The Nursing Home Culture Change (NHCC) movement promotes a person-and-relationship-centred approach and a small-scale, homelike model for nursing homes. The present study offers a narrative synthesis of the most recent empirical findings regarding the impact of NHCC on resident, staff, family, and organizational outcomes. OVID MEDLINE, PSYCINFO, EMBASE, and CINAHL databases were searched for quantitative or mixed studies published in English between 2018 and 2022 and examining the effect of NHCC on resident, staff, family, and/or organizational outcomes. The following search terms were used: ‘Nursing Home’ and synonyms, ‘Culture Change’, ‘Person-centered care’ and synonyms, ‘Empowerment’, ‘Homelike’, and the most frequently studied models of NHCC (‘Eden Alternative’, ‘Green House’, ‘Wellspring’, ‘Household Model’, ‘Pioneer Network’). A narrative synthesis of the results is provided. 1687 references were identified. Following duplicate removal, title and abstract screening and full text screening, 75 studies were retained for synthesis and suggest a positive impact of NHCC on all considered outcome categories. NHCC shows promising results in all studied outcome categories. Future research should further investigate obstacles to NHCC implementation, conduct cost-benefit analyses supported by appropriate statistical tests, and define ways to improve NH staff education as well as NH policies and regulations.

Authors:
Laura Deprez, University of Liege, Belgium
Stéphane Adam, University of Liège, Belgium
Olivier Bruyère, University of Liège, Belgium
Thérèse Van Durme, Université Catholique de Louvain, Belgium

About the Presenter(s)
Laura Deprez is a PhD student at the University of Liege (Belgium) conducting research on quality of life in nursing homes.

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