In understanding the culture change movement in long-term care and the factors that either foster or impede its sustainability, it is important to consider a number of factors. Since leadership is important in any organization and has been identified as crucial in the implementation of culture change in long-term care, this alternate plan paper focuses on the leadership factors that either facilitate or impede the implementation of culture change. Included in this alternate plan paper is a brief overview of the culture change movement in long-term care, the role of leadership versus management in the long-term care environment, types of leadership, a presentation of sixteen scholarly studies focusing on the role of leadership in regards to culture change in long-term care systems, as well as a discussion about the empowerment of residents and staff of long-term care facilities, the flattening of structural hierarchies, the importance of utilizing leadership (versus management), the need for support of residents and staff during this transition, as well as the taking a holistic approach when considering the needs of residents and staff in long-term care.


Leah Rogne

Committee Member

Donald Ebel

Committee Member

Kellian Clink

Date of Degree




Document Type



Master of Science (MS)


Aging Studies


Social and Behavioral Sciences

Creative Commons License

Creative Commons Attribution-NonCommercial 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

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Gerontology Commons



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