Culture Change

Help your facility implement practices that promote consistent assignment and reduce staff turnover with a view to improving the culture of your nursing home. Many of these resources have been produced by the national Advancing Excellence in America’s Nursing Homes campaign. The campaign, of which IPRO is a partner, works to help nursing homes achieve excellence in the quality of care and quality of life for the more than 1.5 million residents of America’s nursing homes.

Please feel free to contact IPRO if you have questions about how to employ any of these resources.

Consistent Assignment

In order for residents to feel settled in a nursing home, they need to be comfortable with the caregivers they interact with every day. Consistent assignment means residents see the same caregivers almost every time they are on duty in order to build this comfort and trust. Studies have confirmed that relationships with CNAs and other frontline staff are more important to nursing home residents than most other elements of their long term care experience, including quality of care and quality of food. Providing residents with the same caregiver on a consistent basis also results in more individualized care, which leads to better clinical outcomes and quality of life.

Reducing Turnover

Similarly to consistent assignment, reducing staff turnover helps to ensure a consistent and comfortable environment for residents. Staff who are familiar with a resident’s routines and practices are likely to provide better care and are more likely to develop bonds with residents and with other staff. Improved staff retention also means that caregivers will likely spend less time teaching temporary staff about residents’ care needs, likes and dislikes or nursing home routines.

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Other Culture Change Resources

Last updated: Monday, April 8, 2013