123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2020-09-10 06:52:52 PM lisacomstock will we ever go back to pre COVID? isnt that like a reversal cultural change?
2020-09-10 06:53:01 PM cchase not childish but fun and warn
2020-09-10 06:53:03 PM melaniekohler0122 true lisa
2020-09-10 06:53:09 PM cchase warm**
2020-09-10 06:53:33 PM angeldewitt they love printed uniforms bright colors
2020-09-10 06:53:37 PM melaniekohler0122 Sometimes a smile on your face is considered warm and envitinh
2020-09-10 06:53:40 PM chanelrheubottom They trying to get our department plain polo shirts to wear soon. i hate the idea
2020-09-10 06:53:46 PM cchase no lisa - in fact this covid is making mgmt take notice
2020-09-10 06:53:49 PM aprilw even those wall stickers from the $store for in their rooms
2020-09-10 06:53:50 PM lisacomstock there was a time when workers could wear what they fanciedthat changed like 10 yrs ago
2020-09-10 06:54:16 PM cchase yes - the dollar store has wwall stickers that can be removed easy
2020-09-10 06:54:19 PM melaniekohler0122 We decorate the doors to go with the season or baseball game football game
2020-09-10 06:54:22 PM lisacomstock a
2020-09-10 06:54:22 PM angeldewitt our NH always wore white everything
2020-09-10 06:54:40 PM sarahwms we do a monthly door decoration also
2020-09-10 06:55:00 PM angeldewitt we give lots of things for decoration for bingo prizes
2020-09-10 06:55:02 PM lisacomstock oh, how are they taking notice? like change is needed at this point?
2020-09-10 06:55:02 PM cchase how about tablecloths in the dining area
2020-09-10 06:55:03 PM srolle we decorate the boards of the seasons
2020-09-10 06:55:07 PM cchase napkins
2020-09-10 06:55:09 PM sjohnson35 we cant decorate to much on doors fire hazard
2020-09-10 06:55:09 PM melaniekohler0122 It really makes the residents feel like home
2020-09-10 06:55:21 PM chanelrheubottom our nursing home we cant have nothing on the walls or doors
2020-09-10 06:55:21 PM angeldewitt we have cloth napkins
2020-09-10 06:55:27 PM melaniekohler0122 We have tiny vases with flowers in them
2020-09-10 06:55:32 PM sjohnson35 we have a dining are we decorate according to the hoildays
2020-09-10 06:55:35 PM sarahwms we don't do tablecloths , but we did use cloth napkins
2020-09-10 06:55:37 PM sjohnson35 area
2020-09-10 06:55:44 PM cchase we had volunteers knit throw blanket in the residents favorite colors
2020-09-10 06:55:45 PM aprilw i have both, but no large groups allowed right now
2020-09-10 06:55:47 PM srolle we have 18 table in the dining rooms
2020-09-10 06:56:02 PM angeldewitt we are in lock down
2020-09-10 06:56:02 PM sjohnson35 geesh 18 we have like 8
2020-09-10 06:56:16 PM melaniekohler0122 no table clothes here cloth napkins we do decorate the dining area
2020-09-10 06:56:20 PM chanelrheubottom 8 maybe more like 5
2020-09-10 06:56:26 PM sjohnson35 our unit is locked down to but some how they still get out
2020-09-10 06:56:27 PM srolle we have a group of senoir knit wheel chair holders
2020-09-10 06:56:33 PM sarahwms nice
2020-09-10 06:56:34 PM cchase not necessary discussing the for now scenario - after COVID
2020-09-10 06:56:40 PM mcdw enter the chat room
2020-09-10 06:57:11 PM angeldewitt hope that is soon
2020-09-10 06:57:14 PM lisacomstock cant wait till we get back to being able to do and go!
