{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T16:17:23Z","timestamp":1782231443819,"version":"3.54.5"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Florida Health Equity Research Institute (HERI) at Florida State University","award":["MMC14-02"],"award-info":[{"award-number":["MMC14-02"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2018,1,1]]},"abstract":"<jats:p>Quality of care has been a long-standing issue in US nursing homes. The culture change movement attempts to transition nursing homes from health care institutions to person-centered homes. While the adoption of culture change has been spreading across nursing homes, barriers to adoption persist. Nursing homes that disproportionately serve minority residents may have additional challenges implementing culture change compared with other facilities due to limited financial and staffing resources. The objective of this study was to examine how nursing home characteristics are associated with culture change adoption in Central Florida nursing homes. This cross-sectional study included 81 directors of nursing (DONs) who completed the Artifacts of Culture Change survey. In addition, nursing home organizational data were obtained from the Certification and Survey Provider Enhanced Reports (CASPER). A logistic regression was conducted to examine the relationship between high culture change adoption and nursing home characteristics. The overall adoption of culture change scores in Central Florida nursing homes was low. Nevertheless, there was variability across nursing homes in the adoption of culture change. High culture change adoption was associated with nursing homes having lower proportions of Medicaid residents.<\/jats:p>","DOI":"10.1177\/0046958018787043","type":"journal-article","created":{"date-parts":[[2018,7,17]],"date-time":"2018-07-17T10:02:08Z","timestamp":1531821728000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Culture Change in Nursing Homes: What Is the Role of Nursing Home Resources?"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3705-9412","authenticated-orcid":false,"given":"Latarsha","family":"Chisholm","sequence":"first","affiliation":[{"name":"University of Central Florida, Orlando, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning J.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Seton Hall University, South Orange, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Hyer","sequence":"additional","affiliation":[{"name":"University of South Florida, Tampa, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Pradhan","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Unruh","sequence":"additional","affiliation":[{"name":"University of Central Florida, Orlando, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng-Chang","family":"Lin","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,7,17]]},"reference":[{"key":"bibr1-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1177\/1077558709331813"},{"key":"bibr2-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1007\/s11293-009-9185-7"},{"key":"bibr3-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3181ca2810"},{"key":"bibr4-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1177\/0898264311432311"},{"key":"bibr5-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.5.1448"},{"key":"bibr6-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0966"},{"key":"bibr7-0046958018787043","author":"Colorado Fondation for Medical Care","journal-title":"Measuring Culture Change Literature Review"},{"key":"bibr8-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/48.2.142"},{"key":"bibr9-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt147"},{"key":"bibr10-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt145"},{"key":"bibr11-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01169.x"},{"issue":"2","key":"bibr12-0046958018787043","first-page":"35","volume":"30","author":"Lum TY","year":"2008","journal-title":"Health Care Financ Rev"},{"key":"bibr13-0046958018787043","volume-title":"Culture Change in Nursing Homes: How Far Have We Come. Findings From the Commonwealth Fund 2007 National Survey of Nursing Homes","author":"Doty MK","year":"2008"},{"key":"bibr14-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1177\/0032329205284756"},{"key":"bibr15-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1080\/02701960.2013.837049"},{"key":"bibr16-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1177\/0733464813491141"},{"key":"bibr17-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt020"},{"key":"bibr18-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt141"},{"key":"bibr19-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt144"},{"key":"bibr20-0046958018787043","first-page":"215","volume":"27","author":"Lepore M","year":"2015","journal-title":"J Aging Soc Policy"},{"key":"bibr21-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1111\/j.0887-378X.2004.00309.x"},{"key":"bibr22-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.1268."},{"key":"bibr23-0046958018787043","volume-title":"The External Control of Organizations A Resource Dependence Perspective","author":"Pfeffer J","year":"1978"},{"key":"bibr24-0046958018787043","unstructured":"Reaves E, Musumeci M. Medicaid and Long-Term Services and Supports: A Primer. The Kaiser Commission on Medicaid and the Uninsured. http:\/\/files.kff.org\/attachment\/report-medicaid-and-long-term-services-and-supports-a-primer. Published 2015. Accessed June 18, 2018."},{"key":"bibr25-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/43.suppl_2.37"},{"key":"bibr26-0046958018787043","volume-title":"Development of the Artifacts of Culture Change Tool","author":"Schoeneman K","year":"2006"},{"key":"bibr27-0046958018787043","unstructured":"Bowman C, Schoeneman K. Quality of Life Proxy Indicators (HHSM-500-2005-0076P). Centers for Medicare & Medicaid Services and Edu-Catering, LLP. http:\/\/www.artifactsofculturechange.org\/ACCTool\/. Published 2006. Accessed June 18, 2018."},{"key":"bibr28-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1177\/0733464813491141"},{"key":"bibr29-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12079"},{"key":"bibr30-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2013.02.015"},{"key":"bibr31-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12987"},{"key":"bibr32-0046958018787043","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182763230"}],"container-title":["INQUIRY: The Journal of Health Care Organization, Provision, and Financing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0046958018787043","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0046958018787043","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0046958018787043","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:05:24Z","timestamp":1777460724000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0046958018787043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,1]]},"references-count":32,"alternative-id":["10.1177\/0046958018787043"],"URL":"https:\/\/doi.org\/10.1177\/0046958018787043","relation":{},"ISSN":["0046-9580","1945-7243"],"issn-type":[{"value":"0046-9580","type":"print"},{"value":"1945-7243","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,1]]},"article-number":"0046958018787043"}}