Transforming nursing home culture: evidence for practice and policy

Gerontologist. 2014 Feb:54 Suppl 1:S1-5. doi: 10.1093/geront/gnt161.


The nursing home culture change movement aims to improve resident quality of life and quality of care by emphasizing the deinstitutionalization of nursing home culture and focusing on person-centered care. This article briefly reviews the history of culture change, discusses some of the challenges related to culture change in nursing homes, and overviews the conceptualization and select models of culture change. Building from this background, it critiques current understanding, identifies critical research questions, and notes key issues arising during a workshop that addressed existing and emerging evidence in the field. This review and analysis provide a context for how 9 accompanying papers in this supplemental issue of The Gerontologist fill identified evidence gaps and provide evidence for future practice and policies that aim to transform nursing home culture.

Keywords: Culture change; Long-term care; Person-centered care.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Culture
  • Geriatric Nursing / organization & administration*
  • Geriatric Nursing / trends
  • Homes for the Aged / organization & administration*
  • Homes for the Aged / trends
  • Humans
  • Leadership
  • Nursing Homes / organization & administration*
  • Nursing Homes / trends
  • Organizational Culture
  • Organizational Innovation
  • Patient-Centered Care / methods*
  • Policy Making
  • Quality of Health Care