations
placed on NHs by regulatory guidelines and inadequate reimbursement
to fulfill these expectations. This article reviews methods to improve
the accuracy of NH medical record documentation and to create data systems
useful for staff training and management.
Scott-Cawiezell J, Schenkman M, Moore L, Vojir C, Connoly RP, Pratt M,
Palmer L.
Exploring nursing home staff's perceptions of communication and leadership
to facilitate quality improvement.
J Nurs Care Qual. 2004 Jul-Sep;19(3):242-52.
Conducted
by the University of Missouri-Columbia, Sinclair School of Nursing,
researchers surveyed leadership and clinical staff to explore communication
and leadership in nursing homes. Registered nurses and other professionals
perceived communication as better than their nursing colleagues did.
Overall, results suggest all factors of communication could improve.
In terms of leadership, licensed practical nurses perceived less clarity
of expectations, encouragement of initiative, and support than other
groups. The study provides insight into what is organizationally necessary
to improve quality of care in nursing homes. For more info, scottji@missouri.edu.
Shanley C.
Extending
the role of nurses in staff development by combining an organizational
change perspective with an individual learner perspective.
J Nurses Staff Dev. 2004 Mar-Apr;20(2):83-9.
Nurses in staff development have a strong focus on developing programs
that support the needs of individual learners. They are much less focused
on ways that their programs may support ongoing practice change in the
workplace. This article outlines a number of characteristics of staff
development programs that are trying to incorporate an organizational
change perspective. It then illustrates these characteristics with a
case study of a specific staff development program.
Berman-Evans B.
Beyond the Basics: Effects of the Eden Alternative Model on Quality of
Life Issues. J Gerontological Nurs. 2004 Jun;27-34
Brenda
Bergman-Evans, PhD, APRN, BC, associate professor and chair of Advance
Practice in the Creighton University School of Nursing in Omaha, NE
conducts a quasi-experimental study to assess the impact of implementation
of the Eden Alternative model on levels of loneliness, boredom and helplessness
of older residents in a long-term care facility.
Krasnausky P.
Being who we say we are. "Culture change" helps two long-term
care centers align practice with their sponsors' values.
Health Prog. 2004 May-Jun;85(3):50-4.
Misiorski, S.
Pioneering
Culture Change: The Pioneer Network shares its approach to creating culture
change in long-term care.
Nursing Home Magazine. 2004 Feb.
Susan Misiorski, RN, BSN, an organizational culture change specialist
for the Paraprofessional Healthcare Institute, shares The Pioneer Network’s
approach to stimulating culture change in the long term care setting.
2003
Shaw J.
Breaking with tradition. Long-term care facilities have moved from sterile
and foreboding to homes away from home.
Contemp Longterm Care. 2003 Nov-Dec;26(11):28-32, 34, 36-9.
2001
Stone RI, Reinhard SC, et al.
Evaluation
of the Wellspring Model for Improving Nursing Home Quality.
The Commonwealth Fund. 2002 Aug.
A
coalition of 11 nursing homes stabilized staff turnover and eliminated
serious quality deficiencies on state inspections, all without additional
cost, according to an evaluation of the Wellspring quality improvement
method sponsored by The Commonwealth Fund.
1999
Davis K, Raetzman S.
Meeting Future Health and Long-Term Care Needs of an Aging Population.
Issue Brief (Commonw Fund). 1999 Dec;(350):1-8.
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