What health and aged care culture change models mean for residents and their families: a systematic review

Petriwskyj, Andrea, Parker, Deborah, Brown Wilson, Christine and Gibson, Alexandra (2015) What health and aged care culture change models mean for residents and their families: a systematic review. The Gerontologist, 56 2: 1-9. doi:10.1093/geront/gnv151

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Author Petriwskyj, Andrea
Parker, Deborah
Brown Wilson, Christine
Gibson, Alexandra
Title What health and aged care culture change models mean for residents and their families: a systematic review
Journal name The Gerontologist   Check publisher's open access policy
ISSN 0016-9013
Publication date 2015-11-23
Sub-type Article (original research)
DOI 10.1093/geront/gnv151
Open Access Status File (Author Post-print)
Volume 56
Issue 2
Start page 1
End page 9
Total pages 9
Place of publication Cary, NC, United States
Publisher Oxford University Press
Language eng
Formatted abstract
Purpose of the Study: A range of commercialized programs are increasingly being adopted which involve broad culture change within care organizations to implement person-centered care. These claim a range of benefits for clients; however, the published evidence for client and family outcomes from culture change is inconclusive and the evidence for these specific models is difficult to identify. The purpose of this review was to identify and evaluate the peer-reviewed evidence regarding consumer outcomes for these subscription-based models.

Design and Methods: The review followed the Joanna Briggs Institute procedure. The review considered peer-reviewed literature that reported on studies conducted with health and aged care services, their staff, and consumers, addressed subscription-based person-centered culture change models, and were published in English up to and including 2015. The review identified 19 articles of sufficient quality that reported evidence relating to consumer outcomes and experience.

Results: Resident outcomes and family and resident satisfaction and experiences were mixed. Findings suggest potential benefits for some outcomes, particularly related to quality of life and psychiatric symptoms, staff engagement, and functional ability. Although residents and families identified some improvements in residents’ lives, both also identified problematic aspects of the change related to staff adjustment and staff time.

Implications: Outcomes for these models are at best comparable with traditional care with limited suggestions that they result in poorer outcomes and sufficient potential for benefits to warrant further investigation. Although these models may have the potential to benefit residents, the implementation of person-centered principles may affect the outcomes.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Thu, 26 Nov 2015, 20:05:48 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work