“Make Me Feel at Ease and at Home”: Differential Care Preferences of Nursing Home Residents

Bangerter, Lauren R.; Haitsma, Kimberly Van; Heid, Allison R.; Abbott, Katherine

doi:10.1093/geront/gnv026

Cited by 53 publications

(80 citation statements)

References 52 publications

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“…This paradigm is also reflected in the broader healthcare culture where patients find it difficult to participate in discussions about their care because they are overwhelmed by too much information, and much of that in jargon they may not understand (Maurer et al, 2012). Nursing home residents in this paradigm commonly perceive facility policies as restrictive and their choices limited (Bangerter, Haitsma, Heid, & Abbott, 2015). …”

Section: Resultsmentioning

confidence: 99%

Person‐directed care planning in nursing homes: A scoping review

Lepore

Scales

Anderson

et al. 2018

Int J Older People Nursing

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AimFederal regulations require nursing homes in the United States to support residents in directing their own care rather than having their care plans developed for them without their engagement, but knowledge of person‐directed approaches to care planning in nursing homes is limited. The purpose of this study was to advance understanding of person‐directed care planning (PDCP).MethodsA multidisciplinary research team conducted a scoping review on individual and family involvement in care planning, including literature from a variety of care contexts. Search results were systematically screened to identify literature that addressed individual or family involvement in care planning as a primary concern, and then analysed using thematic content analysis.ResultsSeveral themes were identified, including definitions of the concept of PDCP, essential elements of PDCP, barriers, facilitators and outcomes. The concept of PDCP is informed by multiple disciplines, including humanist philosophy, disability rights and end‐of‐life care. Essential elements of PDCP include knowing the person, integrating the person's goals in care planning and updating care plans as individuals’ needs or preferences change. Limited time for care planning in nursing homes hinders PDCP. Facilitators include regulatory mandates and humanist social trends. Outcomes of PDCP were found to be positive (e.g., increased independence), but were inconsistently assessed across studies.ConclusionThis study offers pragmatic information that can support PDCP within nursing homes and insights for policy reform that may more effectively support PDCP.Implications for practiceThese findings can be used to guide implementation of PDCP.

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Section: Resultsmentioning

confidence: 99%

Person‐directed care planning in nursing homes: A scoping review

Lepore

Scales

Anderson

et al. 2018

Int J Older People Nursing

View full text Add to dashboard Cite

show abstract

“…With the changing culture worldwide, in recent years, nursing homes or LTCFs have supported the development of collaborative relationships among healthcare workers, family members and residents. 6 Family members do not just visit their relatives, but also engage in providing and managing body care, offering emotional support, promoting social engagement, overseeing the care provided by the staff, and contributing resources and ideas to the LTCF community. 7 Studies have shown that family involvement in residential long-term care may be related to resident outcomes.…”

Section: Introductionmentioning

confidence: 99%

Family members' concerns about relatives in long‐term care facilities: Acceptance of visiting restriction policy amid the COVID‐19 pandemic

Ting-Chun

Huang²,

Yeh

et al. 2020

Geriatrics Gerontology Int

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The policy enforcing visiting restriction during the COVID-19 pandemic may cause feelings of social isolation among residents in long-term care facilities. This study aimed to explore family members' concerns for their relatives during the lockdown period, assess their level of acceptance of the visiting restriction policy and determine the associated factors. Methods: From the 156 family members interviewed, demographic data, satisfaction with overall care quality, worry and concerns for their relatives, acceptance of the visiting restriction and arrangement for the residents if cluster infections occur in the facility were recorded. Results: Among the members interviewed, 83 (53.2%) were men; mean age of members was 56.3 AE 9.8; most were offspring of residents in the facility (n = 121, 77.6%), most visited the residents at least once a week (n = 113, 72.4%) before the lockdown. The most common concerns of the family members for their relatives were psychological stress (38.5%), followed by nursing care (26.9%) and daily activity (21.1%). Nearly 84.6% of those interviewed accepted the visiting restriction policy, and a higher satisfaction rating independently associated with acceptance of the visiting restriction policy (odds ratio 2.15). Conclusions: During the lockdown period, staff members should provide more psychological information about residents to their family members. Higher satisfaction rating was found to be independent of the acceptance of the visiting restriction policy. Therefore, good quality of care of the facility wins the trust of family members, and this might mitigate the tension between the family members and staff during a major crisis.

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“…Of interest, staff reports of barriers and dependencies paralleled residents’ perspectives found in prior research (Bangerter et al, in press ; Heid et al, 2014). We found that there were 14 similar barriers reported and 25 additional unique barriers discussed by staff.…”

Section: Discussionmentioning

confidence: 56%

“We Can’t Provide Season Tickets to the Opera”: Staff Perceptions of Providing Preference-Based, Person-Centered Care

Abbott

Heid

Haitsma

2016

Clinical Gerontologist

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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.

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“Make Me Feel at Ease and at Home”: Differential Care Preferences of Nursing Home Residents

Cited by 53 publications

References 52 publications

Person‐directed care planning in nursing homes: A scoping review

Person‐directed care planning in nursing homes: A scoping review

Family members' concerns about relatives in long‐term care facilities: Acceptance of visiting restriction policy amid the COVID‐19 pandemic

“We Can’t Provide Season Tickets to the Opera”: Staff Perceptions of Providing Preference-Based, Person-Centered Care

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