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Workplace Culture and Caregiving Practices

   

Respectful Relationships: The Heart of Better Jobs Better Care

By Ingrid McDonald. Better Jobs Better Care Issue Brief #7, April 2007. (16 pgs.)

This bulletin highlights factors that undermine direct-care workers and contribute to high turnover rates. The impact of racism, cultural misunderstandings, class prejudices, and the medical hierarchy is discussed and new supervisory models that ''invest in respect'' are presented. Examples are given of nursing homes in which educational and career advancement opportunities, employee involvement in establishing guidelines for a respectful working environment, and changes in organizational culture successfully empowered direct-care workers.


Quality Improvement Organizations: Recognizing Direct-Care Workers' Role In Nursing Home Quality Improvement
By Elise Nakhnikian. Better Jobs Better Care Issue Brief #4, August 2004. (8 pgs.). While their focus has traditionally been strictly clinical, many QIOs are amending their aproach in nursing homes, encouraging organizational and management practices that support direct-care workers and other caregiving staff. This issue brief describes how and why QIOs are altering their tactics, becoming potential partners for others working to improve care quality in long-term care by improving the quality of direct-care jobs.


Getting Started in Culture Change
By Susan Misiorski. Nursing Home Long-Term Care Management, Volume 52, No. 10, October 2003. This article provides an introduction to the culture change movement and practical advice for nursing homes on how to begin the process of transforming an institution-centered culture into a resident-centered community.

   

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