Bookmark and Share

Resources

Preparing For Culture Change

  • 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/
  • 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.
  • 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.
  • 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.

back to top

Getting Started

  • 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
  • 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.

    • A tip sheet for consistent assignment produced by MedQIC can be accessed here.
    • An informational brochure produced by Quality Partners of Rhode Island about the common barriers, barriers and strategies for implementing consistent assignment can be accessed here.

back to top

Creating a Home

  • A key feature of many culture change initiatives is to create a more homelike environment. An informational brochure by Quality Partners of Rhode Island about the common barriers and strategies for creating a homelike environment in the nursing home can be accessed here.
  • The Dining Experience
    Dining is a key feature of nursing home life that can be modified to provide a lovely and much anticipated experience that also supports a sense of community. An informational brochure produced by Quality Partners of Rhode Island about the common barriers, barriers and strategies for creating a more pleasant dining experience in the nursing home can be accessed here.
  • Individual Choice
    An important concept of individualized care is individual choice, which provides for individuals to exercise autonomy over their lives to the fullest extent possible. An informational brochure produced by Quality Partners of Rhode Island about the common barriers and strategies for empowering nursing home residents can be accessed here.
  • The Sleeping and Waking Experience
    Organizational routines in nursing homes often interfere with residents’ opportunities to get restful sleep. An informational brochure produced by Quality Partners of Rhode Island about the common barriers and strategies to modifying work routines to enhance residents’ sleep can be accessed here.

back to top

Evaluating Progress

back to top