Abstract
Transforming nursing homes (NHs) from restrictive institutions to person-centered homes, referred to as NH culture change, is complex and multifaceted. This study, based on a survey of administrators in Minnesota NHs (n = 102), tested the domain-specific relationships of culture change practices with resident quality of life (QOL) and family satisfaction, and examined the moderating effect of small-home or household models on these relationships. The findings revealed that culture change operationalized through physical environment transformation, staff empowerment, staff leadership, and end-of-life care was positively associated with at least one domain of resident QOL and family satisfaction, while staff empowerment had the most extensive effects. Implementing small-home and household models had a buffering effect on the positive relationships between staff empowerment and the outcomes. The findings provide meaningful implications for designing and implementing NH culture change practices that best benefit residents’ QOL and improve family satisfaction.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 174-185 |
| Number of pages | 12 |
| Journal | Research on Aging |
| Volume | 44 |
| Issue number | 2 |
| Early online date | May 11 2021 |
| DOIs | |
| State | Published - May 11 2021 |
Bibliographical note
Funding Information:The authors would like to thank all nursing home administrators for participating in the survey, Teresa M. Lewis from Minnesota Department of Human Services for her assistance in the data collection, Margot Schwartz and Dr. Susan C. Miller from Brown University for their instructions on the use of the culture change assessment tool. The author(s) received no financial support for the research, authorship, and/or publication of this article.
Publisher Copyright:
© The Author(s) 2021.
Keywords
- family satisfaction
- nursing home culture change
- person-centered care
- resident quality of life
- staff empowerment