The Benefits of Culture Change in Nursing Homes-Obtaining Nationally Representative Evidence.

ABSTRACT:

Objective

Despite face validity and regulatory support, empirical evidence of the benefit of culture change practices in nursing homes (NHs) has been inconclusive. We used rigorous methods and large resident-level cohorts to determine whether NH increases in culture change practice adoption in the domains of environment, staff empowerment, and resident-centered care are associated with improved resident-level quality outcomes.

Design

We linked national panel 2009-2011 and 2016-2017 survey data to Minimum Data Set assessment data to test the impact of increases in each of the culture change domains on resident quality outcomes.

Setting and participants

The sample included 1584 nationally representative US NHs that responded to both surveys, and more than 188,000 long-s

SUBMITTER: Lima JC 

PROVIDER: S-EPMC9271781 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature