Developing and sustaining group residential settings that support autonomy and better quality of life (QOL) for older people with substantial disability and functional impairment is a persistent challenge. Fueled since 1995 by the Pioneer Network in Long-Term Care (Koren 2010), the culture change movement for nursing homes (NHs) has made strides in promoting individualized person-centered services in NHs and empowerment of both residents and direct-care unlicensed staff. But some critics lament the enthusiastic embrace of its vaguer tenets (Rahman and Schnelle 2008) and some question the evidence base for culture-change activities (Shier et al. 2014). Meanwhile, institutional living erodes residents' QOL and their sense of identity.
|Original language||English (US)|
|Title of host publication||Later-Life Social Support and Service Provision in Diverse and Vulnerable Populations|
|Subtitle of host publication||Understanding Networks of Care|
|Publisher||Taylor and Francis|
|Number of pages||35|
|State||Published - Jan 1 2017|