Redesign Considerations for a Person-Centered Nursing Home System

2025 · doi:10.32388/87wa9p
preprint OA: closed CC-BY-4.0
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Abstract

The nursing home sector globally faces significant challenges, including meeting residents’ diverse needs, adhering to regulatory demands, and addressing financial imperatives. These competing priorities often lead to fragmented care, preventable hospitalizations, workforce shortages, and systemic inefficiencies. This commentary examines the nursing home system through the lens of systems and complexity science, proposing a redesign framework that emphazises adaptive leadership, outcomes-focused governance, and alignment of organizational purpose, goals, and values. We identify systemic barriers across organizational levels and recommend principles for achieving holistic, person-centered care. Key strategies include fostering stakeholder collaboration, integrating feedback mechanisms, and redefining regulatory priorities to focus on resident well-being. This approach highlights the critical role of adaptive leadership in enabling systems that are flexible, sustainable, and capable of meeting the evolving needs of aging populations.
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License: CC-BY-4.0