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Organizational Culture Change
Transformational (Cultural) Change:

Transformational change occurs through collaboration, partnership, and commitment to a person-directed care (PDC) approach to quality improvement. This model enhances a residents’ quality of life by changing the culture and supporting an environment that promotes the residents’ freedom, independence, and autonomy. The foundation of transformational change will only occur with a positive organizational culture that is directed and supported by the facility administration.

PDC (Person Directed Care) Tools:
Leading by Example
QI Call, Dave Farrell

Resident Directed Care
Change Ideas Consistent Assignment

Organizational Culture Change begins with listening to your staff and residents. Capturing their needs and investigating into why they may be unhappy or have needs that you may not have been aware of, will give them an opportunity to voice these concerns. This begins with the survey process; we have two survey tools (created by Primaris Healthcare) that can be used to survey both your staff and residents to collect valuable information for your leadership and lead clinical staff to begin to look at this extremely important component of your nursing home.

Survey Tools:
1. Staff Survey Tool: Tell us About Your Nursing Home
2. Resident Survey Tool: Elder Questionnaire (or Warmth Survey)

Survey Analysis Excel Spreadsheet to
Calculate Survey Results:

1. Staff Survey Analysis Spreadsheet: Tell us About Your Nursing Home
2. Instructions for Staff Analysis Spreadsheet
3. Resident Analysis Spreadsheet: Warmth Survey
4. Instructions for Resident/Elder Analysis Spreadsheet: Warmth Survey

Across the nation, we have seen high C.N.A. turnover. Tracking this on an annual basis can prove to be very advantageous for your facility. The following tools can be used to gather the data using the C.N.A. turnover worksheet. The Excel spreadsheet is used to calculate the data results.

Organizational Culture Change Tools:
1. C.N.A Turnover Worksheet
2. C.N.A. Turnover Spreadsheet: used to calculate data collected on worksheet.

Workforce Retention Tools:
The following tools may be helpful in putting together a plan of action for your facility regarding turnover. Tracking your Annual C.N.A. turnover is a start, then take a look at your organizational culture and possibly by implementing some programs that have been tested by best practices, such as, mentoring programs, career ladders and consistent assignments, you may begin to reduce your turnover and maintain workforce stability.
1. Staff Survey Tool: Tell us About Your Nursing Home
2. Resident Survey Tool: Elder Questionnaire (or Warmth Survey)
3. C.N.A Turnover Worksheet
4. C.N.A. Turnover Spreadsheet: used to calculate data collected on worksheet.
5. Change Ideas for Consistent Assignment
6. Change Ideas for On-The-Job Support for New Workers
7. Exit Interview

8. Mentoring Program Go back to the QSource main page


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