scholarly journals Person-centered care practices in nursing homes: Staff perceptions and the organizational environment

2022 ◽  
Vol 43 ◽  
pp. 188-196
Author(s):  
Sarah Dys ◽  
Ozcan Tunalilar ◽  
Serena Hasworth ◽  
Jaclyn Winfree ◽  
Diana L. White
Keyword(s):  
Nursing Homes ◽  
Organizational Environment ◽  
Staff Perceptions ◽  
Person Centered Care ◽  
Centered Care ◽  
Care Practices

Person-centered Care Practices and Quality in Department of Veterans Affairs Nursing Homes

Medical Care ◽  
2013 ◽  
Vol 51 (2) ◽  
pp. 165-171 ◽  
Author(s):  
Jennifer L. Sullivan ◽  
Michael Shwartz ◽  
James F. Burgess ◽  
Erol A. Peköz ◽  
Cindy L. Christiansen ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Person Centered Care ◽  
Centered Care ◽  
Care Practices

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

2016 ◽  
Vol 37 (3) ◽  
pp. 349-370 ◽  
Author(s):  
M. Lindsey Jacobs ◽  
A. Lynn Snow ◽  
Patricia A. Parmelee ◽  
Jullet A. Davis
Keyword(s):  
Nursing Homes ◽  
Future Research ◽  
Deep South ◽  
Term Care ◽  
Person Centered Care ◽  
Perceptions And Attitudes ◽  
Centered Care ◽  
Care Practices ◽  
Market Factors ◽  
The Cost

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.

The experiences, priorities, and perceptions of informal caregivers of people with dementia in nursing homes: A scoping review

Dementia ◽  
2021 ◽  
pp. 147130122110126
Author(s):  
Alexandra E Harper ◽  
Lauren Terhorst ◽  
Marybeth Moscirella ◽  
Rose L Turner ◽  
Catherine V Piersol ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Home Care ◽  
Scoping Review ◽  
Informal Caregivers ◽  
Nursing Home Care ◽  
Person Centered Care ◽  
People With Dementia ◽  
Centered Care

Background Person-centered care has been shown to increase desired outcomes for people with dementia, yet informal caregivers’ dissatisfaction with care is often reported. For those living in a nursing home, informal caregivers are uniquely situated to provide key insights into the individual’s care. However, little is known of the informal caregivers’ perspective, which hinders efforts to improve their satisfaction with person-centered nursing home care. Thus, we examined the comprehensive experiences, priorities, and perceptions of informal caregivers of nursing home residents with dementia. Methods In collaboration with stakeholders, a scoping review of Medline (Ovid), EMBASE.com , CINAHL (EBSCO), the Cochrane Library (Wiley), and PsycINFO (Ovid) databases from January 2000 to July 2020 was conducted. Data were extracted reflecting the experiences, priorities, and preferences of caregivers of people with dementia residing in nursing homes. Results We identified 114 articles that revealed nine themes: (1) communication, (2) transition to nursing home, (3) quality of care, (4) quality of life, (5) informal caregiver role, (6) knowledge of dementia, (7) end-of-life preferences, (8) medication use to manage neuropsychiatric behaviors, and (9) finances. Conclusion Informal caregivers described aspects of care that led to both positive and negative experiences with and perceptions of nursing home care. The shortcomings in communication were discussed most frequently, indicating a high priority area. While researchers define the identified themes individually, informal caregivers perceive them to be interwoven as they relate to person-centered care delivery. Although we did not assess the quality of included articles, by identifying themes relevant to caregivers’ perspectives of nursing home care, our findings may help to inform efforts to optimize caregivers’ satisfaction with nursing home care for residents with dementia.

scholarly journals How Assisted Living Staff Conceive of Dementia Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 676-677
Author(s):  
Debra Dobbs ◽  
Sheryl Zimmerman ◽  
Stephanie Miller ◽  
Paula Carder ◽  
Anna Beeber ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Assisted Living ◽  
Medication Management ◽  
Mixed Methods Study ◽  
Organizational Characteristics ◽  
Medical Interventions ◽  
Person Centered Care ◽  
Outcomes Of Care ◽  
Centered Care ◽  
Care Practices

Abstract For those who provide care to the more than 40% of persons with dementia in assisted living (AL) communities, behavioral expressions (BEs) can be challenging. The objective of this mixed-methods study was to understand how AL staff conceive of BEs and what strategies they use to address them. Staff from 250 AL communities in seven states were asked to describe one successful and unsuccessful case of care. A conceptual model related to antecedents, behaviors, and consequences was developed and expanded to include staff strategies and outcomes of care; organizational characteristics associated with care practices were examined. Anxiety/restlessness, combativeness and resistance to care were the most prevalent BEs. Medical interventions (e.g., inpatient psychiatric assessment, medication management) were used in two-thirds of cases. Person-centered care was used more often in successful cases. Respondents in dementia-only communities identified antecedents to BEs more often than those in other communities.

