Katherine M Abbott1, Allison R Heid2, Kimberly Van Haitsma3. 1. Department of Sociology and Gerontology, Miami University, 398 Upham Hall, Oxford, OH 45056, abbottkm@miamioh.edu , 215-813-8131. 2. Rowan University School of Osteopathic Medicine, New Jersey Institute for Successful Aging, 42 E. Laurel Road, UDP Suite 2300, Stratford, NJ, heid@rowan.edu , 856-566-44594. 3. College of Nursing, The Pennsylvania State University, 201 HHD East, University Park, PA 16802, ksv110@psu.edu.
Abstract
Knowledge of a nursing home resident's everyday living preferences provides the foundation for ongoing individualized care planning. OBJECTIVE: The purpose of this study is to identify nursing home (NH) staff perceptions of facilitators and barriers to learning about and meeting residents' preferences and reasons why staff feel residents change their minds about preferences. METHODS: Focus group sessions and interviews were conducted with 36 NH staff members working in a facility that has been actively assessing resident preferences for five years. RESULTS: Thematic codes classifying facilitators, barriers, and dependencies were identified. Staff shared ways they are able to help meet residents' preferences as well as barriers to fulfilling resident preferences through their own behaviors, facility characteristics, the social environment, and resident characteristics. In addition, staff believe that residents change their minds about important preferences 'depending on' several factors including; global environmental characteristics, social environment, resident characteristics, and general staff perceptions. CONCLUSIONS: This work identifies key facilitators and barriers to consider when implementing quality improvement efforts designed to improve the person-centered nature of care in nursing homes and is intended to further inform the culture change movement, which aims to transform NHs by empowering staff and delivering person-centered care.
Knowledge of a nursing home resident's everyday living preferences provides the foundation for ongoing individualized care planning. OBJECTIVE: The purpose of this study is to identify nursing home (NH) staff perceptions of facilitators and barriers to learning about and meeting residents' preferences and reasons why staff feel residents change their minds about preferences. METHODS: Focus group sessions and interviews were conducted with 36 NH staff members working in a facility that has been actively assessing resident preferences for five years. RESULTS: Thematic codes classifying facilitators, barriers, and dependencies were identified. Staff shared ways they are able to help meet residents' preferences as well as barriers to fulfilling resident preferences through their own behaviors, facility characteristics, the social environment, and resident characteristics. In addition, staff believe that residents change their minds about important preferences 'depending on' several factors including; global environmental characteristics, social environment, resident characteristics, and general staff perceptions. CONCLUSIONS: This work identifies key facilitators and barriers to consider when implementing quality improvement efforts designed to improve the person-centered nature of care in nursing homes and is intended to further inform the culture change movement, which aims to transform NHs by empowering staff and delivering person-centered care.
Authors: Kimberly Van Haitsma; Scott Crespy; Sarah Humes; Amy Elliot; Adrienne Mihelic; Carol Scott; Kim Curyto; Abby Spector; Karen Eshraghi; Christina Duntzee; Allison Reamy Heid; Katherine Abbott Journal: J Am Med Dir Assoc Date: 2014-04-08 Impact factor: 4.669
Authors: Jamie A Cvengros; Alan J Christensen; Cassie Cunningham; Steven L Hillis; Peter J Kaboli Journal: Health Psychol Date: 2009-11 Impact factor: 4.267
Authors: Liza L Behrens; Marie Boltz; Ann Kolanowski; Mark Sciegaj; Caroline Madrigal; Katherine Abbott; Kimberly Van Haitsma Journal: Gerontologist Date: 2020-11-23
Authors: Katherine M Abbott; Allison R Heid; Morton Kleban; Michael J Rovine; Kimberly Van Haitsma Journal: J Am Med Dir Assoc Date: 2018-10-01 Impact factor: 4.669
Authors: Allison R Heid; Katherine M Abbott; Morton Kleban; Michael J Rovine; Kimberly Van Haitsma Journal: Aging Ment Health Date: 2019-03-05 Impact factor: 3.658
Authors: Katherine M Abbott; Rachel Klumpp; Kendall A Leser; Jane K Straker; Gerald C Gannod; Kimberly Van Haitsma Journal: J Am Med Dir Assoc Date: 2017-11-14 Impact factor: 4.669