Administrators, directors of admissions, and corporate offices of nursing h
omes must become better marketers to survive sweeping changes in the indust
ry. An essential part of their marketing effort has to be what is termed "i
nternal marketing." internal marketing consists of an effort by the organiz
ation to train and motivate its employees to provide better service. Intern
al marketing must precede conventional marketing campaigns if the latter ar
e to succeed. Negative staff attitudes will affect quality of care, and neg
ative word of mouth communication by patients and staff to the community wi
ll negate the effects of the marketing campaign. A survey by the authors sh
ows that education and advancement of nursing assistants has been neglected
. They recommend the internal marketing efforts focus on those nursing assi
stants. (C) 2000 Elsevier Science Inc. All rights reserved.