Regulation and mindful resident care in nursing homes.

Journal Article (Journal Article)

Regulatory oversight is intended to improve the health outcomes of nursing home residents, yet evidence suggests that regulations can inhibit mindful staff behaviors that are associated with effective care. We explored the influence of regulations on mindful staff behavior as it relates to resident health outcomes, and offer a theoretical explanation of why regulations sometimes enhance mindfulness and other times inhibit it. We analyzed data from an in-depth, multiple-case study including field notes, interviews, and documents collected in eight nursing homes. We completed a conceptual/thematic description using the concept of mindfulness to reframe the observations. Shared facility mission strongly impacted staff perceptions of the purpose and utility of regulations. In facilities with a resident-centered culture, regulations increased mindful behavior, whereas in facilities with a cost-focused culture, regulations reduced mindful care practices. When managers emphasized the punitive aspects of regulation we observed a decrease in mindful practices in all facilities.

Full Text

Duke Authors

Cited Authors

  • Colón-Emeric, CS; Plowman, D; Bailey, D; Corazzini, K; Utley-Smith, Q; Ammarell, N; Toles, M; Anderson, R

Published Date

  • September 2010

Published In

Volume / Issue

  • 20 / 9

Start / End Page

  • 1283 - 1294

PubMed ID

  • 20479137

Pubmed Central ID

  • PMC2918733

International Standard Serial Number (ISSN)

  • 1049-7323

Digital Object Identifier (DOI)

  • 10.1177/1049732310369337


  • eng

Conference Location

  • United States