Evaluating the Feasible and Sustainable Culture Change Initiative (FASCCI) Model

Caspar, S. (2020). Staff engagement for practice change in long-term care: Evaluating the feasible and sustainable culture change initiative (FASCCI) model. Journal of Long-Term Care, 30-41. https://doi.org/https://doi.org/10.1017/S0714980820000082

After implementing the Feasible and Sustainable Culture Change Initiative (FASCCI) model in a long-term care home, we observed increases in care staffs’ capacity to consistently provide relational and person-centred care during mealtimes.

Mealtime environment scores started increasing immediately following the intervention, with statistically significant improvements noted in all mealtime environment scales by six-months, including the: physical environment; social environment; relationship-centred care; and overall quality of dining environment. Analysis of data from qualitative interviews demonstrated that use of the FASCCI model resulted in improved team leadership, communication, and collaborative decision-making.

Conclusions: This study offers evidence that the FASCCI model provides a promising approach for improving the provision of relationship-centred mealtime practices in LTC homes. Our findings reinforce the importance of cultivating and implementing workforce practices that increase staff empowerment and enable and encourage collaborative decision-making.

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