Credentials Display

Nayeli Mendoza, OTD, OTR/L; Mikayla Wandersee, OTD, OTR/L; Divya Sood, OTD, OTR/L, Divya


Background: The purpose of this study was to explore occupational therapists’ perspectives on the culture change movement to address the psychosocial components of care among nursing home residents and identify supports and barriers to implementing the culture change movement.

Methods: We used a sequential explanatory mixed methods design. Electronic surveys were completed by 102 occupational therapists who work in nursing home facilities. Three focus groups were conducted via conference call with occupational therapists (n = 9). The survey was analyzed using descriptive statistics and content analysis. Focus groups were analyzed using thematic analysis.

Results: Seventy-four of survey the participants indicated that they were unfamiliar with the culture change movement prior to `completing the survey. However, several of the participants indicated they were currently or have previously addressed factors related to culture change movement by focusing on providing client-centered care and adapting the nursing home environment to meet residents’ needs. Qualitative themes in the focus groups identified supports and barriers to address the psychosocial components of care and the importance of educating certified nursing assistants to meet the psychosocial needs of the residents.

Conclusion: Findings suggest the benefits of implementing culture change in nursing homes and the role of occupational therapy in influencing changes to better meet residents’ psychosocial needs.


The authors declare that they have no competing financial, professional, or personal interest that might have influenced the performance or presentation of the work described in this manuscript.