Organizational Culture and Bathing Practice

Abstract

SUMMARY This case study describes how, following an experimental study, an Oregon nursing home instituted a new, more effective bathing practice for residents with dementia, designed to increase their pleasure and comfort and decrease resistive, self-protective behaviors. Key elements of organizational culture that supported the practice change are examined: creating a shared vision, returning decision-making to residents, empowering caregivers and believing that change is possible.