*Address correspondence to Sheryl Zimmerman, Cecil G. Sheps Center for Health Services Research and the School of Social Work, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr. Boulevard, Campus Box 7590, Chapel Hill, NC 27599-7590. E-mail:
Gerontologist. 2014 Feb;54 Suppl 1:S1-5. doi: 10.1093/geront/gnt161.
The nursing home culture change movement aims to improve resident quality of life and quality of care by emphasizing the deinstitutionalization of nursing home culture and focusing on person-centered care. This article briefly reviews the history of culture change, discusses some of the challenges related to culture change in nursing homes, and overviews the conceptualization and select models of culture change. Building from this background, it critiques current understanding, identifies critical research questions, and notes key issues arising during a workshop that addressed existing and emerging evidence in the field. This review and analysis provide a context for how 9 accompanying papers in this supplemental issue of The Gerontologist fill identified evidence gaps and provide evidence for future practice and policies that aim to transform nursing home culture.
养老院文化变革运动旨在通过强调养老院文化的非机构化和关注以患者为中心的护理来提高居民的生活质量和护理质量。本文简要回顾了文化变革的历史，讨论了养老院文化变革相关的一些挑战，并概述了文化变革的概念化和选择模式。在此背景下，本文评价了当前的认识，确定了关键的研究问题，并指出了在一个研讨会上提出的关键问题，该研讨会讨论了该领域现有的和新出现的证据。本综述和分析为本期《老年学杂志》增刊中的 9 篇论文如何填补已确定的证据空白以及为旨在改变养老院文化的未来实践和政策提供证据提供了背景。
