scholarly journals The Consistency of Self-Reported Preferences for Everyday Living: Implications for Person-Centered Care Delivery

2014 ◽  
Vol 40 (10) ◽  
pp. 34-46 ◽  
Author(s):  
Kimberly Van Haitsma ◽  
Katherine M. Abbott ◽  
Allison R. Heid ◽  
Brian Carpenter ◽  
Kimberly Curyto ◽  
...  
Keyword(s):  
Care Delivery ◽  
Person Centered Care ◽  
Centered Care ◽  
Everyday Living

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.

Person-centered peritoneal dialysis prescription and the role of shared decision-making

2020 ◽  
Vol 40 (3) ◽  
pp. 302-309 ◽  
Author(s):  
Peter G Blake ◽  
Edwina A Brown
Keyword(s):  
Decision Making ◽  
Peritoneal Dialysis ◽  
Shared Decision Making ◽  
Care Delivery ◽  
Shared Decision ◽  
Person Centered Care ◽  
Modern Health Care ◽  
Patient Reported ◽  
Centered Care ◽  
End Stage

Person-centered care has become a dominant paradigm in modern health care. It needs to be applied to people with end-stage kidney disease considering the initiation of dialysis and to peritoneal dialysis (PD) prescription and care delivery. It is relevant to their decisions about goals of care, transplantation, palliative care, and discontinuation of dialysis. It is also relevant to decisions about how PD is delivered, including options such as incremental PD. Shared decision-making is the essence of this process and needs to become a standard principle of care. It requires engagement, education, and empowerment of patients. Patient-reported outcomes and patient-reported experience are also central to person-centered care in PD.

scholarly journals We're Still Very Much in Limbo: Providers' Perspectives on Implementing a Person-Centered Project

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 270-270
Author(s):  
Megan Kelley ◽  
Alex Heppner ◽  
Kimberly Van Haitsma ◽  
Katherine Abbott ◽  
Miranda Corpora
Keyword(s):  
Nursing Home ◽  
Thematic Analysis ◽  
Implementation Process ◽  
Barriers And Facilitators ◽  
Future Thinking ◽  
Person Centered Care ◽  
Centered Care ◽  
Everyday Living ◽  
Recreation And Leisure

Abstract Background The Preferences for Everyday Living Inventory assists nursing home (NH) providers in assessing residents’ preferences and can be used to make Preferences for Activity and Leisure (PAL) Cards, which are personalized 5x7 laminated cards that reflect a resident’s recreation and leisure preferences. We sought to understand the barriers and facilitators to implementing PAL Cards in NH communities during COVID-19. Methods NH providers from five states (n=29) were recruited to create PAL Cards in their communities. Monthly coaching calls with project champions assessed the implementation process. Calls were recorded, transcribed verbatim, checked for accuracy, and coded via thematic analysis. Results Four themes emerged: Adapting to COVID, Preoccupied with COVID, Future Thinking, and PAL Cards Filling the Gaps. Conclusion Some providers were successful adapting to COVID, while others struggled to implement a new program during the pandemic. Those that were successful expressed how PAL Cards helped promote person-centered care.

scholarly journals Risky Preferences: Nursing Staff Perceptions of Risks May Impede Delivery of Person-Centered Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 837-837
Author(s):  
Liza Behrens ◽  
Kimberly Van Haitsma ◽  
Ann Kolanowski ◽  
Marie Boltz ◽  
Mark Sciegaj ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Care Delivery ◽  
Health And Safety ◽  
Direct Care ◽  
Measurement Development ◽  
Future Research ◽  
Staff Perceptions ◽  
Major Barrier ◽  
Person Centered Care ◽  
Centered Care

Abstract Nursing home (NH) staff perceptions of risks to residents’ health and safety is a major barrier to honoring resident preferences, the cornerstone of person-centered care delivery. This study examined direct-care nursing staff perceptions of risk (possibilities for harm or loss) associated with honoring residents’ preferences for everyday living and care activities. Participants (N=27) were mostly female (85%), had more than 3 years of experience (74%), and worked in NHs experiencing 6-12 health citations. Content analysis of 12 focus groups indicated nursing staff perceptions of risks may impede delivery of PCC. This is supported by the overarching theme: pervasive risk avoidance; and sub-themes of: staff values, supports for risk-taking, and challenges to honoring preferences. Findings will be discussed considering a newly modified risk engagement framework meant to understand and inform the clinical management of older adult preferences perceived to carry risks. Opportunities for future research will be discussed (e.g. measurement development). Part of a symposium sponsored by the Research in Quality of Care Interest Group.

scholarly journals Supporting Persons With Severe Dementia in Communicating Their Preferences

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 454-454
Author(s):  
Vanessa Burshnic ◽  
Michelle Bourgeois
Keyword(s):  
Care Plan ◽  
Preference Assessments ◽  
Severe Dementia ◽  
Person Centered Care ◽  
Government Mandates ◽  
Centered Care ◽  
Communication Challenges ◽  
External Supports ◽  
Validity Measure ◽  
Everyday Living

