ABSTRACT
Baby boomers are demanding changes in care delivery models that reflect patient autonomy, individuality, and dignity. To meet this challenge, the Veterans Administration has adopted a cultural transformation model of patient-centered care. Veterans Administration nursing homes are now community living centers; the staff's mission is to deliver patient-centered care in a homelike environment. How the challenge was met and how the ethics committee helps to sustain the changes, are discussed in this article.
Subject(s)
Benchmarking , Ethics, Nursing , Organizational Culture , Patient-Centered Care/ethics , Personal Autonomy , Quality of Life/psychology , Efficiency, Organizational , Ethics Committees , Humans , Nursing Homes/ethics , Personhood , Social Support , United States , United States Department of Veterans AffairsABSTRACT
The shared governance literature contains numerous examples of how to design and implement nursing shared governance models. However, there is a major gap between design/implementation and a change in culture. A change in nursing culture will support viability of this governance model. The authors detail the steps taken by a shared governance transition team to help a large nursing organization make changes in governance process and perception as well as to incorporate a maintenance plan.
