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Getting Ready for Person-Directed Implementation

Self-Reflection

Self-reflection is needed, particularly by those in leadership positions. Leaders who are championing culture change need to engage in self-reflection to develop their own internal motivation, which requires exploration of their own attitudes, values, and beliefs about aging and eldercare. Some questions to consider:

  • Do you think most residents in your nursing home are thriving? Why or why not?
  • Do you think the staff who work in your nursing home are thriving? Why or why not?
  • What is motivating you to bring culture change to your workplace?
  • Are your organization's daily practices consistent with Pioneer Network values?
  • Do you agree that long-term care can and should be transformed?
  • Are you willing to do the hard work to bring about this level of change?
Exploring their responses to these questions will help individuals determine their readiness to tackle culture change in their own facilities.

The Pioneer Network strongly recommends that those in positions to lead the change try to answer some of these questions after gaining invaluable firsthand experience. The CEO, administrator, and other key personnel can be admitted to the nursing home as residents for at least 24 hours. During this time, they should receive no special treatment and should genuinely seek to experience life as a nursing home resident. This includes full participation in the same daily routine that all other residents endure. In addition, setting aside time in each department for leaders to work in different staff roles will help them better understand the workers' challenges.