An Empirical Typology of Nursing Home Culture Change Implementation

2020 ◽  
pp. 073346482091236
Author(s):  
Yinfei Duan ◽  
Christine A. Mueller ◽  
Fang Yu ◽  
Kristine M. Talley ◽  
Tetyana P. Shippee
Keyword(s):  
Culture Change ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Empirical Support ◽  
Family Satisfaction ◽  
Change Implementation ◽  
Quality Outcomes ◽  
Home Culture ◽  
High Performers ◽  
Empirical Typology

Culture change in nursing homes (NHs) is a broad-based effort to transform NHs from impersonal institutions to genuine person-centered homes. Culture change practices have been implemented increasingly with varying levels of success. This study (a) generated an empirical typology of culture change implementation across Minnesota NHs using latent profile analysis based on the survey data from administrators in 102 NHs and (b) examined variations in NH characteristics and quality outcomes associated with the typology. Three types of culture change implementation were identified: high performers, average performers, and low performers. The distributions of culture change scores were distinct across the three types, with low performers lagging far behind others in family and community engagement, and end-of-life care. High performers were distinguished through demonstrating better resident quality of life and higher family satisfaction. The findings provide empirical support for policymakers, providers, and advocates to direct culture change expansion and resource allocation.

Risks and subgroups of cognitive impairment under different marital status among older adults: a latent profile analysis

2021 ◽  
pp. 1
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Function ◽  
Linear Regression ◽  
Marital Status ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Empirical Typology ◽  
Males And Females ◽  
Older Subjects ◽  
Latent Profile

Background and objective: With aging, cognitive impairment is severe in the aging society. This paper aimed to investigate the association between cognitive impairment and marital status and the empirical typology of cognitive impairment in Chinese aging population. Methods: Descriptive statistics were performed by retrieving data from the China Health and Retirement Longitudinal Study (CHARLS) to test the relation between cognitive impairment and marital status with univariate linear regression and multivariate linear regression. The subgroups of cognitive impairment for included older subjects were identified with latent profile analysis (LPA). Results: The sample included 13,149 participants aged 40 years or older. Both unmarried males and females suffer lower cognitive function than married males and females (P < 0.001). The declining trend remained consistent (P < 0.05) after adjustment for covariates. The participants who were illiterate or older or agricultural hukou had lower cognitive functions than their counterparts. LPA results showed that the cognitive function of participants could be divided into three subgroups. Conclusions: Unmarried males and females had lower cognitive function than that of married counterparts due to the declined percentage of class two, who have high mental intactness and episodic memory.

Variants of Psychopathy in Chinese Juvenile Offenders: A Latent Profile Analysis

2021 ◽  
pp. 009385482110431
Author(s):  
Meng-Cheng Wang ◽  
Xintong Zhang ◽  
Jie Gong ◽  
Jiaxin Deng ◽  
Jie Luo ◽  
...  
Keyword(s):  
Juvenile Offenders ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Empirical Support ◽  
Cognitive Empathy ◽  
Affective Empathy ◽  
Latent Profile Analyses ◽  
Key Variables ◽  
Mean Differences ◽  
Latent Profile

Despite considerable understanding on the psychopathy subtypes in detained populations, the variants of psychopathy in non-Western populations are less well understood. To address this gap, the present study conducted a series of latent profile analyses with the factors of the Youth Psychopathic Traits Inventory, childhood trauma, and trait anxiety in 560 Chinese incarcerated boys ( Mage = 16.92, SD = 0.81). Four subgroups emerged: relatively normal (67.3%); callous, psychopathy-like (2.8%); moderate psychopathy-like (24.8%); and high traumatic, moderate psychopathy-like (5.1%). Moreover, the modified Bolck–Croon–Hagenaars method was used to examine the significant mean differences on covariates across profiles, including proactive aggression, reactive aggression, affective empathy, and cognitive empathy. Results showed that the psychopathic profiles displayed differences on key variables. The callous, psychopathy-like group endorsed higher aggression and lower empathy. This study provides initial empirical support for the existence of psychopathy variants and enhances the understanding of the psychopathic construct in non-Western cultures.

scholarly journals Latent Profiles of Writing-related Skills, Knowledge, and Motivation for Elementary Students and Their Relations to Writing Performance across Multiple Genres

2022 ◽  
Author(s):  
Gary Alan Troia ◽  
Heqiao Wang ◽  
Frank R. Lawrence
Keyword(s):  
At Risk ◽  
Elementary Students ◽  
Student Performance ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Empirical Support ◽  
Individual Knowledge ◽  
Latent Profiles ◽  
Latent Profile

Our goal in this study is to expand the limited research on writer profiles using the advantageous model-based approach of latent profile analysis and independent tasks to evaluate aspects of individual knowledge, motivation, and cognitive processes that align with Hayes’ (1996) writing framework, which has received empirical support. We address three research questions. First, what latent profiles are observed for late elementary writers using measures aligned with an empirically validated model of writing? Second, do student sociodemographic characteristics—namely grade, gender, English learner status, and special education status—influence latent profile membership? Third, how does student performance on narrative, opinion, and informative writing tasks, determined by quality of writing, vary by latent profiles? A five-profile model had the best fit statistics and classified student writers as Globally Weak, At Risk, Average Motivated, Average Unmotivated, and Globally Proficient. Overall, fifth graders, female students, students without disabilities, and native English speakers had greater odds of being in the Globally Proficient group of writers. For all three genres, other latent profiles were significantly inversely related to the average quality of papers written by students who were classified as Globally Proficient; however, the Globally Weak and At Risk writers were not significantly different in their writing quality, and the Average Motivated and Average Unmotivated writers did not significantly differ from each other with respect to quality. These findings indicate upper elementary students exhibit distinct patterns of writing-related strengths and weaknesses that necessitate comprehensive yet differentiated instruction to address skills, knowledge, and motivation to yield desirable outcomes.

