Culture Change Movement in Nursing Homes/Person‐Centered Care/Household Models

Abstract

In long‐term care, the phrase culture change (CC) is often used interchangeably with person‐centered initiatives to refer to an enhanced social model of care. Evolving from a growing concern about the oppression of traditionally institutional‐based nursing home care, the goal of CC is to create a system of interdependency that enhances the quality of life of residents as well as the quality of the work environment for staff. These models include Action Pact, the Eden Alternative, Planetree, and the Wellspring Model. This type of care requires changes across several dimensions of the nursing home setting: organizational, operational, and environmental. In more highly evolved CC, organizations' core services are decentralized and the physical environment is redesigned into a household, reducing the scale of the functional areas where residents live and staff work.

The Environmental Audit Screening Evaluation: Establishing Reliability and Validity of an Evidence-Based Design Tool

“…At the other end of the spectrum are small household designs that support “person-centered” models of care ( Ahmed et al, 2019 ; Kaup, 2015 ; Rabig et al, 2006 ). The architecture and interior features are scaled down and designed to focus primarily on replicating a residential environment with the goal of resident autonomy and quality of life ( Abushousheh et al, 2011 ; Proffitt et al, 2010 ; see Figure 2 ).…”

“…Another defining feature of the HH model is the departure from the double-loaded corridors that dominate the traditional nursing home environment. ( Elliot et al, 2014 ; Kaup, 2015 ; Rabig et al, 2006 ).…”