Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 2 of 2
Honoring the everyday preferences of nursing home residents: perceived choice and satisfaction with care
- Authors:
- BANGERTER Lauren R., et al
- Journal article citation:
- Gerontologist, 57(3), 2017, pp.479-486.
- Publisher:
- Oxford University Press
Purpose of the Study: The nursing home (NH) culture change movement advocates for residents to be able to make choices about important aspects of their care. This study seeks to understand NH residents’ perceptions of choice that they have in the care they receive while in the NH setting. The authors examine the association between residents’ perceived choice and satisfaction with care preferences being met using a mixed methods approach. Design and Methods: Using the Preferences of Everyday Living Inventory, cognitive interviews were completed with 39 NH residents which resulted in a total of 600 item-level ratings of residents’ perceived choice and satisfaction and corresponding open-ended comments on choice. Results: Quantitative findings revealed a significant Pearson correlation between residents’ perceived choice and satisfaction. Participants’ responses of free choice were linked to significantly higher ratings of satisfaction compared to no choice and some choice. Responses of some choice were associated with significantly higher ratings of satisfaction than the no choice group. Open-ended comments provided greater depth in understanding regarding how residents perceive the level of choice in fulfilling their preferences. Implications: This study establishes a positive association between NH residents’ perceived choice and feelings of satisfaction with their care preferences being met. Offering choices that are deemed favourable or solicited from NH residents is a fundamental step toward increasing resident satisfaction with NH care. (Edited publisher abstract)
“Make me feel at ease and at home”: differential care preferences of nursing home residents
- Authors:
- BANGERTER Lauren R., et al
- Journal article citation:
- Gerontologist, 56(4), 2016, pp.702-713.
- Publisher:
- Oxford University Press
Purpose of the study: Assessing and honouring older adults’ preferences is a fundamental step in providing person-centred care in long-term care facilities. Researchers and practitioners have begun to develop measures to assess nursing home (NH) residents’ everyday preferences. However, little is known about how residents interpret and conceptualise their preferences and what specific clinical response may be needed to balance health and safety concerns with preferences. Design and methods: We used content analysis to examine interview responses on a subset of eight open-ended items from the Preferences of Every-day Living Inventory for Nursing Home (PELI-NH) residents with 337 NH residents (mean age 81). We considered how residents self-define various preferences of care and the associated importance of these preferences. Results: Residents identified preferences for interpersonal interactions (greetings, staff showing care, and staff showing respect), coping strategies, personal care (bathroom needs, setting up bedding), and healthcare discussions. Respondents highlighted specific qualities and characteristics about care interactions that are necessary to fully meeting their everyday preferences. Implications: Results contribute to an emergent body of research that utilises patient preferences to achieve the goals of person-centred care. The complexity of these responses substantiates the use of qualitative inquiry to thoroughly assess and integrate NH resident preferences into the delivery of person-centred care.