Related Experiment Video
Updated: May 9, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
A conceptual model for culture change evaluation in nursing homes
Christine W Hartmann1, A Lynn Snow, Rebecca S Allen
1Center for Health Quality, Outcomes, and Economic Research, Bedford VA Medical Center, 200 Springs Road, Bedford, MA 01730, USA; Department of Health Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA.
Geriatric Nursing (New York, N.Y.)
|July 16, 2013
Summary
This study introduces the Nursing Home IMPACT model for assessing nursing home culture change. It guides improvements in resident care by evaluating multiple stakeholder perspectives across various domains.
Area of Science:
- Gerontology
- Healthcare Management
- Organizational Psychology
Background:
- Nursing home culture significantly impacts resident care quality and outcomes.
- Existing models for assessing culture change in nursing homes lack comprehensiveness.
- There is a need for a structured approach to evaluate and guide cultural transformation in long-term care settings.
Purpose of the Study:
- To develop and describe the Nursing Home Integrated Model for Producing and Assessing Cultural Transformation (Nursing Home IMPACT).
- To provide a comprehensive framework for evaluating culture change in nursing homes.
- To offer guidance for practitioners seeking to improve resident care through cultural enhancement.
Main Methods:
- The Nursing Home IMPACT model is structured into four categories: meta constructs, care practices, workplace practices, and environment of care.
- Multiple domains are included under each category, providing a detailed framework.
- Triangulated assessment methods are employed, capturing diverse stakeholder perspectives (residents, families, staff, management, leadership).
Main Results:
- The model offers a comprehensive structure for assessing nursing home culture.
- It incorporates detailed, multi-perspective assessment methods.
- The model identifies areas of successful culture change and areas needing modification.
Conclusions:
- The Nursing Home IMPACT model provides a robust tool for guiding culture change initiatives in nursing homes.
- It emphasizes the critical role of diverse stakeholder perspectives in achieving successful cultural transformation.
- This model can facilitate targeted improvements in resident care and overall quality of life.
Related Concept Videos
01:15Nursing Evaluation
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Section...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...