*Address correspondence to Amy Elliot, Pioneer Network, 35 E. Wacker Drive, Suite 850, Chicago, IL 60601-2106. E-mail:
Gerontologist. 2014 Feb;54 Suppl 1:S17-24. doi: 10.1093/geront/gnt133.
Descriptions of culture change adoption are often complex and varied, creating a challenge for those seeking guidance about which of the many components of culture change to adopt and in what order and combination.
To begin to address this question, members of The Research Initiative Valuing Eldercare (THRIVE) developed and distributed an online survey to 327 known culture change adopters. Of these, 164 (50%) completed the survey. Data were analyzed to identify adopted components, co-occurrence of adopted components, and differences in these across various types of nursing home models (i.e., traditional unit, household, and small house).
Our findings support unique co-occurrence of components across nursing home models. Results also show that homes with more traditional environments have been able to implement certain culture change components without large capital investments required by renovations.
The adoption patterns suggest that the co-occurrence of components should be considered when pursuing organizational transformations to support culture change.
文化变革的描述往往是复杂多样的，这给那些寻求指导的人带来了挑战，他们不知道应该采用文化变革的哪些方面，以及采用的顺序和组合方式。
为了开始解决这个问题，关爱老人研究倡议（THRIVE）的成员开发并向 327 名已知的文化变革采用者分发了在线调查。其中，164 人（50%）完成了调查。对数据进行了分析，以确定所采用的组件、采用组件的共同出现情况，以及不同类型养老院模式（即传统单元、家庭和小屋）之间的这些差异。
我们的研究结果支持了养老院模式中独特的组件共同出现情况。结果还表明，环境更为传统的养老院无需进行大规模的装修资本投资，就能够实施某些文化变革组件。
采用模式表明，在进行组织转型以支持文化变革时，应该考虑组件的共同出现情况。
