Examination Date
5-2015
Degree
Dissertation
Degree Program
Nursing (PhD)
Examination Committee
Denise Danna, RN, DNS, NEA, BC, CNE, FACHE; Barbara Bowers, PhD, RN; Demetrius Porche. DNS, PhD, APRN, FACHE, FAANP, FAAN; Deborah Garbee, PhD, APRN, ACNS-BC
Abstract
In response to the anticipated growth of the over-65 age group and a demand for an altered approach of care delivery in long term care, providers have responded by implementation of culture change strategies. Support from the Centers of Medicare and Medicaid Services (CMS) has provided the impetus for tremendous interest and implementation of various culture change initiatives, but the research supporting the culture change movement has been limited. The purpose of the study was to expand the seminal work of Bott (2007a, 2009) utilizing the Kansas Culture Change Instrument (KCCI) to measure culture change. Through a secondary analysis the strongest predictor of culture change was analyzed using the Kansas sample from Bott (2009). Bott’s (2009) findings were compared to a Louisiana sample of nursing homes leaders using the KCCI instrument to explore the relationships between two levels of culture change (limited and extensive) measuring total culture change, the seven constructs of culture change and specified health deficiency categories. A comparison of Bott’s (2009) findings were explored using the Louisiana data to analyze the relationship between the total culture change and the seven constructs with the number of specified health deficiency categories. To explore a more in depth analysis of specified health deficiency categories, the scope and severity levels were analyzed for the relationship to the level of culture change (limited and extensive). Scope and severity levels were also analyzed to determine a relationship with total culture change and the seven constructs of culture change in the Louisiana sample. This study built on prior studies using the KCCI instrument and seeks to expand knowledge to guide long term care providers in prioritization of limited resources for implementation of culture change in long term care facilities.
Recommended Citation
Harris, Jolie Estopinal, "The Constructs of Culture Change: A Secondary Data Analysis and Comparison in a Sample of Louisiana Nursing Homes" (2015). Nursing. 8.
https://digitalscholar.lsuhsc.edu/etd_son/8
Comments
This dissertation is not held in the Libraries' print collection.
The degree awarded was a Doctoral of Nursing Science, not a PhD in Nursing.