Culture change

About: Culture change is a research topic. Over the lifetime, 1531 publications have been published within this topic receiving 41922 citations. The topic is also known as: cultural change & culture changes.

Professional Hope in Working with Older Adults

Abstract: Writings about hope within gerontological literature assume social workers already possess hope that they can use in their practice. The purpose of this article is to challenge this assumption and to examine ways in which social workers can sustain hope in personal life, in their agencies, and in the reform of larger social structures that impact older adults. The authors examine culture change in nursing homes as an emerging approach that can be more fully developed by applying the strengths perspective to interpersonal work with elders, agency change and broader structural change. Keywords: hope, growth, culture change, and strengths perspective Introduction At first glimpse, professional hope in older adults' capacities for ongoing growth and change appears pretentious and not based in reality. Although some human development models or theories describe growth and change in old age (Smith, & Freund, 2002; Atchley, 1989; Kuypers, & Bengston, 1973; Mead, 1934), many continue to describe aging as a life stage fraught with multiple health problems, an accumulation of losses (e.g., loss of friends, housing, or life partner), and decreased access to financial, social and other resources. Older adults are often not able to sustain let alone surpass current levels of growth and development (Gray, 2003; Herth, & Cutliffe, 2002; Cheavens, & Gum, 2000; Rowe, & Kahn, 1998; Farran, Wilken, & Fidler, 1995). These negative views of older adult growth and development permeate the hope and aging literature. This literature emphasizes how professionals can instill hope in the older adult who is facing negative and difficult challenges such as a terminal or chronic illness, bereavement, and depression (Westburg, 2003; Duggleby, 2000; Forbes, 1999; Roberts, Johnson, & Keely, 1999; Tennen, & Affleck, 1999; Klausner, Clarkin, Spielman, Pupos, Abrams, & Alexopoulos, 1998; Nekolaichuk, & Bruera, 1998). Few writings address the role of hope in physically or emotionally healthy older adults (Zorn, 1997; Herth, 1993). Consistent with negative views of older adult growth and change, virtually no gerontological writings discuss how professionals develop and sustain hope in working with older adults. In order for professionals to believe in older adults' capacities for growth and change it seems paramount to cultivate this professional hope. The purpose of this article is fourfold. First, the authors will examine ways in which hope is described in the gerontological literature as compared with the larger social sciences literature. Second, strategies are presented that gerontological social work professionals can use to develop and sustain hope in personal life and professional work. Third, the use of hope-inducing models or theories of human development are presented for use in social work curricula and in agency-based practice to help gerontological social workers develop and sustain hope. Fourth, culture change in nursing homes, often described as the enlistment of resident and direct-care staff involvement in institutional decision-making, is critiqued as an example of larger social structural reform that can develop and strengthen professional hope. Social workers are encouraged to facilitate advocacy efforts that involve multiple stakeholders (i.e., staff, residents and families) for the purpose of changing the culture in nursing homes. Although physical capacities eventually diminish in old age, human beings are comprised of multiple and overlapping components (e.g., social, psychological and spiritual) that may contribute to enhanced growth and development in old age. For example, older adults may strengthen friendships and support, develop wisdom and increased well-being, and may enhance their capacity for self-transcendence and a sense of life meaning. Our contention is that gerontological social work professionals can have hope in older adults' capacities to grow even in the face of physical and other limitations. …

Management development and a mismatch of objectives: the culture change process in the NHS

Abstract: Analyses the contribution of management development to culture change in the health service. Is concerned with the public sector managerialism promoted in the health service by government reforms since the Griffiths Report. In the hospital trust which is the focus of the study there is resistance to such an agenda because the expectations of the various stakeholders are not matched. The lesson for strategists is that management development programmes need to recognize where participants are starting from if they are to promote culture change.

Actualizing culture change: The Promoting Excellent Alternatives in Kansas Nursing Homes (PEAK 2.0) program.

Abstract: Nursing homes have been challenged in their attempts to achieve deep, organizational change (i.e., culture change) aimed at providing quality of care and quality of life for nursing home residents through person-centered care. To attain deep change, 2 well-defined components must be in place: a shared understanding of (a) the what, or content goals, and (b) the how, or process of change. However, there are few examples of this at a macro or micro level in long-term care. In an effort to enact true culture change in nursing homes statewide, the Kansas Department for Aging and Disability Services implemented the Promoting Excellent Alternatives in Kansas Nursing Homes program. This program is a Medicaid, pay-for-performance program that formalizes the content and process of achieving culture change through person-centered care principles. This article aims to detail the content (what) and process (how) of a model macro-level program of culture change throughout the State of Kansas. Applications to the micro level (individual homes) are presented, and implications for psychologists' roles in facilitating culture change are discussed. (PsycINFO Database Record

Women and Health: Cross-Cultural Perspectives

Abstract: Preface Intrduction Variations in Traditional Life-Cycle Concerns 'Bad Blood' and the Cultural Management of Health in a Newfoundland Fishing Community When is a Midwife a Witch? A Case Study from a Modernizing Maya Village La Edad Critica: The Positive Experience of Menopause in a Small Peruvian Town The Social Significance of Elective Hysterectomy The Effects of Culture Change on Women's Health The Need for a Supportive Doula in and Increasingly Urban Worls Health and Health-Seeking Behavior of Turkish Women in Berlin The Insufficient Milk Syndrome: Biological Epidemic or Cultural Construction? Women's Suicide in Sri Lanka Women in Conflict: Stress and Urbanization in a British Mining Town Health Care Concerns Related to Stress Compadrazgo as a Protective Mechanism in Depression The Price of Power: Gender Roles and Stress-Induced Depression in Andean Ecuador Women and Stress in Brunei Women in Vietnam: The War Without and the War Within Index