Nursing home reform, Professor Farmer asserts, calls for
increased emphasis upon issues related to life rather than care.
Organizational climate, which reflects the nursing home's unique
position to impact life issues, provides a conceptual framework for
effective interventions, evaluations, and ultimately meaningful
reform.
The general atmosphere of most nursing homes remains
overwhelmingly negative in spite of those few homes that are
credited with excellence. Professor Farmer believes that the
concept of organizational climate holds promise for better
understanding the complexities and impact of atmosphere in any one
nursing home. At the same time, organizational climate as a concept
is poorly understood. There is a need to rethink the concept and
return to the original notion of weather as its metaphor. Farmer
attempts this in her case study by describing organizational
climate where it can best be captured.
Practitioners of long-term care, from the fields of
administration, geronotology, nursing, nutrition, policy makers,
occupational and physical therapy, social work, and therapeutic
recreation will find the insights of this study of great value, as
will graduate students, scholars, and others concerned with
organizational studies and issues in gerontology.
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