HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Rahman, A. N. Articles by Schnelle, J. F. PubMed PubMed Citation Articles by Rahman, A. N. Articles by Schnelle, J. F.

The Nursing Home Culture-Change Movement: Recent Past, Present, and Future Directions for Research

Correspondence: Address correspondence to Anna N. Rahman, MSW, Scripps Gerontology Center, Dept. of Sociology & Gerontology, Upham Hall Room 396, Oxford, OH 45056-1879. E-mail: rahmananna{at}yahoo.com

This article uses a retrospective approach to critique the research base underlying the nursing home culture-change movement—an effort to radically transform the nation's nursing homes by delivering resident-directed care and empowering staff. The article traces the development of the movement from its inception 10 years ago to 2005, when the Centers for Medicare and Medicaid Services implemented its own initiative to support the movement, thus giving it new momentum, to the present day. This historical overview provides context for a proposed research agenda aimed at strengthening the movement's empirical base, thereby facilitating culture-change interventions as well as helping the movement navigate the next step in its evolution.

Key Words: Culture change • Individualized care • Nursing homes • Quality of care