ArticleHealth services research2016
Sustaining Culture Change: Experiences in the Green House Model.
Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Failure or success of self-organizing teams in long-term care organizations: an integrative systematic literature review on the role of the organization structure.BMC health services research · 2025Pooled it
- An overview of innovative living arrangements within long-term care and their characteristics: a scoping review.BMC geriatrics · 2023Article
- 'The Primacy of 'Home': An exploration of how older adults' transition to life in a care home towards the end of the first year.Health & social care in the community · 2022Article
- The Changing Adoption of Culture Change Practices in U.S. Nursing Homes.Innovation in aging · 2020Article
- Development of a New Tool for Systematic Observation of Nursing Home Resident and Staff Engagement and Relationship.The Gerontologist · 2018Article
- Launching Medical Foster Home Programs: Key Components to Growing This Alternative to Nursing Home Placement.Journal of housing for the elderly · 2017Article
- Person-centered nursing home care in the United States, United Kingdom, and Sweden: Why building cross-comparative capacity may help us radically rethink nursing home care and the role of the RN.Nordic journal of nursing research · 2016Article
- The Impact of Green House Adoption on Medicare Spending and Utilization.Health services research · 2016Article
- Green House Adoption and Nursing Home Quality.Health services research · 2016Article
- New Evidence on the Green House Model of Nursing Home Care: Synthesis of Findings and Implications for Policy, Practice, and Research.Health services research · 2016Article
- The Green House Model of Nursing Home Care in Design and Implementation.Health services research · 2016Article
- Promoting an Alternative to Traditional Nursing Home Care: Evaluating the Green House Small Home Model. An Introduction from the Funders and the Green House Project.Health services research · 2016Article
- Studying Nursing Home Innovation: The Green House Model of Nursing Home Care.Health services research · 2016Article
- "It's a lot!" the universal worker model and dementia care in assisted living.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveTo describe conditions that influence how Green House (GH) organizations are sustaining culture change principles and practices in a sample of GH skilled nursing homes. DATA SOURCES/STUDY
settingPrimary data were collected at 11 skilled nursing GH organizations from 2012 to 2014. These organizations have adopted the comprehensive and prescriptive GH model of culture change. STUDY
designTo develop an understanding of sustainability from the perspective of staff who are immersed in GH daily work, grounded theory qualitative methods were used. DATA COLLECTION
methodsData were collected using semi-structured interviews with 166 staff and observation of house meetings and daily operations. Data were analyzed using grounded dimensional analysis. PRINCIPAL
findingsOrganizations varied in their ability to sustain GH principles and practices. An organization's approach to problem solving was central to sustaining the model. Key conditions influenced reinforcement or erosion of GH principles and practices.
conclusionsReinforcing the GH model requires a highly skilled team of staff with the ability to frequently and collaboratively solve both mundane and complex problems in ways that are consistent with the GH model. This raises questions about the type of human resources practices and policy supports that could assist organizations in sustaining culture change.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.