Changing systems, such as meal service systems, can improve the quality of life for residents. Changing systems does not necessarily mean that the culture of the facility changes, however.
The culture of an organization is based on the values, beliefs, and attitudes of its employees. If it is not part of the culture that residents be treated with dignity and respect, it is not going to happen often. If it is not part of the culture for employees to recognize that residents have the right to make choices, it will not matter how many choices are available, the staff will simply make the choices for the residents.
For more detailed information on organizational culture go to http://farrelltraining.blogspot.com/2010/01/dining-culture-change-organizational.html

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