University of Minnesota, Minneapolis, USA.
J Appl Gerontol. 2021 Sep;40(9):1039-1050. doi: 10.1177/0733464820912365. Epub 2020 Mar 24.
Culture change in nursing homes (NHs) is a broad-based effort to transform NHs from impersonal institutions to genuine person-centered homes. Culture change practices have been implemented increasingly with varying levels of success. This study (a) generated an empirical typology of culture change implementation across Minnesota NHs using latent profile analysis based on the survey data from administrators in 102 NHs and (b) examined variations in NH characteristics and quality outcomes associated with the typology. Three types of culture change implementation were identified: high performers, average performers, and low performers. The distributions of culture change scores were distinct across the three types, with low performers lagging far behind others in family and community engagement, and end-of-life care. High performers were distinguished through demonstrating better resident quality of life and higher family satisfaction. The findings provide empirical support for policymakers, providers, and advocates to direct culture change expansion and resource allocation.
养老院的文化变革是一项旨在将养老院从非人性化的机构转变为真正以患者为中心的家庭的基础广泛的努力。文化变革实践已经在不同程度上得到了越来越多的实施，并取得了不同程度的成功。本研究（a）使用基于 102 家养老院管理人员调查数据的潜在剖面分析，生成了明尼苏达州养老院文化变革实施的经验分类法，（b）研究了与分类法相关的养老院特征和质量结果的变化。确定了三种文化变革实施类型：表现优异者、表现一般者和表现较差者。三种类型的文化变革得分分布明显不同，表现较差者在家庭和社区参与度以及临终关怀方面远远落后于其他类型。表现优异者通过提高居民的生活质量和提高家庭满意度来区分。研究结果为政策制定者、提供者和倡导者提供了实证支持，以指导文化变革的扩展和资源配置。
