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Reinventing Management Practices in Long-Term Care: How Cultural Evolution Can Affect Workforce Recruitment and Retention

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While the need to recruit and retain a competent, caring direct care workforce is acute for many long-term care providers, the transformation from hierarchical to empowering work and workplaces is proving difficult. Management practices that are deeply held artifacts of entrenched cultures, absent radical change, tend to change incrementally. Incremental change allows new ideas to infiltrate an organization without completely destroying the established values and assumptions that provide an organization's operating framework. Using the array of incremental changes made in many of the provider organizations that participated in the Better Jobs Better Care demonstration, we suggest several ways that leaders use management practice change to move the organization forward in its effort to change its culture.
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Document Type: Research Article

Publication date: December 1, 2010

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  • Practitioners and researchers in the field of aging have long relied on Generations to provide them with in-depth research, practical applications, and valuable insight into the lives of older adults and those who work with them. Each issue features several articles on a single topic, guest-edited by one or more recognized experts in the subject area, and includes contributions from a range of practitioners, researchers, policymakers and elders. Authoritative and comprehensive, Generations offers a wide range of perspectives on relevant and timely topics in aging. This is what makes Generations an ideal resource for professionals, academics and anyone interested in aging.
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