Table 2.
Long-Term Care Specialists’ Familiarity With and Views of Barriers Associated With Nursing Home (NH) Culture Change by Employment Group
| Questions and Response Categories |
NH Providers (N = 127) |
Other Providers (N = 151) |
Consumers/ Advocates (N = 88) |
State and Federal Government Officials (N = 358) |
University/ Academic (N = 243) |
Other Employment (N = 337) |
Total Samplea (N = 1,147) |
|---|---|---|---|---|---|---|---|
| Familiarity with resident-centered care/culture change in NHs | |||||||
| Not at all familiar | 1.6 | 6.6 | 2.3 | 9.4 | 5.8 | 6.8 | 6.9 |
| Slightly familiar | 2.4 | 11.9 | 8.0 | 10.8 | 11.5 | 10.4 | 10.6 |
| Moderately familiar | 5.5 | 15.9 | 13.6 | 18.8 | 24.7 | 14.5 | 16.9 |
| Familiar | 16.5 | 27.2 | 31.8 | 29.9 | 28.8 | 23.4 | 26.4 |
| Extremely familiar | 74.0 | 38.4 | 44.3 | 31.0 | 29.2 | 44.8 | 39.2 |
| The most significant barriers to culture change or resident-centered care in NHs | |||||||
| Cost | 23.6 | 39.0 | 13.6 | 27.1 | 36.2 | 24.9 | 28.7 |
| Senior leadership resistance | 23.6 | 23.1 | 52.2 | 37.1 | 31.6 | 41.2 | 35.4 |
| Regulation | 37.7 | 24.5 | 15.9 | 17.4 | 23.4 | 22.2 | 21.8 |
| Care staff resistance | 6.2 | 6.6 | 9.0 | 9.9 | 4.5 | 6.8 | 7.5 |
| Size of the facility | 7.0 | 5.9 | 7.9 | 8.0 | 4.1 | 4.1 | 6.1 |
| Family resistance | 1.5 | 0.6 | 1.1 | 0.2 | 0.0 | 0.5 | 0.5 |
Note: All figures are in percentages.
a
Respondents could respond to more than one employment group.