scholarly journals The Relationships of Nursing Home Culture Change Practices With Resident Quality of Life and Family Satisfaction: Toward a More Nuanced Understanding

2021 ◽  
pp. 016402752110126
Author(s):  
Yinfei Duan ◽  
Christine A. Mueller ◽  
Fang Yu ◽  
Kristine M. Talley ◽  
Tetyana P. Shippee
Keyword(s):  
Quality Of Life ◽  
Physical Environment ◽  
Culture Change ◽  
End Of Life Care ◽  
Family Satisfaction ◽  
Home Culture ◽  
Domain Specific ◽  
Household Models ◽  
Nuanced Understanding

Transforming nursing homes (NHs) from restrictive institutions to person-centered homes, referred to as NH culture change, is complex and multifaceted. This study, based on a survey of administrators in Minnesota NHs ( n = 102), tested the domain-specific relationships of culture change practices with resident quality of life (QOL) and family satisfaction, and examined the moderating effect of small-home or household models on these relationships. The findings revealed that culture change operationalized through physical environment transformation, staff empowerment, staff leadership, and end-of-life care was positively associated with at least one domain of resident QOL and family satisfaction, while staff empowerment had the most extensive effects. Implementing small-home and household models had a buffering effect on the positive relationships between staff empowerment and the outcomes. The findings provide meaningful implications for designing and implementing NH culture change practices that best benefit residents’ QOL and improve family satisfaction.

scholarly journals AN EMPIRICAL TYPOLOGY OF CULTURE CHANGE IMPLEMENTATION IN NURSING HOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S801-S802
Author(s):  
Yinfei Duan ◽  
Christine Mueller
Keyword(s):  
Nursing Homes ◽  
Community Engagement ◽  
Culture Change ◽  
Hierarchical Cluster ◽  
Nurse Retention ◽  
Change Implementation ◽  
Empirical Typology ◽  
Significant Difference ◽  
Centered Care ◽  
Cluster 2

Abstract The implementation of culture change (CC) practices has been increasing in U.S. nursing homes (NHs) with varying success. No study has examined the typology of CC implementation across NHs using empirical data. This study aimed to identify an empirical typology of CC implementation and to examine NH organizational characteristics associated with types of CC implementation. An online CC survey using a validated instrument was sent to administrators of 363 NHs in Minnesota and 78 administrators completed the survey. No significant difference in NH characteristics was found between participants and non-participants. Using a hierarchical cluster analysis based on scores of five CC domains, this study identified three distinctive clusters. Overall, NHs most frequently engaged in resident-centered care and environment transformation and least frequently implemented family/community engagement practices. While NHs in cluster 1 (20.8%) performed best in all CC domains, they were distinguished from others by more frequency of family/community engagement, staff empowerment and staff leadership practices. NHs in cluster 3 (41.7%) were distinguished by overall lower engagement of CC practices in all domains. While NHs in cluster 2 (37.5%) and cluster 1 were comparable in environment transformation and resident-centered care, NHs in cluster 2 and cluster 3 were similar in their low family/community engagement. NHs in cluster 3 had significantly lower registered nurse retention, and lower mental health and social service staffing compared to NHs in cluster 2. This typology provides insight into the variations in implementing CC practices across NHs and pragmatic implications for promoting deep and extensive CC.

Identifying Suicide Typologies Among Trauma-Exposed Veterans

Crisis ◽  
2020 ◽  
Vol 41 (4) ◽  
pp. 288-295 ◽  
Author(s):  
Nadia Bounoua ◽  
Jasmeet P. Hayes ◽  
Naomi Sadeh
Keyword(s):  
Latent Profile Analysis ◽  
Suicide Attempts ◽  
Clinical Symptoms ◽  
Profile Analysis ◽  
Risky Behaviors ◽  
Self Report ◽  
Cross Sectional ◽  
Research Priority ◽  
Self Harm ◽  
And Behaviors

Abstract. Background: Suicide among veterans has increased in recent years, making the identification of those at greatest risk for self-injurious behavior a high research priority. Aims: We investigated whether affective impulsivity and risky behaviors distinguished typologies of self-injurious thoughts and behaviors in a sample of trauma-exposed veterans. Method: A total of 95 trauma-exposed veterans (ages 21–55; 87% men) completed self-report measures of self-injurious thoughts and behaviors, impulsivity, and clinical symptoms. Results: A latent profile analysis produced three classes that differed in suicidal ideation, suicide attempts and nonsuicidal self-injury (NSSI): A low class that reported little to no self-injurious thoughts or behaviors; a self-injurious thoughts (ST) class that endorsed high levels of ideation but no self-harm behaviors; and a self-injurious thoughts and behaviors (STaB) class that reported ideation, suicide attempts and NSSI. Membership in the STaB class was associated with greater affective impulsivity, disinhibition, and distress/arousal than the other two classes. Limitations: Limitations include an overrepresentation of males in our sample, the cross-sectional nature of the data, and reliance on self-report measures. Conclusion: Findings point to affective impulsivity and risky behaviors as important characteristics of veterans who engage in self-injurious behaviors.

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