gms | German Medical Science

The project „Good aging in Rhineland-Palatinate“ (GALINDA) aims to identify factors that inhibit or support the cultural change of a long-term care facility to a protagonist in a caring community. The traditional residential care shall be replaced by a culture of care. The cultural change is not only a scientific matter but also a political supported ambition (7. Altenbericht der Bundesregierung [1]). The purpose of this presentation is to outline the literature research.

A scoping review that uses the guidelines from Arksey & O’Malley [2] will summarize the evidence of literature concerning to the topic.

Kleibel & Mayer [3] gave directions to the structured research.

Databases Pubmed, CINAHL and Sowiport were used. The researchers focused on evidence that combines cultural change and long-term care with an institutional opening into the community. Additionally, homepages of three German state ministries have been searched for best practice examples. Furthermore, scientific gerontological journals were scanned.

To structure the results a modified framework from Shier et al. [4] has been used.

Out of 1013 titles 218 were relevant. The results showed a dichotomous pattern. The international evidence focuses on the culture change inside a facility while the national evidence prioritizes the cultural changes inside the community. The combination of both aspects was rarely detected.

The culture change debate in the US commonly focuses an internal view of institution. Doing so fundamental questions concerning an opening into the community are neglected. GALINDA aims to reduce this gap because a realignment of German care facilities is required.