The Changing Adoption of Culture Change Practices in U.S. Nursing Homes.

ABSTRACT:

Background and objectives

The study aimed to: (i) describe whether culture change (CC) practice implementation related to physical environment, resident-centered care, and staff empowerment increased within the same nursing homes (NHs) over time; and (ii) identify factors associated with observed increases.

Research design and methods

This was a nationally representative panel study of 1,584 U.S. NHs surveyed in 2009/2010 and 2016/2017. Survey data were merged with administrative, NH, and market-level data. Physical environment, staff empowerment, and resident-centered care domain scores were calculated at both time points. Multivariate logistic regression models examined factors associated with domain score increases.

Results

Overall, 22% of NHs increased their physi

SUBMITTER: Lima JC 

PROVIDER: S-EPMC7272786 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature