This course describes the concepts of resident-directed care and culture change in nursing homes, compares and contrast the benefits of choosing culture change nursing homes as clinical placement sites, and evaluates a nursing home’s adoption of resident-directed care and culture change. In completion of this course, nursing and academic facilities will be able to explain the differences between a culture change nursing home and a traditional nursing home, the CMS Artifacts of Culture Change and identify the risks to nurses when working in a culture change nursing home.

These modules are directed to nursing faculty in schools of nursing, other academic programs preparing health care professionals, and supervisory staff in nursing homes. It will provide criteria to maximize student clinical rotations in nursing homes to allow students to care for older adults with complex and overlapping illnesses over a sufficient period of time, with exposure to and interaction with health care teams, and with faculty supervision that fosters the student’s appreciation of both the complexity of the care and the opportunities to achieve improvements that promote quality of life. Included is a special focus on introducing resident directed care and culture change, and an emphasis on maximizing the mutuality between academic settings and nursing homes.