Person-Centered Care Practices in Long-Term Care in the Deep South: Consideration of Structural, Market, and Administrator Characteristics

Abstract

The purpose of this study was to identify structural, market, and administrator factors of nursing homes that are related to the implementation of person-centered care. Administrators of Medicare/Medicaid-certified nursing homes in the Deep South were invited to complete a standardized survey about their facility and their perceptions and attitudes regarding person-centered care practices (PCCPs). Nursing home structural and market factors were obtained from public websites, and these data were matched with administrator data. Consistent with the resource-based theory of competitive advantage, nursing homes with greater resources and more competition were more likely to implement PCCPs. Implementation of person-centered care was also higher in nursing homes with administrators who perceived culture change implementation to be feasible in their facilities. Given that there is a link between resource availability and adoption of person-centered care, future research should investigate the cost of such innovations.

Experience of nurse entrepreneurs in long term institutions for elderly people

“…This trend is already operationalized in other countries, as studies in the United States (5) , England (6) and Denmark (7) point out, with the State responding less and less to public LTIEs and becoming the majority purchaser and regulator of a private system services.…”

“…(d) the LTIE business as an opportunity, in the same way as in other countries (5,7) , Brazilian nurses have undertaken the business to provide services for the binomial family-elderly.…”

The importance of leadership in innovation processes in nursing homes: An integrative review

“…Of the ten studies included, one was conducted in Norway 13 and nine in the United States. [14][15][16][17][18][19][20][21] Studies were published between 2006 and 2014. Culture change processes toward person-centred care (PCC) was the focus of innovation in eight studies, [13][14][15][16][17][18][19][20] culture change regarding medication delivery in one study, 21 and the implementation of a health information technology in one.…”

“…[14][15][16][17][18][19][20][21] Studies were published between 2006 and 2014. Culture change processes toward person-centred care (PCC) was the focus of innovation in eight studies, [13][14][15][16][17][18][19][20] culture change regarding medication delivery in one study, 21 and the implementation of a health information technology in one. 22 Eight studies had a qualitative design [13][14][15][16][18][19][20]22 and two had a quantitative design.…”

Social Innovation in Long-Term Care: Lessons from the Italian Case

“…Moreover, care services in the Italian LTC system have been recently decentralised from the national to the regional/local level, and are characterised by a high level of fragmentation, due to lack of integration and coordination strategies between the health and the social care sectors [15]. Not surprisingly, in the last decade in Italy, similarly to other European countries, the debate on LTC-related challenges has increasingly focused on the search for innovative solutions that pay attention to the quality of life of older people and of their carers [3,[16][17][18][19]. Within this debate, social innovation (SI) has become one of the most recommended strategies to face the new social risks deriving from the structural changes in socio-demographics and societal needs, among which age-related care plays a predominant role [17,20].…”