Culture Change Resources
Preparing For Culture Change
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Almost Home
The documentary Almost Home takes you inside the revolutionary transformation of a nursing home. This companion Web provides additional contextual information about culture change in nursing homes. Information about the documentary and culture change can be found at: http://almosthomedoc.org/
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Culture Change in Nursing Homes
This 2006 publication by the National Citizens for Nursing Home Reform. (NCCNHR) provides a broad overview of culture change principles and may be useful for spurring conversation on the topic with individuals in your organization.
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Person-Directed Care Toolkit
The Texas Medical Foundation (TMF) developed this toolkit that includes educational materials, change ideas and much more to facilitate your culture change journey.
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A Tale of Transformation: Four Stages Tell the Story
This DVD focuses on the work of Leslie A. Grant, PhD of University of Minnesota and LaVrene Norton, MSW of Action Pact, Inc. The DVD includes stories of culture that may serve as a helpful guide whether you are at the earliest stage (institutional) or have already transformed your facility and energized your staff in the transformational and neighborhood stages, or completely renovated into the Household Model.
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Getting Started
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CMS Culture Change Video-On-Demand Webcasts
The Centers for Medicare and Medicaid Services developed a four part series: From Institutional to Individualized Care. This training was mandatory for managers of state surveyors. Information about registration, viewing and handouts are available at: http://cms.internetstreaming.com
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Bathing without a Battle
This training video teaches person-centered methods for making the bathing experience more enjoyable for both caregivers and the people they are bathing. The package includes an interactive educational CD plus an instructional lecture-demonstration, available in VHS or DVD format. This training offers 3 hours CEU’s for nurses and 2 hours of CEU’s for nursing assistants and administrators. Ordering information can be found at: http://www.bathingwithoutabattle.unc.edu/ordering.htm
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Consistent Assignment
Consistent assignment, primary or permanent assignment typically refers to the practice of having the same staff consistently caring for the same residents. This may facilitate the development of caring relationships between staff and residents.
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Creating a Home
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Evaluating Progress
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The Culture Staging Tool
This is a web-based questionnaire by MyInnerView that can assess your nursing home in 12 domains commonly found in culture change homes. This tool could be used to evaluate the status of culture change in your organization and to generate a report indicating areas of progress and areas of growth. To access the tool, go to the site, click “log in,” enter username “guest” and password “guest”.
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The Artifacts of Culture Change
This free assessment collects information about the major concrete changes your organization has made to care and workplace practices, policies and schedules, resident autonomy and environment. It can help you to evaluate how far your organization has come and point to areas for future work.
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Organizations involved in Culture Change
During your culture change journey, you may find it helpful to link with one or many of the other organizations involved in culture change:
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