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The Speed of Trust

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The Speed of Trust Powered By Docstoc
					 CULTURE CHANGE – CALDER
WOODS RETIREMENT COMMUNITY


            Wanda Beasley, RN
COMMON

   Resident centered environments and culture
    change in LTC.
   Is change needed?
Current Medical Model

   Based on medical hospital model.
   Physician and nurses key players.
   Care and treatment plan focus on problems.
   Decisions regarding resident care driven by
    regulations.
   Limited Choices
   Nursing management
   Institutional environment
What is desired culture of LTC

   Resident model based on relationships
   Resident is focus
   Resident and staff partner in decision making
   Services provided meet resident identified
    needs
   Services, care and environment increase
    resident well being
    Leaders Role in LTC

   What is the leaders role in Changing culture
    in LTC?
   Create an environment for change and
    growth.
   Provide education for staff to establish new
    roles.
   Involve residents and staff in creating new
    culture
Physical Setting
   Calder Woods approach to culture change
   Household/Neighborhood SNF
   Three (10 resident) Neighborhoods
   Removal of large “nurses station”
   Staff counter 1 per hall
   Medical charts out of view
   Revised call system***
Setting (Contd.)

   Remodeling of dining room, activity room
   Aroma Therapy
   Replacement of institutional dining tables
    with family style dining tables
   Kitchenette revised to include commercial
    type countertop oven
DESIRED RESULTS

   Higher resident functioning
   Reduced behavioral and depression in
    residents
   Higher staff satisfaction and lower stress
Benefits of Neighborhood Concept

   Clear staff accountability for defined group of
    residents and physical area.
   Greater probability of family involvement due
    to comfortable, attractive setting and activity
    options.
   Greater staff productivity due to efficiency of
    work environment.
   Increased resident choices.
ACTIVITIES

   Continue with structured activities
   Initiate resident requested activities “On
    Demand.”
   Initiate “unscheduled” activities
   Increase staff/family involvement with
    activities
   Encourage staff initiation of activity
Desired Goals of Culture Change

   Overall Improvement in      Improvement with staff
    residents health and          turnover
    well being.
   Overall Improvement in      Increase employee
    residents psychological        longevity with
    and spiritual well being.      organization
   Improvement with staff      Promote long lasting
    overall well being             relationships between
                                   residents and staff
TRUST =   SPEED   COST
When Culture Change/Trust Goes Up,
Speed will also go up and costs will go
down

   Trust   =   Speed         Cost

				
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posted:5/5/2010
language:English
pages:13