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Related Experiment Videos

Conditions for successfully implementing resident-oriented care in nursing homes.

Afke J M B Berkhout¹, Nicolle P G Boumans, Ingrid Mur

¹ViVa! Health Care Group, Velsen, The Netherlands.

Scandinavian Journal of Caring Sciences

|March 18, 2009

Summary

Successful resident-oriented care implementation in nursing homes depends on ward-level factors like strategy, systems, staff, and skills. Supervisors play a crucial role in driving these successful changes.

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Area of Science:

Healthcare Management
Organizational Change
Nursing Home Care

Background:

Implementing resident-oriented care models in nursing homes is complex.
Understanding the conditions for successful adoption is crucial for improving care quality.

Purpose of the Study:

To identify the key conditions for successfully implementing resident-oriented care models.
To investigate the influence of organizational factors on implementation success.

Main Methods:

A one-group pretest/post-test design was employed.
The '7-S' model (structure, strategy, systems, staff, skills, style, shared values) was used as a diagnostic framework.
Qualitative interviews with change agents and supervisors, and quantitative questionnaires for nurses were conducted.

Main Results:

Successful implementation was associated with specific '7-S' factors: strategy, systems, staff, and skills.
The 'structure' factor did not significantly contribute to success.
Crucial success factors were identified at the ward level, particularly the supervisor's role.

Conclusions:

Ward-level factors, especially strategy, systems, staff, and skills, are critical for resident-oriented care implementation.
The supervisor's role is pivotal in facilitating successful adoption of resident-oriented care models.
Implementation success is more dependent on ward-level dynamics than organizational or project-level factors.