KUKU

KU ScholarWorks

  • myKU
  • Email
  • Enroll & Pay
  • KU Directory
    • Login
    View Item 
    •   KU ScholarWorks
    • University of Kansas Medical Center
    • School of Nursing
    • Bachelor of Science in Nursing Honors Program
    • The Journal of BSN Honors Research
    • Volume 1, Issue 1, 2008
    • View Item
    •   KU ScholarWorks
    • University of Kansas Medical Center
    • School of Nursing
    • Bachelor of Science in Nursing Honors Program
    • The Journal of BSN Honors Research
    • Volume 1, Issue 1, 2008
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Understanding Nursing Home Culture Change: The High and Low

    Thumbnail
    View/Open
    Seibert-2008-UnderstandingNursingHome.pdf (922.4Kb)
    Issue Date
    2008-08-20
    Author
    Seibert, Ashley Michelle
    Bott, Marjorie J.
    Type
    Article
    Metadata
    Show full item record
    Abstract
    Culture Change is the transformation of a nursing home (NH) from an institutional establishment with a top down approach to decision making to a resident‐centered program that creates an environment that focuses on what is most important to residents and staff. Twenty‐five care practices from the Colorado Foundation for Medical Care served as the theoretical framework for seven dimensions of Culture Change—home‐like environment, resident‐directed care, staff/resident relationships, NH staff empowerment, NH leadership, quality improvement, and shared values. Using a secondary data analysis, the overall aim of the study was to examine differences in staff and leadership reports of Culture Change among Kansas nursing homes with high (n = 7) and low turnover rates (n = 5). Facility turnover rates were obtained from the 2006 Kansas Medicaid Cost Report. Leadership (n=75) and staff (n=437) participants from Kansas nursing homes (6 rural and 6 urban) completed data collection with response rates ranging from 26 to 85%. We hypothesized that staff in nursing homes with low turnover rates would report higher levels of Culture Change than staff in high turnover homes. Data analysis was conducted using two sample t‐tests. Although both leaders and staff in low turnover nursing homes reported higher levels of Culture Change across all dimensions than those in high turnover homes, we only found significance (p <.05) differences in the staff/resident relationships dimension by leaders and staff, and in the leadership dimension by leaders. The results of this study revealed that turnover rates have potential to serve as a proxy measure for some aspects of Culture Change. However, further testing in a larger sample is needed.
    Description
    Submitted to the School of Nursing in partial fulfillment of the requirements for the Nursing Honors Program.
    URI
    http://hdl.handle.net/2271/413
    Collections
    • Volume 1, Issue 1, 2008 [6]

    Items in KU ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.


    We want to hear from you! Please share your stories about how Open Access to this item benefits YOU.


    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    Browse

    All of KU ScholarWorksCommunities & CollectionsThis Collection

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    The University of Kansas
      Contact KU ScholarWorks
    Lawrence, KS | Maps
     
    • Academics
    • Admission
    • Alumni
    • Athletics
    • Campuses
    • Giving
    • Jobs

    The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.

     Contact KU
    Lawrence, KS | Maps