Before the plan was put into place data was collected so that the changes could be measurably recorded (Rosher, 2006).

In addition, before the plan began Phase I, the nursing home staff was retrained and agreement and enthusiasm for the plan was attained.

The culture change program was as success. Several residents were recorded as developing new energy and drive for life when allowed to pursue previous interests. One resident, who had dementia approached a newly obtained bird and talked to it for 15 minutes. She had raised birds during her adult life before entering the center and she was still able to advise others on how to care for and feed pet birds. Another resident who was blind and hearing impaired came alive with excitement when she was provided bunnies to pet and care for each day (Rosher, 2006).

Another study gauged at recording nurse response to patients with...
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