Veterans Health Administration: A Model for Transforming Nursing Home Care

被引：7

作者：

Lemke, Sonne ^{[1
]}

机构：

[1] VA Palo Alto Hlth Care Syst, Ctr Hlth Care Evalut 152MPD, 795 Willow Rd, Menlo Pk, CA 94025 USA

来源：

JOURNAL OF HOUSING FOR THE ELDERLY | 2012年 / 26卷 / 1-3期

关键词：

long-term care; nursing homes; culture transformation; veterans;

D O I：

10.1080/02763893.2012.658286

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

The Veterans Health Administration nursing homes, now called Community Living Centers (CLCs), are engaged in systematic transformation of their environments and their care and work practices. A brief history of nursing home care for Veterans illustrates the competing values that influence CLCs. Monitoring data show that CLCs have reduced institutional features, improved the personalization of care, and empowered direct care staff. Although CLCs differ in many respects from community nursing homes, their experiences offer valuable lessons for culture change, underline the complementary importance of top-level commitment and grassroots engagement, and offer untapped opportunities for research in environmental gerontology.

引用

页码：183 / 204

页数：22

共 26 条

[1]

American Health Care Association, 2008, REP FIND 2007 AHCA S

[2]

[Anonymous], 2009, NEWLETTER AGING, V7, P3

[3] Top management team characteristics and innovation in nursing homes [J].

Castle, NG ;

BanaszakHoll, J .

GERONTOLOGIST, 1997, 37 (05) :572-580

[4] The Influence of Consistent Assignment on Nursing Home Deficiency Citations [J].

Castle, Nicholas G. .

GERONTOLOGIST, 2011, 51 (06) :750-760

[5]

Doty M. M., 2008, CULTURE CHANGE NURSI, P91

[6] Strengthening research to improve the practice and management of long-term care [J].

Feldman, PH ;

Kane, RL .

MILBANK QUARTERLY, 2003, 81 (02) :179-+

[7]

Jones AL, 2009, VITAL HLTH STAT, V13

[8]

Julin S., NATL HOME DISABLED V

[9] Long-term care and a good quality of life: Bringing them closer together [J].

Kane, RA .

GERONTOLOGIST, 2001, 41 (03) :293-304

[10]

Kussman ML, 2008, UNIFORM MENTAL HLTH

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