Culture Change in Nursing Homes

Care and culture are the key constructs that make up the Culture Care Theory. This theory differed from other nurses’ work or mindset because nurse leaders relied heavily up on the four metaparadigm concepts of person, environment, health, and nursing to explain nursing (McFarland and Wehbe-Alamah, 2015). Leininger realized that those four metaparadigm concepts were to limited in its scope regarding nursing and culture and care ideologies. Interestingly, care and culture were excluded from the metaparadigm. “It is not logical to use nursing to explain nursing” (McFarland and Wehbe-Alamah, 2015). That is definitely a contradiction in terms and represents scholarly research

To begin with, many families decide to place their loved ones under the care of a nursing home to receive some peace of mind. But are they

As I said, this tends to have a positive affects because of the patients willingness to cooperate with treatment given by their physician.

Assisted living helps each person value life to its fullest potential. When it comes to making an older individual feel more at home and also be able to focus more on non-stressful activities, they need to be ensured the best care. “Families feel more confident and are less ‘protective’ when there is continuity in staff and they are deemed competent. Staff are more likely to be retained where they feel valued”2 part of the quote which is especially conducive to the argument is, “where they feel valued.” When picking and choosing a nursing home that fits individual the best, and will provide them with the care needed, it is important to make sure that everyone is valued in the process. This quote is important because if the workers are not being taken care of, then they are less enthusiastic and also less likely to give someone’s loved one the care needed and to know what is expected from them. It is assumed that when picking an assisted living home, that the well being of the person and also many other characteristics are taken into

At West View Nursing Home, the idea of person-centered care is drilled into each new staff member’s brain at their first interview and orientation. It is the principle that guides all of the work here, no matter if you are a janitor, social worker, nurse, dietician, etc. Some examples of the general principles associated with this type of intervention and care are that the needs of the client have priority and social services exist to benefit him or her, everyone has their own strengths and weaknesses, and not revoking people’s choice about their own behavior (Miller & Rollnick, 2013). No matter their health status or mental state, everyone is entitled to make their own decisions as much as possible, even if the social worker does not necessarily agree. The three main characteristics that a social worker demonstrated when utilizing the person-centered care theory are empathy, unconditional positive regard, and congruence/genuineness. He or she is expected to be objected and unbiased, come with experience to provide appropriate suggestions, and be able to accept that clients’ perspectives are true and best for them as a person (Walsh, 2014).

The long-term care services delivery system in the United States has changed substantially over the last 30 years . There are approximately 17,000 elderly and disabled persons are receiving care in nursing homes (NNHS, 2004). The number of people using nursing facilities, alternative residential care places, or home care services are projected to increase from 15 million in 2000 to 27 million in 2050 (HHS, 2003). Identifying the best nursing home that would fit their needs can be difficult and time-consuming. Although nursing homes usually provide certain basic care that patients need, some nursing home facilities provides special care for certain types of individuals with special needs. For example, people with dementia, AIDS, ventilator-dependents,

The United States is a diverse accumulation of cultural backgrounds which can often set the stage for feelings of confusion, anger, mistrust, and a host of other emotions when dissimilar cultures disagree. Cultural competence in nursing can help eliminate these barriers and provide a platform for nursing to follow in the quest to understand a patient's culture and background. When a nurse takes the time to learn about a given culture prior to providing care, it conveys she respects the patient's right to their beliefs, customs, and culture. It does not necessarily mean the nurse agrees with their practices but

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

Culture change, changes the long-term care from a regulated care, to an encouraging, supportive living environment. Nursing homes should be a second "home" for residents. "Culture change is a movement that seeks to create a different type of environment for residents" (pg.420); meaning that a long term care provider must shape their facility to "resident-centered care". A resident must feel welcomed and not like a burden. A resident must know that their desires and cultural beliefs are put into consideration. The Eden Alternative is an international non-profit organization committed to providing balanced care for the any of their residents. An intimacy based community setting is essential with residents. Changing culture may increase life

“There is some evidence that the quality of care for nursing home residents has improved, such as the decreased use of physical restraints and psychotropic medications, serious problems continue for many residents, especially those at the end of their lives.” Some of the issues have been corrected, not abusing or neglecting the elderly patients but the services are not handling the most important part of the patients’ lives. They are still having some issues with handling the patients that are at the end of their lives, they need to focus on the end of their lives in dealing with this they need to know how deal with this part with them and the families.

The residents at an assisted living community can expect to have a great deal of freedom over how they spend their days. While

In order to show the sensitivity to the different ethnic nursing home patient, staff should have the knowledge of their backgrounds. It is true that it is difficult for the elderly to change with the “time” and adapting to the new culture or environment. It creates difficult situation when a patient do not understand what their health care provider is telling them and the health care provider do not speak the client’s language. As a result, quality of care can be compromised. I face this challenge every day at my work. In my initial patient assessment, I try to find out how they wished to be called. I try to assess my patient’s special needs, about their culture, language, preference of religion or food etc. When I am taking care of an Asian

Design and scope constitute element one. Pertaining to nursing homes, a quality improvement program should take aim at medical care, resident selection, and quality of life (Center for Medicare and Medicaid Services [CMS], n.d.). An initiative was developed to better diabetes care

The second objective written addresses the changes to procedures and facilities at the nursing home: It is

The meaning of the culture in nursing has changed significantly in recent years. Culture may be