Robinson Sherry B, Rosher Richard B
General Internal Medicine, Southern Illinois University School of Medicine, Springfield 62794-9636, USA.
J Gerontol Nurs. 2006 Oct;32(10):19-25; quiz 26-7. doi: 10.3928/00989134-20061001-04.
Prior to beginning culture change, nursing homes should analyze potential barriers, such as staff turnover, and develop plans to deal with these barriers. Infusion of culture change is dependent on inversion of the organizational structure, placing decision-making in the hands of the older adults. Although data from this study indicated decreased depression in older adults and increased family satisfaction with culture change, there were many confounding variables. Evaluation of culture change can be enhanced by using repeated measures and qualitative techniques.
在开始文化变革之前，养老院应分析潜在障碍，如员工流动率，并制定应对这些障碍的计划。文化变革的注入取决于组织结构的倒置，将决策权交到老年人手中。尽管这项研究的数据表明老年人的抑郁情绪有所减轻，家庭对文化变革的满意度有所提高，但仍存在许多混杂变量。通过采用重复测量和定性技术，可以加强对文化变革的评估。
