Resident-Directed Long-Term Care: Staff Provision of Choice during Morning Care

Autor/inn/en	Simmons, Sandra F.; Rahman, Annie; Beuscher, Linda; Jani, Victoria; Durkin, Daniel W.; Schnelle, John F.
Titel	Resident-Directed Long-Term Care: Staff Provision of Choice during Morning Care
Quelle	In: Gerontologist, 51 (2011) 6, S.867-875 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0016-9013
DOI	10.1093/geront/gnr066
Schlagwörter	Nursing Homes; Health Facilities; Institutionalized Persons; Selection; Interpersonal Communication; Health Services; Observation; Measures (Individuals) + Suchen Sie Ihr Suchwort? Sonderheim; Gesundheitszentrum; Auslese; Interpersonale Kommunikation; Health service; Gesundheitsdienst; Gesundheitswesen; Beobachtung; Messdaten
Abstract	Purpose: To develop an observational protocol to assess the quality of staff-resident communication relevant to choice and describe staff-resident interactions as preliminary evidence of the usefulness of the tool to assess current nursing home practices related to offering choice during morning care provision. Design and Methods: This study included 73 long-stay residents in 2 facilities. Research staff conducted observations for 4 consecutive morning hours during targeted care activities (transfer out of bed, incontinence, dressing, and dining location). Observations were conducted weekly for 12 consecutive weeks. Staff-resident interactions were measured related to staff offers of choice and residents' responses. Results: Interrater agreement was achieved for measures of staff offers of choice (kappa = 0.83, p less than 0.001), type of choice provided (kappa = 0.75, p less than 0.001), and resident requests related to choice (kappa = 0.72, p less than 0.001). Observations over 2,766 care episodes during 4 aspects of morning care showed that staff offered residents choice during 18% of the episodes. Most observations (70%) were coded as staff offering "no choice." Implications: Nursing home staff can use a simplified version of this standardized observational tool to reliably measure staff-resident interactions related to choice during morning care provision as a first step toward improving resident-directed care practice. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10