Person-Centered Care in Nursing Homes: Many Stakeholders, Many Perspectives

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dc.contributor.authorKusmaul, Nancy
dc.contributor.authorTucker, Gretchen G.
dc.date.accessioned2022-08-01T20:28:53Z
dc.date.available2022-08-01T20:28:53Z
dc.date.issued2021-01-22
dc.description.abstractNursing home culture change moves facilities towards person-centered care. This study examined how people in different roles experienced choice and autonomy in four areas addressed by culture change: consistent assignment, food choice, waking/bedtime routines, and bathing. This descriptive qualitative study included 32 participants from one continuing care retirement community: 10 residents, eight family members, nine direct care workers, and five managers. Interviews were audiotaped, transcribed verbatim, and coded. Codes were grouped around the practice areas and cross-cutting themes. All groups reported choice in all areas. Challenges arose when patient choice and nursing home functions conflicted. Stakeholders disagreed when care needs should supersede choice. Findings suggest that it is difficult to balance resident choices 1) with the diverse needs/wants of other residents and 2) safety. Leaders, such as nurse managers, should provide ongoing education to residents, family, and staff to help them negotiate these challenges.en_US
dc.description.sponsorshipThis work was supported by a Patient Experience Grant from The Beryl Institute [2017].en_US
dc.description.urihttps://journals.healio.com/doi/full/10.3928/00989134-20200327-01en_US
dc.format.extent16 pagesen_US
dc.genrejournal articlesen_US
dc.genrepreprintsen_US
dc.identifierdoi:10.13016/m2nbhe-ndk8
dc.identifier.citationKusmaul, Nancy, Gretchen G. "TuckerPerson-Centered Care in Nursing Homes: Many Stakeholders, Many Perspectives." Journal of Gerontological Nursing, 46, no. 5 (May 2020). https://doi.org/10.3928/00989134-20200327-01en_US
dc.identifier.urihttps://doi.org/10.3928/00989134-20200327-01
dc.identifier.urihttp://hdl.handle.net/11603/25269
dc.language.isoen_USen_US
dc.publisherHealioen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC School of Social Work
dc.relation.ispartofUMBC Faculty Collection
dc.relation.ispartofUMBC Student Collection
dc.relation.ispartofUMBC Center for Aging Studies (CAS)
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.en_US
dc.titlePerson-Centered Care in Nursing Homes: Many Stakeholders, Many Perspectivesen_US
dc.title.alternativeMany Stakeholders, Many Perspectives: Person-Centered Care in Nursing Homesen_US
dc.typeTexten_US
dcterms.creatorhttps://orcid.org/0000-0003-2278-8495en_US

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