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A conceptual model for culture change evaluation in nursing homes.

Hartmann CW, Snow AL, Allen RS, Parmelee PA, Palmer JA, Berlowitz D. A conceptual model for culture change evaluation in nursing homes. Geriatric nursing (New York, N.Y.). 2013 Sep 1; 34(5):388-94.

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This article describes the development and particulars of a new, comprehensive model of nursing home culture change, the Nursing Home Integrated Model for Producing and Assessing Cultural Transformation (Nursing Home IMPACT). This model is structured into four categories, "meta constructs," "care practices," "workplace practices," and "environment of care," with multiple domains under each. It includes detailed, triangulated assessment methods capturing various stakeholder perspectives for each of the model's domains. It is hoped that this model will serve two functions: first, to help practitioners guide improvements in resident care by identifying particular areas in which culture change is having positive effects, as well as areas that could benefit from modification; and second, to emphasize the importance in culture change of the innumerable perspectives of residents, family members, staff, management, and leadership.

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