scholarly journals NATIONAL DISSEMINATION OF PERSON-CENTERED CARE IN NURSING HOMES: BARRIERS TO IMPLEMENTATION

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 760-761
Author(s):  
H.B. Degenholtz ◽  
K. Van Haitsma ◽  
A. Mihelic ◽  
K.M. Abbott ◽  
A. Elliott ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Person Centered Care ◽  
Centered Care ◽  
Barriers To Implementation

scholarly journals Pervasive Risk Avoidance: Nursing Staff Perceptions of Risk in Person-Centered Care Delivery

2020 ◽  
Vol 60 (8) ◽  
pp. 1424-1435
Author(s):  
Liza L Behrens ◽  
Marie Boltz ◽  
Ann Kolanowski ◽  
Mark Sciegaj ◽  
Caroline Madrigal ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Care Delivery ◽  
Health And Safety ◽  
Direct Care ◽  
Risk Avoidance ◽  
Staff Perceptions ◽  
Major Barrier ◽  
Perceptions Of Risk ◽  
Person Centered Care ◽  
Centered Care

Abstract Background and Objectives Nursing home (NH) staff perceptions of risks to residents’ health and safety are a major barrier to honoring resident preferences, the cornerstone of person-centered care (PCC) delivery. This study explored direct-care nursing staff perceptions of risk (possibilities for harm or loss) associated with honoring residents’ preferences for everyday living and care activities. Research Design and Methods Qualitative, descriptive design using sequential focus group (FG) methodology. Results Participants (N = 27) were mostly female (85%), had more than 3 years of experience (74%), and worked in NHs recently experiencing 6–12 health citations. Content analysis of 12 sequential FGs indicated nursing staff perceptions of risks may impede delivery of person-centered care. This is supported by the overarching theme: pervasive risk avoidance; and subthemes of: staff values, supports for risk-taking, and challenges to honoring preferences. Discussion and Implications Development of a multidimensional framework with specific risk engagement measures that account for the unique risk perspectives of nursing staff will contribute significantly to the clinical management of older adult preferences and research on the effectiveness of preference-based PCC delivery in the NH setting.

scholarly journals Digital tools as promoters for person-centered care practices in chronic care? Healthcare professionals’ experiences from rheumatology care

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Emma Granström ◽  
Carolina Wannheden ◽  
Mats Brommels ◽  
Helena Hvitfeldt ◽  
Monica E. Nyström
Keyword(s):  
Chronic Care ◽  
Healthcare Professionals ◽  
Single Case ◽  
Digital Tools ◽  
Work Practices ◽  
Structured Interviews ◽  
Person Centered Care ◽  
Centered Care ◽  
Care Practices ◽  
Perceived Impact

Abstract Background Person-centered care (PCC) emphasize the importance of supporting individuals’ involvement in care provided and self-care. PCC has become more important in chronic care as the number of people living with chronic conditions is increasing due to the demographic changes. Digital tools have potential to support interaction between patients and healthcare providers, but empirical examples of how to achieve PCC in chronic care and the role of digital tools in this process is limited. The aim of this study was to investigate strategies to achieve PCC used by the healthcare professionals at an outpatient Rheumatology clinic (RC), the strategies’ relation to digital tools, and the perceived impact of the strategies on healthcare professionals and patients. Methods A single case study design was used. The qualitative data consisted of 14 semi-structured interviews and staff meeting minutes, covering the time period 2017–2019. The data were analyzed using conventional content analysis, complemented with document analyses. Results Ten strategies on two levels to operationalize PCC, and three categories of perceived impact were identified. On the individual patient level strategies involved several digital tools focusing on flexible access to care, mutual information sharing and the distribution of initiatives, tasks, and responsibilities from provider to patients. On the unit level, strategies concerned involving patient representatives and individual patients in development of digital services and work practices. The roles of both professionals and patients were affected and the importance of behavioral and cultural change became clear. Conclusions By providing an empirical example from chronic care the study contributes to the knowledge on strategies for achieving PCC, how digital tools and work practices interact, and how they can affect healthcare staff, patients and the unit. A conclusion is that the use of the digital tools, spanning over different dimensions of engagement, facilitated the healthcare professionals’ interaction with patients and the patients’ involvement in their own care. Digital tools complemented, rather than replaced, care practices.

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