The Prevalence of Culture Change Practice in US Nursing Homes: Findings From a 2016/2017 Nationwide Survey

Medical Care
Susan C MillerMelissa A Clark

Abstract

Given the dynamic nursing home (NH) industry and evolving regulatory environment, depiction of contemporary NH culture-change (person/resident-centered) care practice is of interest. Thus, we aimed to portray the 2016/2017 prevalence of NH culture change-related processes and structures and to identify factors associated with greater practice prevalence. We administered a nationwide survey to 2142 NH Administrators at NHs previously responding to a 2009/2010 survey. Seventy-four percent of administrators (1583) responded (with no detectable nonresponse bias) enabling us to generalize (weighted) findings to US NHs. From responses, we created index scores for practice domains of resident-centered care, staff empowerment, physical environment, leadership, and family and community engagement. Facility-level covariate data came from the survey and the Certification and Survey Provider Enhanced Reporting system. Ordered logistic regression identified the factors associated with higher index scores. Eighty-eight percent of administrators reported some facility-level involvement in NH culture change, with higher reported involvement consistently associated with higher domain index scores. NHs performed the best (82.6/100 weighted point...Continue Reading

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Citations

Jan 23, 2020·Research in Gerontological Nursing·Yinfei DuanKristine M Talley
Jun 13, 2020·Innovation in Aging·Julie C LimaSusan C Miller
Aug 24, 2021·Journal of the American Medical Directors Association·Julie C LimaSusan C Miller
Nov 20, 2021·Leadership in Health Services·Maryam Memar Zadeh, Nicole Haggerty

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