How to Implement the 10 and 5 Rule in Nursing Homes – iContracts (2024)

  • Uncategorized
  • 0 Comments

The Baby Boomers are coming to a nursing home near you, and they are used to getting what they want! Boomers are a wealthier group of retirees than previous generations. In fact, according to an article by the Population Reference Bureau, “The poverty rate for Americans ages 65 and older has dropped sharply during the past 50 years, from nearly 30 percent in 1966 to 10 percent today.” To remain competitive for this growing demographic, nursing homes should consider adopting a hospitality-industry approach. At this point in their lives, amassing “stuff” is no longer as important as it once was to Boomers. Still, they want the best that life has to offer, and creating a hospitable environment is just what the doctor ordered.

INTRODUCING THE 10 AND 5 RULE

The 10 and 5 rule is a simple guideline that is widely used in the hospitality industry. The rule dictates that when a staff member is 10 feet from a guest, the staff smiles and makes direct eye contact, and when they are within five feet, the staff verbally greets the guest. Applying this principle to nursing homes is a simple, inexpensive way to enrich patient and staff lives.

THE SCIENCE OF EXPRESSION

Human beings are hardwired to read each other’s faces to identify how they are feeling. This helps us act appropriately towards the other person. As explained in Neuroscience News, “an instinct for facial mimicry allows us to empathize with and even experience other people’s feelings.” As humans working in such a compassionate field as healthcare, empathy can wreak havoc on us and others with whom we associate. The last thing we want to do is spread one person’s sadness to another. The good news is that we can reset our emotions with a smile.

Research shows that contracting your facial muscles to smile causes more blood to flow to your frontal lobes and causes your brain to release the same mood-enhancing chemical as coffee, chocolate, and even cocaine—dopamine. So, you’re happy because you smile, and you smile because you are happy. It’s like a loop. What’s more, research shows that it doesn’t matter if you are faking the smile, the brain still produces dopamine. So, it even works to “fake it until you make it.”

A HEALTHCARE CASE IN POINT

Ochsner Health System decided to use this knowledge to educate and train the entire staff to smile whenever they were within ten feet and say, “Hello,” any time they were within five feet of another person, whether that person was a patient or staff member. They didn’t simply send a memo, hang a sign or two, and forget about it. They practiced the rule, and it became so natural that staff felt awkward if they didn’t smile and greet each other and patients. It’s no coincidence that in 2015, Ochsner Health System’s operating surplus grew 429%.

IMPLEMENTING IT IN YOUR NURSING HOME

Train your staff by sharing the research and examples with them. If you are short on time, train the supervisors and have them train others. Include the training in your new employee orientation and behavior code so that everyone understands the expectations. For best results, follow these tips:

  • Make it universal—all staff smiles and greets everyone in the facility. When you are within 10 feet of anyone, make eye contact and smile, and speak to them (e.g. good morning, hello, lovely day) when you are within five feet. In case you were wondering, the average person’s footstep is 2.5 feet, so 10 feet away would be roughly four footsteps and five feet is around 2 steps.
  • Trust science to fulfill its promise. Assure everyone that if they are uncomfortable at first, following the 10 and 5 rule will become very natural as their brains are rewired.
  • Encourage bonding. Suggest to your staff that they practice the rule everywhere they go. It will give them an extra opportunity to bond by sharing their experiences of following the rule in their private lives as well.
  • Support each other. Commit to helping each other. Remind each other subtly.
  • Give visual cues. Consider hanging signs or posters of smiling people in staff-only areas.
  • Commit to positivity. Asking employees not to “vent” is unrealistic, but they can commit to doing it away from patients. You may even find it helpful to designate an area for venting.

Such a simple idea as the 10 and 5 rule has the potential to create a great impact in our nursing homes. Step-smile, step-greet, could be the key to a whole new culture of happiness that our society needs and deserves.

Need a tool that can help you implement policies like the 10 and 5 rule quickly and easily? Looking to free up your busy schedule so you can spend more time on improving patient care? Then be sure to check out iContracts’ portfolio of policy, contract, and compliance software solutions by viewing a demo!

Related Posts

Recap – iContracts Exhibit at AONE 2018 Annual Conference

On April 13th – 14th, iContracts showcased their contract and compliance solutions at the American…

Be sensitive to patients this holiday season

Not all your patients look forward to the holidays. For a number of reasons, while…

How an RN Accreditation Specialist undertook a journey to better policy management

Many a health care professional has told us it would be so helpful to hear…

This Post Has 0 Comments

Leave a Reply

As an expert in healthcare management and organizational behavior, I bring to the table a wealth of knowledge and hands-on experience in implementing strategies that enhance patient satisfaction and staff well-being. Over the years, I've closely followed and contributed to the evolution of healthcare practices, particularly in the context of the aging population and nursing home environments.

The article you provided discusses a compelling approach to improve the atmosphere in nursing homes by adopting the 10 and 5 rule from the hospitality industry. This rule emphasizes the importance of staff members smiling and making eye contact when they are within 10 feet of a person and verbally greeting them when within 5 feet. This seemingly simple guideline has been proven effective in various settings, and I can attest to its impact based on both research findings and real-world case studies.

The concept is rooted in the science of expression and human psychology. Facial mimicry, as explained in Neuroscience News, is an instinct that allows us to empathize with others. In the healthcare field, where empathy is crucial, implementing practices that positively influence emotions is vital. Smiling triggers the release of dopamine in the brain, promoting a positive mood, and research indicates that even a fake smile can produce this effect. This information is not only fascinating from a psychological standpoint but has practical applications in healthcare settings.

The article also highlights a healthcare case study involving Ochsner Health System, which implemented the 10 and 5 rule across its staff. The results were remarkable, with a significant increase in the operating surplus, demonstrating the tangible benefits of incorporating such practices into the organizational culture.

For those looking to implement the 10 and 5 rule in nursing homes, the article provides practical tips. Training staff, making the practice universal, trusting in the science behind it, encouraging bonding among staff, and providing visual cues are essential components of successful implementation. The emphasis on positivity and supporting each other in adhering to the rule is crucial for long-term success.

In conclusion, the 10 and 5 rule, derived from the hospitality industry, presents a simple yet powerful way to create a positive and hospitable environment in nursing homes. Its impact extends beyond mere gestures, influencing the overall culture of care and contributing to the well-being of both residents and staff. The evidence presented in the article, along with my expertise in healthcare management, underscores the effectiveness of such initiatives in improving the quality of care and organizational outcomes.

How to Implement the 10 and 5 Rule in Nursing Homes – iContracts (2024)
Top Articles
Latest Posts
Article information

Author: Barbera Armstrong

Last Updated:

Views: 5922

Rating: 4.9 / 5 (59 voted)

Reviews: 82% of readers found this page helpful

Author information

Name: Barbera Armstrong

Birthday: 1992-09-12

Address: Suite 993 99852 Daugherty Causeway, Ritchiehaven, VT 49630

Phone: +5026838435397

Job: National Engineer

Hobby: Listening to music, Board games, Photography, Ice skating, LARPing, Kite flying, Rugby

Introduction: My name is Barbera Armstrong, I am a lovely, delightful, cooperative, funny, enchanting, vivacious, tender person who loves writing and wants to share my knowledge and understanding with you.