This initiative is known as the “culture change movement.” The aim is to re-conceptualize care in nursing homes and rebuild their actual structural existence. The ultimate objective of the culture change movement is to make nursing homes better family and home oriented and resident-centered. Some key components of culture change in nursing homes include close relationships, staff empowerment, collective decision making, homelike atmospheres and quality improvements. With these innovative improvements in lifestyle change, “staff members should presumably become more engaged in meeting resident’s needs, and avoidable incidents like pressure ulcers or weight loss may be less likely to occur.” (Grabowski , et al., 2014) In the study conducted by Grabowski and colleagues, “Culture change and nursing home quality of care”, their purpose was to appraise the impact of the various culture change models and their effect on quality of care. Existing change models include the Green House Model, which is usually a small house culture model that accentuates on staff empowerment and resident sense of direction. The Eden Alternative model, “seeks to improve the quality of life for nursing home residents and create a homelike environment, followed by staff empowerment.” (Grabowski , et al., 2014) While the Wells Spring model represents culture change that aims to improve both clinical care and …show more content…
They have a firmer stand in their daily aspects of life, they are likely to be open to new ideas and feel more at home than institutionalized, and thus there is lower levels of stress, weight loss, ulcers, and loneliness which results in improved quality of life. Another study that mirrored their result was “What does the evidence say about culture change in nursing homes?” conducted by Shier and colleagues. Their method consisted of a “comprehensive review of peer-reviewed and gray literature published in 2005 and 2012 to identify an intervention that addressed at least one culture change domain.” (Shier , Khodyakov, Cohen , Zimmerman , & Saliba , 2014) These fields include resident direction, home environment, close relationships, staff empowerment, collaborative decision making and measurement-based continuous quality improvement processes. Their result concluded that “culture changes does not, in general, lead to significant negative outcomes.” (Shier , Khodyakov, Cohen , Zimmerman ,