Center for Health Quality, Outcomes, and Economic Research, Bedford VA Medical Center, 200 Springs Road, Bedford, MA 01730, USA; Department of Health Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA.
Geriatr Nurs. 2013 Sep-Oct;34(5):388-94. doi: 10.1016/j.gerinurse.2013.05.008. Epub 2013 Jul 11.
This article describes the development and particulars of a new, comprehensive model of nursing home culture change, the Nursing Home Integrated Model for Producing and Assessing Cultural Transformation (Nursing Home IMPACT). This model is structured into four categories, "meta constructs," "care practices," "workplace practices," and "environment of care," with multiple domains under each. It includes detailed, triangulated assessment methods capturing various stakeholder perspectives for each of the model's domains. It is hoped that this model will serve two functions: first, to help practitioners guide improvements in resident care by identifying particular areas in which culture change is having positive effects, as well as areas that could benefit from modification; and second, to emphasize the importance in culture change of the innumerable perspectives of residents, family members, staff, management, and leadership.
本文描述了一种新的、全面的养老院文化变革模型的发展和特点，即养老院综合模型，用于产生和评估文化变革（Nursing Home IMPACT）。该模型分为四个类别，“元结构”、“护理实践”、“工作场所实践”和“护理环境”，每个类别下都有多个领域。它包括详细的、三角测量的评估方法，涵盖了模型各个领域的各种利益相关者的观点。希望这个模型能够起到两个作用：首先，通过确定文化变革对居民护理产生积极影响的特定领域以及可以从修改中受益的领域，帮助从业者指导改善居民护理；其次，强调在文化变革中，居民、家属、员工、管理层和领导层的无数观点的重要性。