2020-09-10 06:57:18 PM melaniekohler0122 We have churches that crochet nlamkets for every resident we also have a shopping cart once a month
2020-09-10 06:57:24 PM cchase hello mcdw ??? can you type your name pls - be aware that this session srated half hr ago
2020-09-10 06:57:38 PM mcdw Hello everybody Im Marie Williams
2020-09-10 06:57:39 PM srolle okay after COVID hope we will be able to have group activities
2020-09-10 06:57:54 PM sjohnson35 hello marie williams
2020-09-10 06:57:57 PM davisr enter the chat room
2020-09-10 06:58:07 PM chanelrheubottom Hello to you Marie
2020-09-10 06:58:18 PM davisr Robin Davis
2020-09-10 06:58:24 PM sarahwms we have normal activities in MC...with the exception of the staff wearing masks
2020-09-10 06:58:24 PM melaniekohler0122 Hello Marie
2020-09-10 06:58:38 PM melaniekohler0122 We are in lockdown here also
2020-09-10 06:58:49 PM srolle we can only have room activities in FL
2020-09-10 06:58:51 PM sarahwms every week, we take them on the bus and just take a scenic drive
2020-09-10 06:58:53 PM chanelrheubottom I cant wait until we can have entertainment and volunteers come in again
2020-09-10 06:58:56 PM mcdw I was in the wrong room sorry
2020-09-10 06:58:57 PM lisacomstock I did read where crisis tends to produce or accelerate cultural change. Do you feel this pandemic will bring about cc
2020-09-10 06:59:06 PM aprilw i have small groups, residents need to be 6ft apart and staff are to wear masks
2020-09-10 06:59:23 PM sarahwms we do entertainment via ZOOM...
2020-09-10 06:59:49 PM melaniekohler0122 I feel like we are in a cultural change right now. And that eventually it will be good because everyone is on top of their game now
2020-09-10 06:59:58 PM lisacomstock a lot of room visits
2020-09-10 07:00:02 PM srolle I can only have window visits, ZOOM, room activities such as adult coloring crossword puzzles etc.
2020-09-10 07:00:03 PM cchase what abbout the exterior??
2020-09-10 07:00:08 PM sarahwms flowers
2020-09-10 07:00:09 PM chanelrheubottom Melanie that is true i feel the same way
2020-09-10 07:00:19 PM cchase how do you introduce culture change on the exterior??
2020-09-10 07:00:20 PM 16380 enter the chat room
2020-09-10 07:00:27 PM melaniekohler0122 our exterior could use some work right now it looks like an old ran down prison
2020-09-10 07:00:27 PM chanelrheubottom Bird feeder plants flower
2020-09-10 07:00:32 PM lisacomstock residents like a zen type atmosphere
2020-09-10 07:00:35 PM aprilw weeding the flower beds
2020-09-10 07:00:35 PM angeldewitt I planted a ton of flowers pouside this year
2020-09-10 07:00:49 PM aprilw noodleball
2020-09-10 07:00:55 PM sarahwms we have a small outside garden area with a gazebo, and some chairs lots of flowers and a couple of bird feeders
2020-09-10 07:00:57 PM melaniekohler0122 I think paint colors gardens fountains would be very relaxing to the residents. I am working on this
2020-09-10 07:01:07 PM cchase flower beds are great
2020-09-10 07:01:12 PM angeldewitt we have bird feeders and a vegetable garden that the residents started from seed
2020-09-10 07:01:28 PM chanelrheubottom Mrs chase is there anything else we could use beside flower
2020-09-10 07:01:33 PM cchase oh - veggie garden another good one
2020-09-10 07:01:33 PM sarahwms our garden area is enclosed and secure
2020-09-10 07:01:36 PM srolle we have a garden area outside
2020-09-10 07:01:39 PM cchase bird feeders
2020-09-10 07:01:47 PM melaniekohler0122 Outside area for games
2020-09-10 07:02:03 PM angeldewitt our residents have enjoyed fresh veggies all summer
2020-09-10 07:02:15 PM chanelrheubottom our outside area is sad. its like 10 by 10
2020-09-10 07:02:22 PM aprilw i wanted a portable firepit
2020-09-10 07:02:24 PM srolle some of our resident have a bid feeder outside
2020-09-10 07:02:24 PM cchase Exterior changes can include adding walkways, patios, and gardens; some environmental changes, such as adding raised gardens and walkways, can be designed not only to make the environment more homelike but also to help residents to engage in meaningful activities and connect to former roles, such as those of a homemaker, gardener, or farmer
2020-09-10 07:02:29 PM aprilw and a sswing
2020-09-10 07:02:35 PM melaniekohler0122 oh that is nice we went into lockdown in march so did not get any garden planted
2020-09-10 07:02:36 PM eckhartdanielle enter the chat room
2020-09-10 07:02:47 PM sarahwms got those!
2020-09-10 07:02:48 PM lisacomstock we had difficulty with bird seed bringing rats then snakes.. Our maintenance man has to regulate the bird feeders
2020-09-10 07:03:02 PM cchase how about a bird feeder attached by suction cups on the window
2020-09-10 07:03:16 PM melaniekohler0122 that works great celeste
2020-09-10 07:03:17 PM sjohnson35 we have a garden outback with our bird feeders made by residents
2020-09-10 07:03:18 PM cchase they can watch the birds nest up close
2020-09-10 07:03:19 PM srolle i like that idea
2020-09-10 07:03:20 PM sarahwms yep...have one of those also! ours is clear, so they can see inside
2020-09-10 07:03:23 PM angeldewitt we have deer that come out in the yard and turkeys the resident love it
2020-09-10 07:03:30 PM aprilw yes, suctions cups
2020-09-10 07:03:42 PM melaniekohler0122 We have an indoor bird sanctuary
2020-09-10 07:03:47 PM cchase plant hostas - deer love to eat them
2020-09-10 07:03:47 PM sarahwms nice
2020-09-10 07:03:49 PM srolle love it angel
2020-09-10 07:03:52 PM chanelrheubottom we like the bird feeder. it more like a squirrel feeder pipe cleamers amd cherrios
2020-09-10 07:03:55 PM lisacomstock those air socks are a joy also. they come in so many styles
2020-09-10 07:04:05 PM chanelrheubottom the residents love making them
2020-09-10 07:04:09 PM melaniekohler0122 hostas would be great cause they would love to look out and see deer
2020-09-10 07:04:09 PM sjohnson35 lol yes chanel
2020-09-10 07:04:12 PM sarahwms hadn't thought of those lisa
2020-09-10 07:04:22 PM melaniekohler0122 Wind chimes
2020-09-10 07:04:22 PM cchase Other ideas for making environments more homelike: providing residents with the choice of colors for painting rooms  choice of corridor/unit names  replacing public announcement systems with staff pagers
2020-09-10 07:04:38 PM eckhartdanielle Love all of those
2020-09-10 07:04:38 PM mcdw I like the suction cup idea maybe could try that one day. But we've made plenty homemade birdfeeders. We have to get very creative at my facility
2020-09-10 07:04:46 PM angeldewitt great ideas
2020-09-10 07:05:00 PM sarahwms our community doesn't have a public announcement system...staff have walkies to communicate
2020-09-10 07:05:13 PM davisr we have staff pagers.
2020-09-10 07:05:14 PM cchase you suction them to the outside -- easy
2020-09-10 07:05:14 PM aprilw great ideas to bring up in resident council
2020-09-10 07:05:32 PM sjohnson35 yes we can announce anything either its a home setting for them
2020-09-10 07:05:41 PM lisacomstock the intercom takes away the feel of home for sure
2020-09-10 07:05:47 PM eckhartdanielle yep!
2020-09-10 07:05:56 PM sarahwms I would love to start a garden for our IL and AL residents
2020-09-10 07:05:57 PM eckhartdanielle Not everyone needs to hear everything
2020-09-10 07:05:58 PM angeldewitt resident council has helped with some cahnges at our facility
2020-09-10 07:06:03 PM cchase culture change is also about resident centered care - and you all know about that - right?
2020-09-10 07:06:04 PM mcdw Our facility isnt suppose to use the announcement system unless necessary but nobody listens unfortunately
2020-09-10 07:06:07 PM davisr The only downfall is our radios they dont use the plugs and it can become distracting
2020-09-10 07:06:09 PM melaniekohler0122 agree
2020-09-10 07:06:25 PM sarahwms we have a nice grilling area outside, but I think a garden would be great
2020-09-10 07:06:25 PM lisacomstock learning always!
2020-09-10 07:06:34 PM cchase  resident-centered entails enhancing resident choice and decision making and focusing the delivery of services on residents’ needs and preferences.
2020-09-10 07:06:36 PM sjohnson35 agreed lisa
2020-09-10 07:06:44 PM aprilw we used to have country music playing through the intercom all day. it brought happiness to the staff, singing and it would rub off on the residents
2020-09-10 07:06:56 PM eckhartdanielle Our facilities should take everything into account about a person and how we can suit THEIR needs and preferences
2020-09-10 07:07:02 PM angeldewitt we do that in care plan meetings
2020-09-10 07:07:04 PM cchase For example, as part of a resident-centered approach, residents would be offered choices and encouraged to make their own decisions about things personally affecting them, such as what to wear or when to go to bed, eating schedules, and menus
2020-09-10 07:07:05 PM srolle I use to have one of the resident announced the activities for the day
2020-09-10 07:07:25 PM sarahwms absolutely celeste
2020-09-10 07:07:38 PM eckhartdanielle They deserve to have a say and not feel like they have no control
2020-09-10 07:07:47 PM cchase yes - they do
2020-09-10 07:07:50 PM lisacomstock we have resident council and they make decisions there then
2020-09-10 07:07:54 PM melaniekohler0122 we give the residents dinner selection so it is like ordering at a reasturant
2020-09-10 07:08:00 PM chanelrheubottom menus they complain about that everyday
2020-09-10 07:08:00 PM sarahwms even our MC residents have a choice
2020-09-10 07:08:05 PM cchase culture change is also about staff empowerment
2020-09-10 07:08:16 PM davisr Our facility takes menus to everyones room and allows them to choice what they want
2020-09-10 07:08:16 PM mcdw At my facility we have a calender but i also bring other stuff with me to give them a choice cause alot of them dont like or want to do whats planned
2020-09-10 07:08:18 PM cchase how can that happen??
2020-09-10 07:08:21 PM eckhartdanielle I dislike when our staff prepours their meal beverages before asking them what they'd like to drink
2020-09-10 07:08:28 PM eckhartdanielle I don't drink the same thing every time
2020-09-10 07:08:52 PM eckhartdanielle Knowledge, support, communication and teamwork
2020-09-10 07:08:58 PM cchase danielle - that is another example of culture change
2020-09-10 07:09:03 PM melaniekohler0122 Celeste do you mean like doing a chili cook off for the staff
2020-09-10 07:09:05 PM sjohnson35 with older people there rountine normally never changes
2020-09-10 07:09:19 PM lisacomstock monkey see monkey do get rid of bad habits get everyone on board with enthusiasm
2020-09-10 07:09:21 PM cchase not a bad idea melanie
2020-09-10 07:09:41 PM davisr Exactly some of the MC residents they dont remember what they like and dont like so they have always poured their drinks. I however ask them what they would like and see how they respond if they dont like it then Igo to their next option
2020-09-10 07:09:58 PM cchase particularly the empowerment of nursing assistants and other “hands-on” care aides—who are the predominant workforce in nursing homes and provide the vast bulk of care —is a core component of culture change
2020-09-10 07:10:00 PM angeldewitt our administration does lots for us
2020-09-10 07:10:02 PM melaniekohler0122 we also have your favorite super hero day and have a parade for the residents then they judge the winner and the winner gets a prize
2020-09-10 07:10:27 PM davisr Communication isnt a strong area at my facility unfortunately
2020-09-10 07:10:33 PM lisacomstock POWER to the CNA's!!lol
2020-09-10 07:10:36 PM cchase love that super hero day
2020-09-10 07:10:36 PM eckhartdanielle Yes, they have a huge part of it.
2020-09-10 07:10:38 PM melaniekohler0122 I one istotally agree celeste if our CNA's and RN's are not happy no
2020-09-10 07:11:15 PM cchase generally entails enhanced participation in decision making and increased autonomy. Staff empowerment practices that were examined in a national survey of nursing home directors included:
2020-09-10 07:11:26 PM melaniekohler0122 we also have mardi gras, valentines, and christmas king and queen and the residents vote on who they want
2020-09-10 07:11:36 PM cchase • Staff work together to cover shifts when someone cannot come to work• Staff cross-trained to perform tasks outside of their assigned job duties• Staff involved in planning social events• Nursing assistants take part in quality improvement teams• Nursing assistants know when a resident’s care plan has changed• Nursing assistants who receive extra training or education receive bonuses or raises
2020-09-10 07:11:39 PM davisr We have a talent show coming up next thursday the residents as well as the staff have signed up
2020-09-10 07:11:53 PM lisacomstock cross training is good
2020-09-10 07:11:54 PM eckhartdanielle Good list
2020-09-10 07:12:00 PM sarahwms great list
2020-09-10 07:12:07 PM srolle great list
2020-09-10 07:12:20 PM angeldewitt We have and do some of thise things
2020-09-10 07:12:22 PM cchase training allows you to feel valued
2020-09-10 07:12:30 PM melaniekohler0122 that is true!
2020-09-10 07:12:32 PM srolle yes
2020-09-10 07:12:34 PM aprilw i had a whole month of staff dress up.... of course theres always someone to mess it up. dressed kinda sassy/sexy. ruined it for everyone
2020-09-10 07:12:43 PM angeldewitt i have cross trained numerous times
2020-09-10 07:12:44 PM cchase it shows the companys investment in you as a member of the staff
2020-09-10 07:12:44 PM lisacomstock training does empower
2020-09-10 07:12:49 PM eckhartdanielle For some reason, sensitivity training should be an important part too. Studies show the longer you work in an institution the more institutionalized you become
2020-09-10 07:12:52 PM chanelrheubottom love all of the ideas i hopw my boss lets us use them
2020-09-10 07:13:15 PM angeldewitt it does empower
2020-09-10 07:13:23 PM cchase there was one idea - that might warrent dicussion
2020-09-10 07:13:30 PM eckhartdanielle I feel even as a fairly sensitive and empathetic person I even could benefit from sensitivity training
2020-09-10 07:13:37 PM sarahwms ??
2020-09-10 07:13:41 PM lisacomstock //
2020-09-10 07:13:45 PM angeldewitt whats that
2020-09-10 07:13:49 PM cchase • **Nursing assistants can choose which the residents for whom they provide care
2020-09-10 07:13:50 PM srolle What
2020-09-10 07:13:56 PM mcdw we can hardly get our residents to do much outside of coloring and listening to music so I ask them what they want to hear. It very had getting them engaged
2020-09-10 07:14:03 PM sarahwms whoa???
2020-09-10 07:14:13 PM cchase not sure abut that one
2020-09-10 07:14:14 PM eckhartdanielle interesting concept
2020-09-10 07:14:15 PM davisr The nursing assistants dont get that option
2020-09-10 07:14:19 PM angeldewitt that ensures continuity of care
2020-09-10 07:14:26 PM sarahwms Ours kind of do....
2020-09-10 07:14:34 PM melaniekohler0122 unfortunately there might be some residents left out due to behavior if we did that
2020-09-10 07:14:34 PM cchase NOTE: it was uncommon for nursing homes to permit nursing assistants to choose which residents they care for.
2020-09-10 07:14:35 PM eckhartdanielle I feel the sweet and unproblematic residents will be picked first
2020-09-10 07:14:38 PM lisacomstock licenseing
2020-09-10 07:14:57 PM sarahwms we have one male CNA (in MC), so I think he gets "stuck" with our men residents
2020-09-10 07:15:13 PM srolle all the nursing assistant have to follow the flow sheet
2020-09-10 07:15:23 PM eckhartdanielle and then lies the boundaries of professionalism that comes with familiarity
2020-09-10 07:15:25 PM lisacomstock it kinda still is. it takes a care plan has to be in there yes?
2020-09-10 07:15:32 PM davisr Then when someone needs help they will say thats not my resident
2020-09-10 07:15:33 PM cchase men residents also like female cna s
2020-09-10 07:15:35 PM chanelrheubottom yeah they do srolle
2020-09-10 07:15:36 PM eckhartdanielle *crossing of boundaries
2020-09-10 07:15:43 PM angeldewitt so true
2020-09-10 07:15:53 PM srolle really true
2020-09-10 07:15:56 PM cchase well said danielle
2020-09-10 07:15:59 PM melaniekohler0122 they sure do it puts a smile on their face to have a female
2020-09-10 07:16:02 PM angeldewitt some women dont like men so much
2020-09-10 07:16:18 PM sarahwms we have a couple of "frisky" women....I think they make him uncomfortable
2020-09-10 07:16:21 PM cchase Statistically significant improvements in numerous resident outcome measures were found to be associated with the implementation of culture change practices”
2020-09-10 07:16:24 PM aprilw yup men i feel would prefer females, lol
2020-09-10 07:16:49 PM chanelrheubottom we had a council meeting and they said they wanted a nurse with bigger boobs lol
2020-09-10 07:16:51 PM cchase men from more traditional ages tend to be grochy
2020-09-10 07:17:07 PM sarahwms oh yes....
2020-09-10 07:17:09 PM angeldewitt yup!
2020-09-10 07:17:11 PM cchase not surprised chanel - not at all
2020-09-10 07:17:15 PM eckhartdanielle omg hahaha Chanel
2020-09-10 07:17:15 PM srolle yes they do
2020-09-10 07:17:16 PM lisacomstock grumpy old men in every generation
2020-09-10 07:17:56 PM melaniekohler0122 i walked into a patients room and he said look at this he was naked under the blankets :}
2020-09-10 07:18:14 PM cchase culture change successes -  increased completion of advance care plans  improved quality of workers’ approach to residents.  improvements in staff turnover/retention, satisfaction/well-being/burnout, absenteeism, knowledge, and attitude improvements in select organizational outcome measures including operations costs, occupancy rates, revenue/profits, and family satisfaction.
2020-09-10 07:18:29 PM davisr It can get hard when a resident has issues with what color an assistant is
2020-09-10 07:18:53 PM cchase goodness melanie - seen that done that too
2020-09-10 07:19:03 PM melaniekohler0122 Especially when the resident has dementia or alzheimer's
2020-09-10 07:19:14 PM melaniekohler0122 I know I said put that away and I will be back
2020-09-10 07:19:21 PM aprilw agreed davisr
2020-09-10 07:19:34 PM sarahwms I can see those improvements....if the staff is happy, then the residents will be also and if the residents are happy, then it makes the staffs job easier
2020-09-10 07:19:40 PM cchase Options in implementing culture change can involve changes to physical environments, resident-centered care practices, and staff empowerment. This means that facilities can choose to implement as many or as few changes as they would like, and research has shown that there has been a lot of variation in which culture change practices are implemented.
2020-09-10 07:19:50 PM eckhartdanielle Staff should put less focus on strict schedules and more on resident experience
2020-09-10 07:20:13 PM davisr The residents dont like change
2020-09-10 07:20:14 PM sarahwms with the exception of meds...
2020-09-10 07:20:16 PM chanelrheubottom we have a resident in the dementia unit that knows you by your butt smh
2020-09-10 07:20:23 PM cchase  It was found that facilities interested in attracting highly reimbursed Medicare rehabilitation patients were more likely to implement hotel-style changes to their physical environments than they were to implement resident-centered care practices or forms of staff empowerment
2020-09-10 07:20:27 PM melaniekohler0122 lol chanel
2020-09-10 07:20:33 PM sjohnson35 by your butt
2020-09-10 07:20:36 PM lisacomstock smaller units?
2020-09-10 07:20:55 PM sarahwms cheaper?
2020-09-10 07:21:01 PM cchase  Additionally, facilities were more likely to implement less complex practices (eg, allowing residents to choose when they go to bed) than more complex practices (eg, involving staff and residents in organizational decision making).
2020-09-10 07:21:05 PM angeldewitt thats sad
2020-09-10 07:21:30 PM angeldewitt that sounds good
2020-09-10 07:21:32 PM sjohnson35 left the chat room
2020-09-10 07:21:39 PM sarahwms easier for the staff.....frustrating for the residents
2020-09-10 07:21:44 PM cchase  some important barriers to culture change implementation were not involving all staff in culture change activities and a lack of corporate level support for these efforts
2020-09-10 07:21:46 PM davisr residents should always be allowed to chose when they go to bad
2020-09-10 07:21:49 PM melaniekohler0122 I feel like my center does that celeste to the extent of the residents that do not need to be lifted
2020-09-10 07:22:00 PM sarahwms i can see that
2020-09-10 07:22:00 PM eckhartdanielle Everyone has to be on the same page
2020-09-10 07:22:15 PM eckhartdanielle or the residents will struggle to adjust
2020-09-10 07:22:27 PM cchase yes - very much so danielle - good observation
2020-09-10 07:22:30 PM srolle so true ecka
2020-09-10 07:22:43 PM mcdw I think our higher ups dont really care to support anything that we do in our department unless food is involved
2020-09-10 07:22:45 PM lisacomstock like the 11-7 shift with attitude because not all residents are in bed when they come on shift
2020-09-10 07:22:45 PM sarahwms its frustrating when each shifts "version" is different
2020-09-10 07:22:48 PM cchase North Carolina nursing homes unsuccessful culture change initiatives could be attributed to the organizations’ failure to have readiness for change, a lack of high quality management communications, and unfavorable perceptions of culture change by direct-care workers.
2020-09-10 07:23:02 PM davisr We just had our AL Director move to MC director and they are having such a hard time adjusting to the fact that she isnt there
2020-09-10 07:23:03 PM melaniekohler0122 I feel like it should not be set in stone then it makes it feel like a prison I understand dinner at a certain time but not bed time
2020-09-10 07:23:48 PM cchase one reported failure was reasoned as follows
2020-09-10 07:23:51 PM cchase  reported that residents were resistant to change primarily because they had been institutionalized in their thinking. In other words, nursing homes had essentially trained residents to expect things to be done at certain times and in certain ways.  staff resistance to the overall concept of culture change and to specific culture change practices. Often, staff perceived that changes related to culture change implementation involved additional work or effort on their part without additional resources, but this was not the only reason for resistance.
2020-09-10 07:24:05 PM eckhartdanielle Good education and resources for staff could ease the transition, people in general need a push and they need to understand why it's so important
2020-09-10 07:24:09 PM lisacomstock cultural lag different rates of change stuff i read
2020-09-10 07:24:17 PM chanelrheubottom my question is why do they serve dinner food at lunch time n lunch time dinner food
2020-09-10 07:24:19 PM melaniekohler0122 That is true celeste
2020-09-10 07:24:50 PM mcdw yes i've wondered the same thing Chanel
2020-09-10 07:24:50 PM lisacomstock low pay
2020-09-10 07:25:05 PM davisr They shouldnt have there dignity taken away treating them like children. Thats their home and we are in there house
2020-09-10 07:25:19 PM cchase it can be about metabolishm -- that old adage - eat like a king at breakfast. a queen at lunch and a pauper at the dinner hour
2020-09-10 07:25:19 PM eckhartdanielle Wow, that is a common misconception with change. Our lives will be better if our residents are happier
2020-09-10 07:25:28 PM srolle so true davis
2020-09-10 07:25:28 PM lisacomstock it is hard to break habit
2020-09-10 07:25:40 PM chanelrheubottom wow i never heard of that saying but i like it
2020-09-10 07:25:41 PM aprilw right on davisr
2020-09-10 07:25:47 PM cchase there you go danielle - BINGO
2020-09-10 07:25:48 PM melaniekohler0122 could be or it could have to do with staffing more people to help with a dinner during the daytime
2020-09-10 07:25:57 PM mcdw oh okay makes sense now with the meals
2020-09-10 07:25:58 PM cchase you hit the nail on the head
2020-09-10 07:26:41 PM angeldewitt so......true
2020-09-10 07:26:49 PM eckhartdanielle That's the message staff needs to understand before change will happen
2020-09-10 07:26:57 PM cchase so what would you recommend to implement culture change successfully
2020-09-10 07:27:18 PM angeldewitt residents come first
2020-09-10 07:27:18 PM melaniekohler0122 A big staff meeting with dinner and then put the changes on them
2020-09-10 07:27:19 PM sarahwms get all staff on board
2020-09-10 07:27:24 PM cchase resistance to change in a manufacturing plant was overcome when management effectively communicated to staff the reasons for the change and engaged staff in planning for the desired changes.
2020-09-10 07:27:32 PM srolle we need more team work
2020-09-10 07:27:49 PM cchase  including education and training and improved communication.  tailored education and communication to their facility’s unique needs. efforts should be ongoing, communication should be two-way, and that all staff should be included
2020-09-10 07:27:50 PM mcdw we would definately have to really find out what their hobbies were and gear activities towards that
2020-09-10 07:27:50 PM davisr Teamwork and residents input
2020-09-10 07:28:00 PM sarahwms that's true....a lot of people need to know the why before they are onboard
2020-09-10 07:28:07 PM lisacomstock socially desirable usefull and necessity of change
2020-09-10 07:28:24 PM cchase Good communication about culture change, in particular, included providing a strong rationale for the changes and involved getting input from staff before and during implementation
2020-09-10 07:28:28 PM chanelrheubottom the best thing is communication
2020-09-10 07:28:31 PM eckhartdanielle Plan a special event for staff to attend (plan a few for other shifts) and have a speaker and presentation. Maybe invite someone who has made these changes successfully to be the speaker
2020-09-10 07:28:46 PM mcdw I have a resident that was talking about knots the other day so i'm going to buy some rope and maybe get him to be a mock teacher
2020-09-10 07:28:59 PM sarahwms not necessarily mcdw....once dementia evolves, so does their "normal"

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