Overcoming Resistance to Culture Change: Nursing Home Administrators’ Use of Education, Training, and Communication

Gerontology and Geriatrics Education

Volumn 35, Issue 4, 2014, Pages 321-336

  Tyler, Denise A ^a   Lepore, Michael ^b   Shield, Renee R ^a   Looze, Jessica ^a   Miller, Susan C ^a  

^a BROWN UNIVERSITY   (United States)

^b Planetree   (United States)

Author keywords

culture change; nursing homes; resident centered care

Indexed keywords

ADMINISTRATIVE PERSONNEL; EDUCATION; FEMALE; GERIATRICS; HUMAN; INTERPERSONAL COMMUNICATION; INTERVIEW; MALE; NURSING HOME; ORGANIZATION; UNITED STATES;

ADMINISTRATIVE PERSONNEL; COMMUNICATION; FEMALE; GERIATRICS; HUMANS; INTERVIEWS AS TOPIC; MALE; NURSING HOMES; ORGANIZATIONAL CULTURE; ORGANIZATIONAL INNOVATION; UNITED STATES;

EID: 84916230172     PISSN: 02701960     EISSN: 15453847     Source Type: Journal    
DOI: 10.1080/02701960.2013.837049     Document Type: Article

References (31)

1. Angelelli, J. (2006). Promising models for transforming long-term care. The Gerontologist, 46, 428–430.
2. Bernard, H. R. (2011). Research methods in anthropology: Qualitative and quantitative approaches (5th ed.). Lanham, MD: Altamira Press.
3. Bowers, B., & Nolet, K. (2011). Empowering direct care workers: Lessons learned from the Green House Model. Seniors Housing & Care Journal, 19, 109–120.
4. Bradley, E. H., Curry, L. A., & Devers, K. J. (2007). Qualitative data analysis for health services research: Taxonomy, themes, and theory. Health Services Research, 42, 1758–1772.
5. Bradley, E. H., Webster, T. R., Baker, D., Schlesinger, M., Inouye, S. K., Barth, M. C., … Koren, M. J. (2004). Translating research into practice: Speeding the adoption of innovative health care programs (Issue brief no. 724, pp. 1–12). New York, NY: Commonwealth Fund.
6. Brannon, S. D., Kemper, P., Heier-Leitzell, B., & Stott, A. (2010). Reinventing management practices in long-term care: How cultural evolution can affect workforce recruitment and retention. Generations, 34, 68–74.
7. Crabtree, B. F., & Miller, W. L. (1999). Doing qualitative research (2nd ed.). Thousand oaks, CA: Sage.
8. Crandall, L. G., White, D. L., Schuldheis, S., & Talerico, K. A. (2007). Initiating person-centered care practices in long-term care facilities. Journal of Gerontological Nursing, 33, 47–56.
9. Curry, L., Shield, R., & Wetle, T. (2006). Improving aging and public health research: Qualitative and mixed methods. Washington, DC: Gerontological Society of America/American Public Health Association.
10. Doty, M. M., Koren, M. J., & Sturla, E. L. (2008). Culture change in nursing homes: How far have we come? Retrieved from http://www.commonwealthfund.org/usr_doc/Doty_culturechangenursinghomes_1131.pdf
11. Hill, N. L., Kolanowski, A. M., Milone-Nuzzo, P., & Yevchak, A. (2011). Culture change models and resident health outcomes in long-term care. Journal of Nursing Scholarship, 43, 30–40.
12. King, S. P., O’Brien, C. J., Edelman, P., & Fazio, S. (2011). Evaluation of the person-centered care essentials program: Importance of trainers in achieving targeted outcomes. Gerontology & Geriatrics Education, 32, 379–395.
13. Klein, K. J. & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21, 1055–1080.
14. Koren, M. J. (2010). Person-centered care for nursing home residents: The culture–change movement. Health Affairs, 29, 312–317.
15. Länsisalmi, H., Kivimäki, M., Aalto, P., & Ruoranen, R. (2006). Innovation in healthcare: A systematic review of recent research. Nursing Science Quarterly, 19, 66–72.
16. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Newbury Park, CA: Sage.
17. Miller, S. C., Looze, J., Shield, R. R., Clark, M. A., Lepore, M., Tyler, D. A., … Mor, V. (2013, March 20). Culture change practices in U.S. nursing homes: Prevalence and variation by state Medicaid reimbursement policies. The Gerontologist, epub ahead of print. doi: 10.1093/geront/gnt020
18. Miller, S. C., Miller, E. A., Jung, H., Sterns, S., Clark, M., & Mor, V. (2010). Nursing home organizational change: The “culture change” movement as viewed by long-term care specialists. Medical Care Research and Review, 67, 65S–81S.
19. Morgan, J. C., Haviland, S. B., Woodside, M. A., & Konrad, T. R. (2007). Fostering supportive learning environments in long-term care: The case of WIN A STEP UP. Gerontology & Geriatrics Education, 28, 55–75.
20. Morse, J. M., & Field, P. A. (1995). Qualitative research methods for health professionals. Thousand Oaks, CA: Sage.
21. Munroe, D. J., Kaza, P. L., & Howard, D. (2011). Culture-change training: Nursing facility staff perceptions of culture change. Geriatric Nursing, 32, 400–407.
22. Persson, T., & Wästerfors, D. (2009). Such trivial matters: How staff account for restrictions of residents’ influence in nursing homes. Journal of Aging Studies, 23, 1–11.
23. Rabig, J., Thomas, W., Kane, R. A., Cutler, L. J., & McAlilly, S. (2006). Radical redesign of nursing homes: Applying the Green House concept in Tupelo, Mississippi. The Gerontologist, 46, 533–539.
24. Rahman, A. N., & Schnelle, J. F. (2008). The nursing home culture-change movement: Recent past, present and future directions for research. The Gerontologist, 48, 142–148.
25. Rogers, E. M. (1995). Diffusion of innovations. New York, NY: Free Press.
26. Rosemond, C. A., Hanson, L. C., Ennett, S. T., Schenck, A. P., & Weiner, B. J. (2012). Implementing person-centered care in nursing homes. Health Care Management Review, 37, 257–266.
27. Schein, E. H. (2004). Organizational culture and leadership (3rd ed.). San Francisco, CA: Jossey-Bass.
28. Shield, R. R., Miller, S. C., Looze, J., Tyler, D. A., & Lepore, M. (2013, July 19). Why and how do nursing homes implement culture change practices? Insights from qualitative interviews in a mixed methods study. Journal of Applied Gerontology, epub ahead of print. doi: 10.1177/0733464813491141
29. Smith, J. E., Carson, K. P., & Alexander, R. A. (1984). Leadership: It can make a difference. Academy of Management Journal, 27, 765–776.
30. Smith, J., & Firth, J. (2011). Qualitative data analysis: The framework approach. Nurse Researcher, 18, 52–62.
31. Strauss, A., & Corbin, C. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage.