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Flexibility as a management principle in dementia care: the Adards example
Jiska Cohen-Mansfield1, Allan Bester
1Department of Health Care Sciences and of Prevention and Community Health, George Washington University Medical Center and School of Public Health, Washington, DC, USA. cohen-mansfield@hebrew-home.org
The Gerontologist
|August 22, 2006
Summary
Implementing flexibility in nursing homes enhances person-centered care. This approach boosts resident and staff autonomy, leading to better staffing and more typical life experiences.
Area of Science:
- Gerontology
- Healthcare Management
- Organizational Psychology
Background:
- Person-centered care models emphasize individual needs and preferences.
- Traditional long-term care facilities often lack operational flexibility.
- Staff autonomy and resident choice are crucial for quality of life in nursing homes.
Purpose of the Study:
- To illustrate the impact of flexibility in nursing home operations.
- To showcase how flexibility can enhance person-centered care.
- To provide a case study of a flexible nursing home model.
Main Methods:
- Descriptive analysis of management strategies at Adards nursing home.
- Examination of principles and environmental features supporting flexibility.
- Qualitative portrayal of operational flexibility in practice.
Main Results:
- Adards nursing home demonstrates flexibility in daily work and task scheduling.
- Flexibility fosters greater autonomy for both residents and staff.
- This model resulted in higher staffing levels and lower staff turnover.
- Residents experienced more typical life experiences compared to other facilities.
Conclusions:
- Flexibility in nursing homes can significantly improve care quality and operational outcomes.
- The Adards model offers a blueprint for other institutions to adopt.
- Encouraging flexibility can lead to more person-centered and effective long-term care.
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