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Doody's Review ServiceReviewer: Sharon G Thomas, BSN (University of Missouri-Columbia)
Description: There are many resources on culture change in long-term care. In fact, there are so many that workers in the field have trouble choosing which resources to use and often just give up and wait for regulations to guide them, with the result that compliance becomes their goal. In this book, the author brings together the basic thoughts and tools necessary to get started on the culture change journey that focuses on person-centered care.
Purpose: The purpose, according to the author, is to support administrators and long-term care staff in facilitating a culture that focuses on dignity and the least restrictive environment for residents in long-term care, rehabilitation, and other care settings. If there is to be culture change, we cannot continue to do things the way they have always been done. Rather than focusing on tasks, staff must focus on strengths and desires of residents. In his very eloquent foreword, Bill Thomas, MD, founder of the Eden Alternative and the Green House Project, states, "This book offers us a context within which we can consider these changes." This book meets the author's objective in a clear and practical way.
Audience: It is intended for everyone interested in the culture change movement, and it is written at a level that both professionals and lay people can understand. Families would benefit from reading it as part of the selection process of a long-term care environment for a loved one. The author, a social worker and educator, is very influential in the field of long-term care and culture change.
Features: The book covers culture change from identifying the need to changing existing paradigms about long-term care and strategizing the process. It includes how to benchmark current practices in different environments and set goals to achieve desired outcomes. The Artifacts of Culture Change Tool is thoroughly discussed. Each section ends with discussion/reflection questions that help clarify the material. The valuable appendixes include resources, websites, and a listing of vocabulary that needs to be considered to support the new paradigm of culture change.
Assessment: As one who is involved in the culture change movement and is trying to review the huge volume of available resources, I find it refreshing to have a book that draws it all together. Of course, the resources the book provides are valuable, but having them in one book makes it easy to keep track of all of the choices. I highly recommend this book to administrators who are overwhelmed at the thought of implementing change in their environment. The author has done an excellent job of making it seem quite possible to make culture change a reality.