Culture Change in Long Term Care Services: Eden-Greenhouse-Aging in the Community

Brune, Kendall

doi:10.1080/03601277.2011.570206

Cited by 27 publications

(22 citation statements)

References 7 publications

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“…The low levels of social and physical activities are not unique to Norway. Studies from other Scandinavian countries and the United States have found similar results. The Eden alternative and culture change movement in the United States may be seen as a response to this historically low attention paid to activities in nursing homes.…”

Section: Introductionsupporting

confidence: 71%

“…In addition to the low functional level among nursing home residents, the traditional focus on medical aspects in nursing homes may lead to a lower focus on activities. In Norway, the medical focus may be traced back to the post‐war period in which nursing homes had to function like small hospitals, giving medical treatment and occupational therapy to patients who had recently undergone hospital treatment .…”

Section: Discussionmentioning

confidence: 99%

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An examination of quality of care in Norwegian nursing homes – a change to more activities?

Kjøs¹,

Havig

2015

Scandinavian Caring Sciences

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The study shows that the level of physical and social activities offered to the residents is relatively low, while the general care level is significantly higher, in line with earlier studies. Consequently, the government has not succeeded with its current policy to increase the level of activities in nursing homes. The relationship between the two quality dimensions and the explanatory variables shows that nursing home quality is a complicated phenomenon.

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Section: Introductionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

An examination of quality of care in Norwegian nursing homes – a change to more activities?

Kjøs¹,

Havig

2015

Scandinavian Caring Sciences

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“…This can be contrasted to LTC practices prior to the mid-1990s, in which hierarchical management strategies and structured routines stifled personal expression and individualised care (Brune 2011). In the 1987 US Nursing Home Reform Act of the Omnibus Reconciliation Act (OBRA), however, a ‘culture shift’ began wherein residents' emotional, social and spiritual needs were considered alongside their biomedical needs (Brune 2011; Koren 2010). An early 1991 programme, the Eden Alternative, sought to overcome demoralising effects of routine-based, institutionalised care by focusing on lessening the loneliness, helplessness and boredom of those residing in LTC (Brune 2011).…”

Section: Introductionmentioning

confidence: 99%

An evaluation of a person-centred care programme for long-term care facilities

et al. 2013

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Person-centred approaches in long-term care focus on providing holistic care to residents in order to improve quality of life, enhance resident wellbeing and autonomy, and mitigate behavioural and/or other symptoms. The results of research on person-centred approaches to care are mixed, with very few high-quality empirical studies examining resident outcomes specifically. The purpose of this investigation was to examine a person-centred care programme implemented in three Canadian long-term care facilities to determine its effect on resident outcomes, approach to care and maintenance of the programme three years after implementation. Using the Resident Assessment Instrument Minimum Data Set (RAI-MDS) scale scores and quality indicators, we retrospectively examined resident outcomes before, after and six months following the initiation of the programme using three additional facilities as control. We did not find any effects on resident outcomes. Focus group interviews with facility staff revealed no systematic differences between the programme and control facilities in their approach to care. All facilities supported aspects of a person-centred philosophy. Focus group interview data from the programme facilities indicated partial maintenance in two facilities and more complete maintenance in one facility. Although staff members supported the programme, implementation and maintenance proved difficult and effectiveness on resident outcomes was not indicated in this research. Additional controlled studies are needed.

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“…This collective group, known as the Pioneer Network, articulated thirteen values that characterise the underlying ethos of culture change which include: Know each person; Each person can and does make a difference; Relationship is the fundamental building block of a transformed culture; Respond to spirit, as well as mind and body; Risk taking is a normal part of life; Put person before task; All elders are entitled to self-determination wherever they live; Community is the antidote to institutionalization; Do unto others as you would have them do unto you; Promote the growth and development of all; Shape and use the potential of the environment in all its aspects: physical, organizational, psycho/social/spiritual; Practice self-examination, searching for new creativity and opportunities for doing better; Recognize that culture change and transformation are not destinations but a journey, always a work in progress [43]. The overarching goal of culture change is to offer homelike environments to older people in which maximum quality of life can be achieved for both residents and staff [44,45].…”

Section: The Emergence Of the Culture Change Movement: Towards The Homentioning

confidence: 99%

“…As discussed above, the overarching goal of culture change is to offer homelike environments to older people in which maximum quality of life can be achieved for residents [44,45]. Quality of life is linked to positive ageing as we are using it -being able to maintain a positive emotional state and opportunities for social interaction.…”

Section: Quality Of Life: Residents' Perspectivesmentioning

confidence: 99%

An Examination of How the ‘Household Model' of Care Can Contribute to Positive Ageing for Residents in the ‘Fourth Age’

Ahmed¹,

Ormandy²,

Seekles³

2018

obm geriatr

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Background: Promoting a good quality of life for the oldest members of society has become a top priority as evidenced in UK policy. The 'household' model is a departure from traditional approaches to care provision since it offers person-centred support-combing health and social care-to older people in specially-designed, small, homelike environments. Having gained increasing popularity in care homes across developed countries, the impact of this model of service delivery on residents' quality of life and its contribution to positive ageing is of increasing interest. Belong is a not-for-profit, UK care organisation currently operating several villages under the household model. The villages comprise independent living apartments (bought or rented) and residential/nursing care households offering 24 hours personalised, on-site care for residents. In each village there is a range of facilities open to the public (including a Bistro, hairdressers and gym facilities) and a domiciliary community service. Methods: In this paper we present new data generated from qualitative interviews with a sample of household residents in the 'Fourth Age' and relatives across two villages in the North West of England, UK.

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Culture Change in Long Term Care Services: Eden-Greenhouse-Aging in the Community

Cited by 27 publications

References 7 publications

An examination of quality of care in Norwegian nursing homes – a change to more activities?

An examination of quality of care in Norwegian nursing homes – a change to more activities?

An evaluation of a person-centred care programme for long-term care facilities

An Examination of How the ‘Household Model' of Care Can Contribute to Positive Ageing for Residents in the ‘Fourth Age’

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