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The Relationships of Nursing Home Culture Change Practices With Resident Quality of Life and Family Satisfaction: Toward a More Nuanced Understanding
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 wit...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9126004/ https://www.ncbi.nlm.nih.gov/pubmed/33973498 http://dx.doi.org/10.1177/01640275211012652 |
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author | Duan, Yinfei Mueller, Christine A. Yu, Fang Talley, Kristine M. Shippee, Tetyana P. |
author_facet | Duan, Yinfei Mueller, Christine A. Yu, Fang Talley, Kristine M. Shippee, Tetyana P. |
author_sort | Duan, Yinfei |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9126004 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-91260042022-05-24 The Relationships of Nursing Home Culture Change Practices With Resident Quality of Life and Family Satisfaction: Toward a More Nuanced Understanding Duan, Yinfei Mueller, Christine A. Yu, Fang Talley, Kristine M. Shippee, Tetyana P. Res Aging Articles 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. SAGE Publications 2021-05-11 2022-02 /pmc/articles/PMC9126004/ /pubmed/33973498 http://dx.doi.org/10.1177/01640275211012652 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Articles Duan, Yinfei Mueller, Christine A. Yu, Fang Talley, Kristine M. Shippee, Tetyana P. The Relationships of Nursing Home Culture Change Practices With Resident Quality of Life and Family Satisfaction: Toward a More Nuanced Understanding |
title | The Relationships of Nursing Home Culture Change Practices With
Resident Quality of Life and Family Satisfaction: Toward a More Nuanced
Understanding |
title_full | The Relationships of Nursing Home Culture Change Practices With
Resident Quality of Life and Family Satisfaction: Toward a More Nuanced
Understanding |
title_fullStr | The Relationships of Nursing Home Culture Change Practices With
Resident Quality of Life and Family Satisfaction: Toward a More Nuanced
Understanding |
title_full_unstemmed | The Relationships of Nursing Home Culture Change Practices With
Resident Quality of Life and Family Satisfaction: Toward a More Nuanced
Understanding |
title_short | The Relationships of Nursing Home Culture Change Practices With
Resident Quality of Life and Family Satisfaction: Toward a More Nuanced
Understanding |
title_sort | relationships of nursing home culture change practices with
resident quality of life and family satisfaction: toward a more nuanced
understanding |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9126004/ https://www.ncbi.nlm.nih.gov/pubmed/33973498 http://dx.doi.org/10.1177/01640275211012652 |
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