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    “It's a lot!” the universal worker model and dementia care in assisted living

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    https://www.sciencedirect.com/science/article/pii/S0197457220302500#!
    Permanent Link
    https://doi.org/10.1016/j.gerinurse.2020.08.006
    http://hdl.handle.net/11603/20564
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    • UMBC Faculty Collection
    • UMBC School of Public Policy
    • UMBC Sociology, Anthropology, and Health Administration Policy Department
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    Author/Creator
    Hrybyk, Regina L.
    Frankowski, Ann Christine
    Nemec, Mary
    Peeples, Amanda D.
    Date
    2020-12-13
    Type of Work
    Text
    journal articles
    Citation of Original Publication
    Hrybyk, Regina L.; Frankowski, Ann Christine; Nemec, Mary; Peeples, Amanda D.; “It's a lot!” the universal worker model and dementia care in assisted living; Geriatric Nursing (2020); https://www.sciencedirect.com/science/article/pii/S0197457220302500#!
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    This item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
    Subjects
    culture change
    direct care workers
    assisted living
    dementia
    person-centered care
    Abstract
    The culture change movement aims to create a more home-like environment in long-term care settings, promote person-centered care, and support the well-being of staff and residents. One feature of Culture Change is the Universal Worker (UW) model where direct care workers (DCWs) are responsible for housekeeping, laundry, and activities in addition to administering medication and personal support. The longitudinal approach in the ethnographic study on which this paper is based compares data collected from one assisted living across three NIA-supported research grants. This paper focuses on modifications to the UW model following the implementation of culture change over a period of ten years. As DCWs cared for residents with increasing levels of dementia, time constraints under the UW model led to sporadic attention to housekeeping chores and challenged person-centered care. Modifying the UW model, by using dedicated cleaning staff and other support workers, better preserves the intent of the culture change movement.


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    Albin O. Kuhn Library & Gallery
    University of Maryland, Baltimore County
    1000 Hilltop Circle
    Baltimore, MD 21250
    www.umbc.edu/scholarworks

    Contact information:
    Email: scholarworks-group@umbc.edu
    Phone: 410-455-3021


    If you wish to submit a copyright complaint or withdrawal request, please email mdsoar-help@umd.edu.