期刊
CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT
卷 28, 期 2, 页码 165-175出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0714980809090138
关键词
culture change models; empowerment structures; individualized care; long-term care; organizational behaviour; quality improvement
类别
With this study we set out to determine if differences exist across culture change models (CCM) in relation to formal caregivers' perceived access to empowerment structures and reported provision of individualized care. We recruited staff working in facilities that had implemented the Eden Alternative, GentleCare, Facility Specific Social Models of Care (FSSMOC), or no CCM. Multivariate analyses of variance (MANOVA) compared these constructs by CCM for each of three caregiver groups (Registered Nurses, Licensed Practical Nurses, and care aides). Results suggest that considerable differences exist between formal caregivers and by CCM. The greater caregivers' day-to-day contact with residents, the more CCMs appear to affect perceived empowerment and reported provision of individualized care. Findings suggest the greatest benefits existed for staff working in facilities with a FSSMOC. Conversely, in only one instance did responses from staff in Eden Alternative facilities differ from those in facilities with no CCM.
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