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Culture Change

Facts you need to know

  • Nursing homes are in an interesting state of transformation. Recognizing that they are places where people live, not just a site for care, nursing homes are rethinking their physical environment and mode of operation to create centers that promote excellence both in the quality of care and the quality of life for residents. This movement is labeled culture change.

  • Culture change refers to a transformation in nursing homes to give residents more control over their lives, empower frontline workers to have greater decision-making and an active role in care, improve residents' quality of care and quality of life, and create a less institutional and more home-like environment. The result is a more meaningful life experience for residents and a more meaningful work experience for staff. Nursing homes that have adopted culture change report the following outcomes: 
    • lower rates of staff turnover and absenteeism (some even report having waiting lists)
    • higher resident census 
    • less reliance on medication
    • fewer pressure sores 
    • better performance on inspection surveys 
    • improved quality of life for residents
    Recognizing nursing's leadership role in the culture change movement, AALTCN has developed resources to equip nurses in transforming their practice setting and enhancing the quality of care and life for residents and the quality of the workplace for employees.
    These include the first of its kind Culture Change Nurse Coordinator Certification Program (available online in 4 modules or hardcopy), the Culture Change Nurse Coordinator Manual, and this webpage, offering a variety of useful information. 

Downloadable Quick-Fact Sheets

Culture Change Resources

Culture Change Programs and Models

Stages of Culture Change

Nursing and Culture Change

Core Competencies for Nurses in Culture Change

Artifacts of Culture Change Assessment Tool


Click here for a list of available CE Resources for Culture Change.