Change in the culture of long-term care and the care of our elders is urgently needed! This insightful book
lights the way.
This book will inform you about the theoretical and practical applications of culture change within the institutional
long-term care setting. It examines existing models of "positive cultures," emphasizing philosophy, underpinning,
and implementation. You'll gain a greater understanding of theoretical frameworks for organizational change, of
the changes that can occur in all members of the long-term care community, and of culture change in the context
of broad organizational experience and cultural competence.
From the editors: "This text provides a timely and comprehensive approach to understanding culture change from
the perspective of management and business as well as policy and regulatory guidelines and the framework for aging
services. It will provide the reader with an understanding of the current state of the art in conceptualizing long-term
care environments that are resident-centered and resident-directed, that respect the individuality of the staff,
and that are high-performance entities. The theory and practice of culture change are presented with an eye toward
a future where aging people and their families will be both consumers and providers of long-term care."
The first section of Culture Change in Long-Term Care explores the cultural values existing in today's long-term
care environment that make us desirous of culture change.
The second section examines existing models and networks of culture change in long-term care, including the
Eden Alternative, Wellspring, and Pioneer Network
Section three brings you to the frontline with case studies from urban, suburban, and rural facilities, facilities
with and without unionized staff, facilities from various geographic regions of the United States, and facilities
whose experience ranges from years to a decade. Processes, challenges, and qualitative/quantitative findings are
included.
Section four provides international perspectives, with practical advice from Australia, Sweden, and British
Columbia.
The final section of Culture Change in Long-Term Care explores the underlying question: "Is change realistic?"
This section explores the role of state government, public policy, and the regulatory environment in accomplishing
culture change.
With Culture Change in Long-Term Care you'll get a theoretical perspective on culture and culture change, as
well as quality-of-life models and case studies that will help you learn if--and how--such a process is achievable
in your institution. Make it a part of your professional collection today!
Table of Contents
Foreword
SECTION 1. INTRODUCTION TO CULTURE AND VALUES IN LONG-TERM CARE
Unloving Care Revisited: The Persistence of Culture
Managing Organizational Culture Change: The Case of Long-Term Care
Culture Change in Long-Term Care Facilities: Changing the Facility or Changing the System?
The Historical Context of "Humanistic" Culture Change in Long-Term Care
Leading Culture Change in Long-Term Care: A Map for the Road Ahead
Achieving Organizational Change Within the Context of Cultural Competence
The Changing Consumer: The Social Context of Culture Change in Long-Term Care
Family Caregivers, Health Care Professionals, and Policy Makers: The Diverse Culture of Long-Term Care
Pioneer Network: Changing the Culture of Aging in America
SECTION 2. MODELS OF CULTURE CHANGE IN LONG-TERM CARE
Evolution of Eden
Culture Change in Long Term Care: The Wellspring Model
Models for Individuals with Alzheimer Disease: Beyond the Special Care Framework
Peer Mentoring of Nursing Home CNAs: A Way to Create a Culture of Caring
The Live Oak Regenerative Community: Championing a Culture of Hope and Meaning
SECTION 3. CASE STUDIES: IMPLEMENTING CHANGE
Teresian House--Using the Environment to Support Cultural Change
Center for Nursing and Rehabilitation--Culture Change in an Urban Environment
The Providence Mount St. Vincent Experience
Organizational Culture and Bathing Practice: Ending the Battle in One Facility
The Power of Circles: Using a Familiar Technique to Promote Culture Change
SECTION 4. CASE STUDIES: CULTURE CHANGE BRIEFS
Introduction to Case Studies: Culture Change Briefs
Apple Health Care: Culture Change in a Privately Owned Nursing Home Chain
Case Study Brief: The Lyngblomsten Care Center, St. Paul, MN
SECTION 5. AN INTERNATIONAL PERSPECTIVE
Using Strengths-Based Practice to Support Culture Change: An Australian Experience
Implementing the Eden Alternative® in Australia
Beyond the Medical Model--The Eden Alternative® in Practice: A Swiss Experience
Changes in Long-Term Care for Elderly People with Dementia: A Report from the Front Lines in British Columbia,
Canada
SECTION 6. IS CHANGE REALISTIC?
Quality Oversight and Culture Change in Long-Term Care
Policy Values and Culture Change in Long-Term Care--The Role of State Government in Catalyzing Change
Selecting a Model or Choosing Your Own Culture
Successfully Surviving Culture Change
