Evaluating Nursing Home Resident and Staff Experiences With a Life Story Program

2021 ◽  
pp. 073346482110086
Author(s):  
Farida K. Ejaz ◽  
Miriam Rose ◽  
Brian Polk
Keyword(s):  
Nursing Home ◽  
Life Stories ◽  
Life Story ◽  
Nursing Home Residents ◽  
Care Planning ◽  
Person Centered Care ◽  
Patient Health ◽  
Centered Care ◽  
Story Work ◽  
Over Time

Life story programs hold promise for improving person-centered care and relationships between nursing home residents and staff. A pilot life story intervention study in 16 nursing homes provided residents with complimentary biographical life story books and summaries, and staff with action plans to enhance care planning. Trained volunteers and program staff collected life stories, and researchers interviewed 170 residents at three points in time. Overall, residents had positive experiences with the program, but were less willing to share their books with others afterwards. They also experienced a decrease in depression (Patient Health Questionnaire-8 [PHQ-8]) over time. Surveys of 92 staff demonstrated increases over time in perceived importance of knowing residents’ life stories. Administrator/admissions staff found it conditionally feasible to incorporate the program into admission processes. Practice implications of life story work include opportunities to help staff learn more about residents they care for, improve person-centered care, and honor resident preferences in care planning.

scholarly journals TRAJECTORIES OF PERSON-CENTERED CARE PLANNING IN NURSING HOME RESIDENTS: DATA VISUALIZATION

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1354-1355
Author(s):  
K.N. Corazzini ◽  
K. Scales ◽  
R.A. Anderson ◽  
Y. Song ◽  
B. Kang ◽  
...  
Keyword(s):  
Nursing Home ◽  
Data Visualization ◽  
Nursing Home Residents ◽  
Care Planning ◽  
Person Centered Care ◽  
Centered Care

scholarly journals Developing Life Stories for Nursing Home Residents and Examining the Impact on Residents and Staff

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 44-44
Author(s):  
Miriam Rose ◽  
Farida Ejaz ◽  
Brian Polk
Keyword(s):  
Life Stories ◽  
Life Story ◽  
Depressive Symptomatology ◽  
Longitudinal Design ◽  
Nursing Home Residents ◽  
Eligibility Criteria ◽  
Centered Care ◽  
Story Work ◽  
Sampling Procedures ◽  
The Impact

Abstract A life story program was implemented in 16 nursing homes (NHs) in Ohio with partners including a company specializing in life story work and a gerontological institute. The aim was to evaluate the impact of the life story program on residents and staff. NH sites were selected from an urban/suburban and a rural county using sampling procedures ensuring variation in auspice, quality star ratings and bed size. A longitudinal design was used to conduct in-person interviews with residents at baseline (prior to the life story interview), immediately after the interview, and approximately a month after most life story books were delivered to a NH. Resident eligibility criteria included being age 60 or older, Medicaid-eligible, long-stay and having no to moderate cognitive impairment. Residents’ (n=238) average age was 77 years, 66% were female, and 52% had resided in the NH for 1-5 years. Cognitive scores declined over time, but depressive symptomatology improved significantly. Residents had very high levels of satisfaction with care, enjoyed telling their life stories and would recommend the program; these findings did not change. A pre-post study design was used with staff (n=198), who included nurse aides, nurses, administrators, social workers and activity staff. Their average age was 44 years. Although staff job satisfaction did not change significantly, the vast majority enjoyed learning about residents’ life stories and used them in care planning. The findings demonstrate that life story work may be useful in promoting person-centered care, although further testing is needed with a more generalizable sample.

scholarly journals LEARNING FROM LIFE STORIES: RECRUITING NURSING HOME RESIDENTS FOR A LIFE STORY WORK PROGRAM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S306-S306
Author(s):  
Brian K Polk ◽  
Farida Ejaz ◽  
Miriam Rose
Keyword(s):  
Nursing Home ◽  
Life Story ◽  
Nursing Home Residents ◽  
Willingness To Participate ◽  
Additional Time ◽  
Eligibility Criteria ◽  
Centered Care ◽  
Story Work ◽  
Life Story Interviews ◽  
The Impact

Abstract Recruiting nursing home (NH) residents to participate in program evaluations is a consistent challenge. This was evident in a federally supported project to improve person-centered care of long-stay NH residents enrolled in Medicaid. Evaluators sought to examine the impact of a life story work intervention using a pre-post study design involving interviews of NH residents and surveys of their family members and staff. Other resident eligibility criteria included willingness to participate in both research and life story interviews, age 60+, a Brief Inventory Mental Status (BIMS) score of 8 or higher, English-speaking, and consent from a legal guardian, if applicable. A total of 16 NHs agreed to participate in the implementation and evaluation of the program, which developed complimentary, individualized life story booklets for residents and a companion summary for staff. Of the homes’ combined population of 1,817 residents, 569 met eligibility criteria for the research study. Non-response from legal guardians excluded 37 residents, and 174 residents approached for recruitment declined to have their names released to the researchers. During baseline interviews, 20 residents failed the BIMS, 21 were unavailable, and 79 refused when approached by a research interviewer. Ultimately, 238 resident interviews were completed at baseline. Common themes for refusals included disinterest in participating in life story work, statements that theirs was not a good life worth talking about, and doubts that quality of care would improve. Strategies for addressing such challenges included displaying sample life story materials during recruitment and providing residents additional time to consider participation.

