Addressing the complexity of culture change in long-term care in research: an innovative new framework addressing system-level complexity.
This article explores an innovative new framework that addresses system-level complexity in long-term care research through the lens of culture change. We first discuss the current findings and gaps in culture change research and explore how a lack of system-level research may have slowed culture ch...
| Publicado en: | Gerontologist Vol. 65; no. 12; pp. 1 - 11 |
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| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Dec2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=190629538&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 190629538 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Dec2025 vid: 65 iid: 12 pid: 622 pub: Oxford University Press / USA artinfo: ui: 190629538 10.1093/geront/gnaf229 ppf: 1 ppct: 10 formats: tig: atl: Addressing the complexity of culture change in long-term care in research: an innovative new framework addressing system-level complexity. aug: au: Elliot, Amy Abbott, Katherine M Noble, Molly Haitsma, Kimberly Van affil: Scripps Gerontology Center, Miami University, Oxford, Ohio, United States Scripps Gerontology Center, Miami University, Oxford, Ohio, United StatesDepartment of Sociology and Gerontology, Miami University, Oxford, Ohio, United States Ross and Carol Nese College of Nursing, Program for Person-Centered Living Systems of Care, The Pennsylvania State University, University Park, Pennsylvania, United States su: Corporate culture Diffusion of innovations Medical quality control Systems theory Nursing care facilities Patient-centered care Family attitudes Organizational change Patient satisfaction Patient autonomy Long-term health care Organizational structure Workflow Conceptual structures sug: subj: Corporate culture Diffusion of innovations Medical quality control Systems theory Nursing care facilities Patient-centered care Family attitudes Organizational change Patient satisfaction Nursing Care Facilities (Skilled Nursing Facilities) Community care facilities for the elderly Patient autonomy Long-term health care Organizational structure Workflow Conceptual structures keyword: Complex adaptive systems Implementation science Nursing homes Theoretical framework Complex adaptive systems Implementation science Nursing homes Theoretical framework ab: This article explores an innovative new framework that addresses system-level complexity in long-term care research through the lens of culture change. We first discuss the current findings and gaps in culture change research and explore how a lack of system-level research may have slowed culture change adoption. After a review of potential system-level theories, we identify a conceptual framework that integrates the theoretical constructs of the Consolidated Framework for Implementation Research (CFIR) and Complex Adaptive Systems (CAS) for a more advanced conceptual modeling of culture change implementation. To illustrate the integration of CFIR and CAS as a conceptual framework to research culture change at a system-level, we create a crosswalk using two prominent implementation tools that support culture change: The Preferences for Everyday Living Inventory and the Artifacts of Culture Change 2.0. We argue for the value of this novel conceptual framework in highlighting the complexity of systems in long-term care research. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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