TY - JOUR
T1 - Assessment of Nursing Staff Learning Needs around Person-Centered Risk Management in Nursing Homes
AU - Behrens, Liza L.
AU - Madrigal, Caroline
AU - Dellefield, Mary Ellen
N1 - Funding Information:
Dr. Madrigal is partially supported by the VA Office of Academic Affiliation Advanced Fellowship in Health Services Research (Center of Innovation in Long-Term Services and Supports, Providence VA Medical Center); and Dr. Behrens is partially supported by the Penn State CTSI KL2 Mentored Career Award (National Center for Advancing Translational Sciences, KL2TR002015) and the Ross and Carol Nese College of Nursing. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government. Dr. Dellefield has disclosed no potential conflicts of interest, financial or otherwise. Research reported in this publication was supported, in part, by the State of Colorado, Department of Health Care Policy and Financing Nursing Home Penalty Funds (PO UHAA 2015005551). The authors thank the participants and the American Association of Nurse Assessment Coordinators, including Diane Carter, MSN, RN, FAAN; Judi Kulus, MSN, MAT, RN, NHA, RACX-MT, DNS-CT; and Liz Irtz, MSN, RN, as they value the time they committed to this project.
Funding Information:
Funding: Research reported in this publication was supported, in part, by the State of Colorado, Department of Health Care Policy and Financing Nursing Home Penalty Funds (PO UHAA 2015005551).
Funding Information:
Disclosure: Dr. Madrigal is partially supported by the VA Office of Academic Affiliation Advanced Fellowship in Health Services Research (Center of Innovation in Long-Term Services and Supports, Providence VA Medical Center); and Dr. Behrens is partially supported by the Penn State CTSI KL2 Mentored Career Award (National Center for Advancing Translational Sciences, KL2TR002015) and the Ross and Carol Nese College of Nursing. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government. Dr. Dellefield has disclosed no potential conflicts of interest, financial or otherwise.
Publisher Copyright:
Copyright © SLACK Incorporated.
PY - 2023/2
Y1 - 2023/2
N2 - The purpose of the current study was to describe nursing home (NH) staff’s perceived learning and practice competency needs to facilitate effective delivery of person-centered care (PCC) when older adult residents’ care preferences involve perceived risks. This needs assessment included a survey of NH staff and leaders (N = 87) and two focus groups (FGs) (N = 14). Results indicated staff were most confident handling preferences related to medication refusal (mean item rating = 4.1) and least confident in preferences related to smoking (mean item rating = 2.4). Staff were challenged in denying residents’ preferences (mean item rating = 3.6) and worried about risk outcomes for residents or themselves (71.6%), reporting lack of policy and procedures to support them (48.1%). Survey results were enriched by FG themes: Establishing Person-Centered Values, Navigating Risk, and Operational Characteristics. Together, this information informed the development of a practice protocol to improve nursing competence in situations involving negotiation of resident and/or NH risks in care delivery.
AB - The purpose of the current study was to describe nursing home (NH) staff’s perceived learning and practice competency needs to facilitate effective delivery of person-centered care (PCC) when older adult residents’ care preferences involve perceived risks. This needs assessment included a survey of NH staff and leaders (N = 87) and two focus groups (FGs) (N = 14). Results indicated staff were most confident handling preferences related to medication refusal (mean item rating = 4.1) and least confident in preferences related to smoking (mean item rating = 2.4). Staff were challenged in denying residents’ preferences (mean item rating = 3.6) and worried about risk outcomes for residents or themselves (71.6%), reporting lack of policy and procedures to support them (48.1%). Survey results were enriched by FG themes: Establishing Person-Centered Values, Navigating Risk, and Operational Characteristics. Together, this information informed the development of a practice protocol to improve nursing competence in situations involving negotiation of resident and/or NH risks in care delivery.
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U2 - 10.3928/00989134-20230106-02
DO - 10.3928/00989134-20230106-02
M3 - Article
C2 - 36719662
AN - SCOPUS:85147234712
SN - 0098-9134
VL - 49
SP - 7
EP - 12
JO - Journal of gerontological nursing
JF - Journal of gerontological nursing
IS - 2
ER -