Purpose: This study aims to examine culture change in nursing homes in South Korea and to identify the outcomes of culture change implementation. Design and Methods: Data were taken from survey responses from 223 top-or mid-level staff among nursing homes in South Korea that were selected through a proportionate random-stratified sampling method from four regions nationwide. Culture change in nursing homes was operationalized by five person-directed care (PDC) constructs and three organizational environment constructs, and outcome quality was indicated by changes to occupancy rate and organizational commitment. Results: After controlling for facility characteristics, the effect of staff-reported culture change on occupancy rate and organizational commitment was analyzed through the multiple-regression method. Consistent with previous research, this study revealed positive effects of culture change for nursing homes in South Korea. The study found that staff-reported culture change correlated with occupancy rate and organizational commitment. Implications: Given that culture change variables were significantly related to occupancy rate and organizational commitment, the findings of the study provide a persuasive argument that policies and/or programs to support culture change in nursing homes should be enhanced. Management-level workers in these facilities should have the skills and knowledge to foster more PDC and a more person-directed environment.
Bibliographical noteFunding Information:
This study employed some data that were originally collected in a national nursing home survey in 2010 by the Center for Social Welfare Research at Yonsei University, Seoul. The survey was partially funded by the Asan Foundation and was completed by top-or mid-level staff at nursing facilities identified from a comprehensive listing of nursing home information in 2010, provided by Korea’s Ministry of Health and Welfare. The survey was completed by staff via mail and there was no direct contact with residents. This study was performed under approval from the University Research Review Board and complied with University regulations. In 2009, there were 2,712 nursing facilities in South Korea; however, participation in this survey was limited to facilities over a year in age and with more than 10 beds. The final sample frame included 1,642 nursing homes.
All Science Journal Classification (ASJC) codes
- Geriatrics and Gerontology