Abstract Government mandates require US nursing homes to provide preference-based, person-centered care. Persons with dementia (PWD) are less likely to have a role in preference assessments (PAs) used for care planning due to communication challenges associated with the disease. Thus, PWD are at risk of receiving de-personalized treatments. External supports (photograph and text cues) are known to improve communication in PWD. Yet these cues have never been studied with widely used PAs, such as the MDS 3.0 Section F and Preferences for Everyday Living Inventory (PELI). This study examined the effect of two PA conditions (externally supported; standard verbal) on preference consistency and response types (off-topic, clarification requests, elaboration) of residents with severe dementia (N=21) (BIMS < 7) when assessed twice, one-week apart. PA questions were derived from the MDS 3.0 Section F and PELI. As a social validity measure, naïve judges (N=10) listened to interviews and rated residents’ communication clarity and their confidence understanding residents’ preferences. Results showed that neither condition promoted significantly greater levels of consistency over time. Residents’ ‘clarification requests’ were significantly fewer with use of external supports. Other response types were not significantly different across conditions. Judges’ ratings were not significantly different across conditions; however, they rated residents’ communication as clear and understandable overall. This study addresses a gap in current research and holds important implications for helping providers meet government mandates and enhance care plan participation by residents with severe dementia and other communication challenges.

scholarly journals Person-Centered Care: Perspectives of free dental clinic users in Montréal, Canada

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Nioushah Noushi ◽  
Christophe Bedos ◽  
Nareg Apelian ◽  
Jean-Noel Vergnes ◽  
Charo Rodriguez
Keyword(s):  
Dental Care ◽  
Care Delivery ◽  
Dental Health ◽  
Sampling Strategy ◽  
Free Clinics ◽  
Structured Interviews ◽  
Dental Clinic ◽  
Dental Clinics ◽  
Person Centered Care ◽  
Centered Care

There has been a relatively slow incorporation of person-centered care into dental care. Despite the efforts to sustain this approach in dental health care delivery, the perspectives of patients have yet to be considered, especially those using free dental clinics. Our objectives were: (1) to describe the perspectives of adults unable to access private dental clinics when using free dental clinics, (2) to document their suggestions for improvements to dental care. This qualitative descriptive study included 13 adults using a free dental clinic. To select participants, we adopted a maximum variation sampling strategy regarding age, sex, marital status, education level and employment status. We used in-depth, semi-structured interviews to collect data and thematic content analysis to analyze the verbatim transcripts. Participants were generally satisfied with the dental care they received in private and free dental clinics. However, they did not appreciate the long wait times at free clinics, and were bothered by the cost at private clinics. They emphasized a desire for quality time with the dentist allowing for more informed and shared decisions about their care, regardless of the clinic they visited. Participants want to feel cared for through a trustworthy relationship with the clinician, and suggested incorporating a walk-in concept into free clinics to address access to care. Adults using free dental clinics have various experiences with private and public dentistry, but they all need clinicians who adopt a comprehensive approach when providing information. This could improve patients’experiences through a more person-centered approach to dental care.

Cultural Competence Interventions for Health Professionals Working with Racialized Foreign-born Older Adults: Protocol for a Systematic Review (Preprint)

2021 ◽  
Author(s):  
Diya Chowdhury ◽  
Leonardo Baiocco-Romano ◽  
Veronica Sacco ◽  
Karen El Hajj ◽  
Paul Stolee
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Cultural Competence ◽  
Health Professionals ◽  
Care Delivery ◽  
Future Research ◽  
Culturally Competent ◽  
Foreign Born ◽  
Person Centered Care ◽  
Centered Care

BACKGROUND Integrating culturally competent approaches in the provision of healthcare services is recognized as a promising strategy for improving health outcomes for racially and ethnically diverse populations. Person-centered care, which ensures patient values guide care delivery, necessitates cultural competence of healthcare providers in order to reduce racial/ethnic health disparities. Previous work has focused on interventions to improve cultural competence among healthcare workers generally; however, little investigation has been undertaken regarding current practices focused on racialized foreign-born older adults. OBJECTIVE We seek to synthesize evidence from existing literature in the field to gain a comprehensive understanding of culturally competent interventions for health professionals who work with racialized foreign-born older adults. The aim of this paper is to describe the protocol for this review. METHODS Our protocol will follow the PRISMA guidelines (PRISMA-P) for systematic review protocols. We will conduct a systematic search for relevant studies from three electronic databases that focus on health and social sciences (PubMed, CINAHL, and Scopus). After selecting relevant papers using the inclusion and exclusion criteria, data will be extracted, analyzed, and synthesized to yield recommendations for practice and for future research. RESULTS The systematic review is currently at the search phase where authors are refining the search strings for the selected databases. We expect that the systematic review will be completed within 18 months from the publication of the protocol paper. CONCLUSIONS This study will inform future development and implementation of interventions to support culturally competent, person-centered care of racialized immigrant older adults.

scholarly journals CARE BASED ON PREFERENCES: EXPERIENCES OF RESIDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S74-S74
Author(s):  
Martina Roes ◽  
Daniel Purwins ◽  
Tobias Stacke ◽  
Christina Manietta ◽  
Johannes Bergmann
Keyword(s):  
Cognitive Interview ◽  
Care Recipient ◽  
Institutional Barriers ◽  
Individual Preferences ◽  
Person Centered Care ◽  
Centered Care ◽  
Level Of Understanding ◽  
The Individual ◽  
Close Relatives ◽  
Everyday Living

Abstract To provide person-centered care, professional caregivers need to know about the individual preferences of the persons being cared for. Since there were no comparable instruments available, we translated the PELI (Preferences for Everyday Living Inventory) and tested the culturally translated version in German nursing homes. Besides testing for reliability and feasibility in German care settings, were are asking for satisfaction in fulfilling of the preferences and reasons for personal or institutional barriers that hinder adherence to the preferences. Furthermore, to determine the level of understanding and meaning of preferences, we interview a few residents and their close relatives in a cognitive interview. Preliminary results of the perspective of the care recipient will be presented.

Sign in / Sign up

Export Citation Format

Share Document