Abstract

* Foreword * SECTION 1. INTRODUCTION TO CULTURE AND VALUES IN LONG-TERM CARE * Unloving Care Revisited: The Persistence of Culture * Managing Organizational Culture Change: The Case of Long-Term Care * Culture Change in Long-Term Care Facilities: Changing the Facility or Changing the System? * The Historical Context of Humanistic Culture Change in Long-Term Care * Leading Culture Change in Long-Term Care: A Map for the Road Ahead * Achieving Organizational Change Within the Context of Cultural Competence * The Changing Consumer: The Social Context of Culture Change in Long-Term Care * Family Caregivers, Health Care Professionals, and Policy Makers: The Diverse Culture of Long-Term Care * Pioneer Network: Changing the Culture of Aging in America * SECTION 2. MODELS OF CULTURE CHANGE IN LONG-TERM CARE * Evolution of Eden * Culture Change in Long Term Care: The Wellspring Model * Models for Individuals with Alzheimer Disease: Beyond the Special Care Framework * Peer Mentoring of Nursing Home CNAs: A Way to Create a Culture of Caring * The Live Oak Regenerative Community: Championing a Culture of Hope and Meaning * SECTION 3. CASE STUDIES: IMPLEMENTING CHANGE * Teresian House--Using the Environment to Support Cultural Change * Center for Nursing and Rehabilitation--Culture Change in an Urban Environment * The Providence Mount St. Vincent Experience * Organizational Culture and Bathing Practice: Ending the Battle in One Facility * The Power of Circles: Using a Familiar Technique to Promote Culture Change * SECTION 4. CASE STUDIES: CULTURE CHANGE BRIEFS * Introduction to Case Studies: Culture Change Briefs * Apple Health Care: Culture Change in a Privately Owned Nursing Home Chain * Case Study Brief: The Lyngblomsten Care Center, St. Paul, MN * SECTION 5. AN INTERNATIONAL PERSPECTIVE * Using Strengths-Based Practice to Support Culture Change: An Australian Experience * Implementing the Eden Alternative(R) in Australia * Beyond the Medical Model--The Eden Alternative(R) in Practice: A Swiss Experience * Changes in Long-Term Care for Elderly People with Dementia: A Report from the Front Lines in British Columbia, Canada * SECTION 6. IS CHANGE REALISTIC? * Quality Oversight and Culture Change in Long-Term Care * Policy Values and Culture Change in Long-Term Care--The Role of State Government in Catalyzing Change * Selecting a Model or Choosing Your Own Culture * Successfully Surviving Culture Change * Index * Reference Notes Included

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