TY - JOUR
T1 - The Relationships of Nursing Home Culture Change Practices With Resident Quality of Life and Family Satisfaction
T2 - Toward a More Nuanced Understanding
AU - Duan, Yinfei
AU - Mueller, Christine A.
AU - Yu, Fang
AU - Talley, Kristine M.
AU - Shippee, Tetyana P.
N1 - 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.
PY - 2022/2
Y1 - 2022/2
N2 - 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.
AB - 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.
KW - family satisfaction
KW - nursing home culture change
KW - person-centered care
KW - resident quality of life
KW - staff empowerment
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U2 - 10.1177/01640275211012652
DO - 10.1177/01640275211012652
M3 - Article
C2 - 33973498
AN - SCOPUS:85105755799
SN - 0164-0275
VL - 44
SP - 174
EP - 185
JO - Research on Aging
JF - Research on Aging
IS - 2
ER -