Culture Change in Long-Term Care

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Culture Change in Long-Term Care

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  • 製本 Paperback:紙装版/ペーパーバック版/ページ数 449 p.
  • 言語 ENG
  • 商品コード 9780789021113
  • DDC分類 362.16

Full Description


Change in the culture of long-term care and the care of our elders is urgently needed! This insightful book lights the way. This book will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of "positive cultures," emphasizing philosophy, underpinning, and implementation. You'll gain a greater understanding of theoretical frameworks for organizational change, of the changes that can occur in all members of the long-term care community, and of culture change in the context of broad organizational experience and cultural competence.From the editors: "This text provides a timely and comprehensive approach to understanding culture change from the perspective of management and business as well as policy and regulatory guidelines and the framework for aging services. It will provide the reader with an understanding of the current state of the art in conceptualizing long-term care environments that are resident-centered and resident-directed, that respect the individuality of the staff, and that are high-performance entities. The theory and practice of culture change are presented with an eye toward a future where aging people and their families will be both consumers and providers of long-term care." The first section of Culture Change in Long-Term Care explores the cultural values existing in today's long-term care environment that make us desirous of culture change. The second section examines existing models and networks of culture change in long-term care, including the Eden Alternative, Wellspring, and Pioneer NetworkSection three brings you to the frontline with case studies from urban, suburban, and rural facilities, facilities with and without unionized staff, facilities from various geographic regions of the United States, and facilities whose experience ranges from years to a decade. Processes, challenges, and qualitative/quantitative findings are included.Section four provides international perspectives, with practical advice from Australia, Sweden, and British Columbia. The final section of Culture Change in Long-Term Care explores the underlying question: "Is change realistic?" This section explores the role of state government, public policy, and the regulatory environment in accomplishing culture change.With Culture Change in Long-Term Care you'll get a theoretical perspective on culture and culture change, as well as quality-of-life models and case studies that will help you learn if and how such a process is achievable in your institution. Make it a part of your professional collection today!

Table of Contents

Foreword                                           xiii
SECTION 1. INTRODUCTION TO CULTURE AND VALUES
IN LONG-TERM CARE
Unloving Care Revisited: The Persistence of 1 (10)
Culture
Bruce C. Vladeck
Managing Organizational Culture Change: The 11 (24)
Case of Long-Term Care
Donald E. Gibson
Sigal G. Barsade
Culture Change in Long-Term Care Facilities: 35 (18)
Changing the Facility or Changing the System?
Monsignor Charles J. Fahey
The Historical Context of "Humanistic" 53 (12)
Culture Change in Long-Term Care
Sheldon S. Tobin
Leading Culture Change in Long-Term Care: A 65 (16)
Map for the Road Ahead
Judah L. Ronch
Achieving Organizational Change Within the 81 (14)
Context of Cultural Competence
Laura Martin
Bette R. Bonder
The Changing Consumer: The Social Context of 95 (16)
Culture Change in Long-Term Care
Donald L. Redfoot
Family Caregivers, Health Care Professionals, 111 (14)
and Policy Makers: The Diverse Cultures of
Long-Term Care
Carol Levine
Pioneer Network: Changing the Culture of 125 (16)
Aging in America
Rose Marie Fagan
SECTION 2. MODELS OF CULTURE CHANGE IN
LONG-TERM CARE
Evolution of Eden 141 (18)
William H. Thomas
Culture Change in Long Term Care: The 159 (16)
Wellspring Model
Mary Ann Kehoe
Betsy Van Heesch
Models for Individuals with Alzheimer 175 (8)
Disease: Beyond the Special Care Framework
Douglas Holmes
Mildred Ramirez
Peer Mentoring of Nursing Home CNAS: A Way to 183 (14)
Create a Culture of Caring
Carol R. Hegeman
The Live Oak Regenerative Community: 197 (26)
Championing a Culture of Hope and Meaning
Barry Barkan
SECTION 3. CASE STUDIES: IMPLEMENTING CHANGE
Teresian House-Using the Environment to 223 (10)
Support Cultural Change
James S. Brennan
Sister Patricia Brancaccio
Sister Pauline Brecanier
Center for Nursing and Rehabilitation Culture 233 (12)
Change in an Urban Environment
Clari Gilbert
Gaits Bridges
The Providence Mount St. Vincent Experience 245 (24)
Charlene K. Boyd
Organizational Culture and Bathing Practice: 269 (16)
Ending the Battle in One Facility
Joanne Rader
Joyce Semradek
The Power of Circles: Using a Familiar 285 (8)
Technique to Promote Culture Change
LaVrene Norton
SECTION 4. CASE STUDIES: CULTURE CHANGE BRIEFS
Introduction to Case Studies: Culture Change 293 (2)
Briefs
Judah L. Ronch
Apple Health Care: Culture Change in a 295 (6)
Privately Owned Nursing Home Chain
Allison Hagy
Case Study Brief: The Lyngblomsten Care 301 (6)
Center, St. Paul, MN
Paul Mikelson
Jane Johnson
SECTION 5. AN INTERNATIONAL PERSPECTIVE
Using Strengths-Based Practice to Support 307 (18)
Culture Change: An Australian Experience
Peta Slocombe
Implementing the Eden Alternative in Australia 325 (14)
Sarah MacKenzie
Beyond the Medical Model-The Eden Alternative 339 (16)
in Practice: A Swiss Experience
Christa Monkhouse
Changes in Long-Term Care for Elderly People 355 (18)
with Dementia: A Report from the Front Lines
in British Columbia, Canada
Nancy Gnaedinger
SECTION 6. IS CHANGE REALISTIC?
Quality Oversight and Culture Change in 373 (24)
Long-Term Care
Deborah Wilkerson
Christine MacDonell
Policy Values and Culture Change in Long-Term 397 (14)
Care The Role of State Government in
Catalyzing Change
William E. Reynolds
Selecting a Model or Choosing Your Own Culture 411 (12)
Robyn I. Stone
Successfully Surviving Culture Change 423 (16)
Diane L. Dixon
Index 439