scholarly journals From Micro to Macro: Exploring Preference-Based Person Centered Care from Multiple Perspectives

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 836-836
Author(s):  
Katherine Abbott ◽  
Kristine Williams
Keyword(s):  
Nursing Home ◽  
Assisted Living ◽  
Fixed Effects ◽  
Nursing Home Residents ◽  
Direct Care ◽  
Multiple Perspectives ◽  
Person Centered Care ◽  
Fixed Effects Panel Regression ◽  
Centered Care ◽  
The Impact

Abstract Advancing our knowledge related to honoring nursing home resident preferences is a cornerstone of person-centered care (PCC). While there are multiple approaches to providing PCC, we focus on resident preferences as assessed via the Preferences for Everyday Living Inventory (PELI). The PELI is an evidenced-based, validated instrument that can be used to enhance the delivery of PCC. In this symposium, we explore the perspectives of a variety of stakeholders including nursing home residents, staff, and the impact of preference-based care on provider level regulatory outcomes. First, we present a comparative study of preference importance among n=317 African America and White nursing home residents that found more similarities than differences between the two groups. Second, a content analysis of the responses from n=196 interviews with nursing home residents details the barriers and facilitators connected to their levels of satisfaction with their preferences being fulfilled. Third, perspectives from n=27 direct care workers explore the concept of pervasive risk avoidance to the delivery of PCC. Fourth, systems-level practices, such as shift assignments and provider schedules are identified as barriers to successfully fulfilling resident preferences from the perspectives of n=19 staff within assisted living. Our final presentation utilizes a fixed-effects panel regression analysis with n=551 Ohio nursing home providers to explore the impact of PELI use on regulatory outcomes such as substantiated complaints and deficiency scores reported in the CMS Nursing Home Compare data. Discussant Dr. Kristi Williams will integrate findings, highlighting implications for policy, practice, and future directions. Research in Quality of Care Interest Group Sponsored Symposium.

Relationships among person-centered care, nursing home adjustment, and life satisfaction: a cross-sectional survey study

2018 ◽  
Vol 30 (10) ◽  
pp. 1519-1530 ◽  
Author(s):  
Ju Young Yoon
Keyword(s):  
Life Satisfaction ◽  
Nursing Home ◽  
Home Environment ◽  
Direct Relationship ◽  
Nursing Home Residents ◽  
Relationship Development ◽  
Path Model ◽  
Survey Study ◽  
Person Centered Care ◽  
Centered Care

ABSTRACTBackground:The purpose of this study was to examine whether a perceived person-centered nursing home environment has a direct relationship with nursing home adjustment and life satisfaction, and whether a perceived person-centered nursing home environment has an indirect relationship with life satisfaction through improved nursing home adjustment.Methods:203 nursing home residents who were able to read and speak English and were physically and cognitively able to respond to questionnaires were included in this study. Data were collected from six nursing homes in the Midwestern US.Results:Higher levels of a perceived person-centered nursing home environment had a significantly direct relationship with increased life satisfaction of residents (β= 0.35), and this relationship was mediated by residents’ improved nursing home adjustment (β= 0.10). In-depth exploration using sub-domains of the main variables demonstrated that “safety” and “everydayness” of a person-centered nursing home environment were directly related to higher levels of life satisfaction (β= 0.15 andβ= 0.16, respectively); and “everydayness” was related to three sub-domains of nursing home adjustment: better “relationship development,” “acceptance of the new residence” (β= 0.32 andβ= 0.24, respectively), and lower “depressed mood” (β= 0.05). The positive relationship between “everydayness” and life satisfaction was partially mediated by the “relationship development” sub-domain of nursing home adjustment (β= 0.07).Conclusions:The findings provide new evidence for the positive association between person-centered care and nursing home adjustment. The findings also provide insights into the mechanism through which the specific sub-domains of person-centered care and nursing home adjustment operate in the path model.

Life story work and nursing home residents with dementia

2009 ◽  
Vol 21 (4) ◽  
pp. 28-32 ◽  
Author(s):  
Catherine Russell ◽  
Stephen Timmons
Keyword(s):  
Nursing Home ◽  
Life Story ◽  
Nursing Home Residents ◽  
Story Work

Family Involvement in Nursing Homes: Are Family Caregivers Getting What They Want?

2015 ◽  
Vol 36 (8) ◽  
pp. 993-1015 ◽  
Author(s):  
R. Colin Reid ◽  
Neena L. Chappell
Keyword(s):  
Nursing Home ◽  
Family Caregivers ◽  
Family Involvement ◽  
Family Caregiver ◽  
Nursing Home Residents ◽  
Future Research ◽  
Canadian Study ◽  
Person Centered Care ◽  
Centered Care ◽  
Caregiver Involvement

The provision of person-centered care for nursing home residents with dementia suggests the need for family caregiver involvement. In this article, we argue that optimal family involvement differs by family caregiver and therefore depends on the degree to which family caregivers consider their own involvement to be important. In this Canadian study, we compare the importance that 135 family caregivers of residents with dementia place on 20 kinds of involvement with the degree to which they perceive opportunities for involvement. Family Involvement Congruence Scores are calculated in three ways: those for whom involvement is important, those for whom involvement is not important, and an overall congruence score. Congruence scores varied by involvement type. These scores show promise for use in future research on family caregiver involvement and as tools for use by facilities as they endeavor to meet family caregiver expectations for involvement.

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