Culture is a word we hear a lot and goes hand in hand with the concept of culture change in this article id like to touch on how to facilitate culture change and why it is beneficial to your long term care setting lets face it aged residential care in new zealand is changing rapidly and this impacts the experience of residents staff and . Culture change in long term care settings is the movement toward person centered care where the residents values wishes and practices are all considered in the delivery of care there is a high value placed on individual choice purposeful living self determination and respect. Abstract purpose this studys purpose was to advance the process of culture change within long term care ltc and assisted living settings by using participatory action research par to promote residents competence and nourish the culture change process with the active engagement and leadership of residents design and methods seven unit specific par groups each consisting of 4 7 . Purpose this studys purpose was to advance the process of culture change within long term care ltc and assisted living settings by using participatory action research par to promote residents competence and nourish the culture change