The Impact of Nursing Home Culture Change: An Integrative Review.
| Autor: | Deprez L; Psychology of Aging Unit, Department of Psychology, University of Liège, Liège, Belgium. Electronic address: laura.deprez@uliege.be., Van Durme T; Faculty of Public Health, Institute of Health and Society, Catholic University of Louvain, Brussels, Belgium., Bruyère O; Division of Public Health, Epidemiology and Health Economics, WHO Collaborating Center for Public Health Aspects of Musculo-Skeletal Health and Aging, University of Liège, Liege, Belgium., Adam S; Psychology of Aging Unit, Department of Psychology, University of Liège, Liège, Belgium. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the American Medical Directors Association [J Am Med Dir Assoc] 2024 Oct; Vol. 25 (10), pp. 105172. Date of Electronic Publication: 2024 Jul 27. |
| DOI: | 10.1016/j.jamda.2024.105172 |
| Abstrakt: | Objectives: The Nursing Home Culture Change (NHCC) movement promotes a person- and relationship-centered approach and a small-scale, homelike model for NHs. The present study aimed to integrate the most recent empirical findings regarding the impact of NHCC on resident, staff, family, and organizational outcomes. Design: Integrative review. Setting and Participants: Not applicable. Methods: OVID MEDLINE, PsycINFO, Embase, and CINAHL databases were searched for quantitative or mixed studies published in English between 2018 and 2022 and examining the effect of NHCC on resident, staff, family, and/or organizational outcomes. A narrative and tabular synthesis of the results is provided. Results: A total of 1687 references were identified. Following duplicate removal, title and abstract screening, and full-text screening, 75 studies were retained for synthesis and suggest a positive impact of NHCC on resident (eg, quality of life and neuropsychiatric function), staff (eg, job satisfaction and stress), family (eg, satisfaction and depressive symptoms), and organizational (eg, NH attractiveness and occupancy rate) outcomes. Conclusions and Implications: NHCC shows promising results in all studied outcome categories. Future research should further investigate obstacles to NHCC implementation, conduct cost-benefit analyses supported by appropriate statistical tests, and define ways to improve NH staff education as well as NH policies and regulations to better support NHCC initiatives. Competing Interests: Disclosure The authors declare no conflict of interest. (Copyright © 2024 Post-Acute and Long-Term Care Medical Association. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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