Bump's Law
The culture change process can seem a bit overwhelming. After all, you’re changing the whole culture of long-term care – from the way the administrator leads to the institutional dishes food is served on. Situations you haven’t even thought of until they arrive will need new approaches. Wow. Sometimes the best way to handle a big project is to focus on just the task at hand. Eventually they will all add up and make the big impact you are working for.
Bump’s Law is an excellent tool for addressing situations as they arrive. Our colleague, Linda Bump, a true leader in the culture change movement, uses four questions to address any situation.
What does the resident want?
How did the resident do it at home?
How do you do it at home?
How should we do it here?
You see, these questions put the focus on the humanity of a situation. When you use Bump’s Law you are pushing aside “the way things are done” and letting choice rule. Once you have asked the first three questions, connecting with the resident and his or her preferences and realizing that “the way things are done” is certainly not the way you’d have things done in your house, you can’t help but let those answers influence the answer to the fourth question.
This handout can be used at any stage of culture change. You can use it to open people’s eyes about “the way things are done” or you can use it to make sure you are on track, have covered all your bases, or focus on an area you may be struggling with. I’ll suggest handing it out to all sorts of folks in your organization and even perhaps making pocket sized cards with Bump’s Law on them for staff to reference whenever they need. Now, go out there and do Linda proud!
4 Comments:
Come on, what you people really do is sell stuff for lot's of money. Culture Change sounds like a bad rock group. Nursing homes are INSTITUTIONS, and always will be. If patients want a homelike place, they should go home after their acute stay and let their family members change their feeding tubes, NG tubes, incicion sites, give them therapy, etc. So, don't go all self-sanctimonious with your "holier-than-thou" garbage. You people are in it for the money!
Dear Anonymous,
How old are you? Do You work in a Nursing home? How, God forbid, Would you like to live out your last years, if your family were unable to care for you?
The whole reason nursing homes became so "INSTITUTIONAL" is because families lack the knowledge, ability, patience and compassion to be a gracious caregiver to someone who raised them. They have trouble wrapping their mind around that whole role reversal. And money? People these days are much too busy chasing the All Mighty dollar than take the time to teach their children manners and common courtesy. Heaven forbid they stop during their 50 hr. work week to wipe Mom's drool or clean up after Dad's embarrasing incontinence. Be grateful for those trained caregivers in nursing homes who actually "care" about your sick, aging parents quality of life; and their efforts to establish normalcy, dignity, comfort and self worth.
There are perhaps as many as five or six major groups involved in quality of care in nursing homes –the family, the resident, the staff, the organization, and the government who sets the standards and usually pays for care. In this change, this transformation to a new world of long-term care, there are roles for all to play. The first step is to study the transformation that is happening in society and nursing homes today.
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