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dc.contributor.authorHrybyk, Regina L.
dc.contributor.authorFrankowski, Ann Christine
dc.contributor.authorNemec, Mary
dc.contributor.authorPeeples, Amanda D.
dc.description.abstractThe 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.en_US
dc.description.sponsorshipStigma and the Cultural Context of Residential Settings for the Elderly 2007–2010 National Institute on Aging R01AG028469, J. Kevin Eckert, PI Autonomy in Assisted Living: A Cultural Analysis 2012–2013 National Institute on Aging (R01AG032442), Ann Christine Frankowski and Robert L. Rubinstein Co PIs Alzheimer's disease and Culture Change in Assisted Living 2017–2019 National Institute on Aging R21AG055745, Ann Christine Frankowski and Robert L. Rubinstein Co PIsen_US
dc.genrejournal articlesen_US
dc.identifier.citationHrybyk, 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);!en_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Sociology and Anthropology Department Collection
dc.relation.ispartofUMBC School of Public Policy
dc.relation.ispartofUMBC Faculty Collection
dc.rightsThis 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.
dc.subjectculture changeen_US
dc.subjectdirect care workersen_US
dc.subjectassisted livingen_US
dc.subjectperson-centered careen_US
dc.title“It's a lot!” the universal worker model and dementia care in assisted livingen_US

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