The Pioneer Network in New York has been a driver of the culture change movement to transform nursing homes into resident-centered communities. The Pioneer Network has been awarded a grant from the Picker Institute to move forward in their initiative to promote consumer engagement with person-centered culture change values, as it relates to long term care.
The Pioneer Network approached the Massachusetts Senior Care Foundation, in conjunction with the Massachusetts Culture Change Coalition, as one of three states to participate in the pilot study that will test strategies to optimize consumer involvement in culture change.
Through this grant, leaders in each state have been trained to hold small discussion groups in private homes that focus on culture change. This is a model similar to a book club and has been successfully implemented in other regions. The goal of this project is to increase consumer knowledge about aging and culture change. For questions, or if you are a consumer interested in attending a culture change focus group, please contact Mass Senior Care's Helen Magliozzi.
The Massachusetts Board of Registration in Nursing (BORN) has released a report on the prevention of nursing errors. The report, “A Study to Identify Evidence-Based Strategies for the Prevention of Nursing Errors,” includes findings from the Board's analysis of the possible human performance and system factors associated with selected nursing practice complaints and provides recommendations for evidence-based error-prevention strategies. Please contact Carol Silveira if you have questions.
The Massachusetts Board of Registration in Nursing has been awarded a grant from the State Boards of Nursing to study medication errors in nursing facilities. In earlier studies, some nurses reported that they were afraid to report medication errors because they feared losing their jobs. In fact, systems exist to re-educate and retrain nurses who have made and reported errors.
As more is known about medication safety, studies suggest that it is most often a poorly designed system that caused the error and not an individual decision. The BORN will be studying different strategies for remediation of nurses who have made an error in a small number of pilot homes. Instead of a focus on disciplinary action, an intervention to remediate and re-educate nurses will be employed. The Massachusetts Senior Care Foundation, the Department of Public Health, Commonwealth Medicine, and others are partners on this grant.