Nursing Staff Perceptions of Outcomes Related to Honoring Residents’ “Risky” Preferences

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Nursing homes (NHs) are challenged to consistently deliver person-centered care (PCC), or care based on residents’ values and preferences. NH staff associate certain resident preferences with risk. However, there are limited evidence-based person-centered risk management strategies to assist NH staff with risky resident preferences. The purpose of the current study was to explore NH staff perceptions of health and safety outcomes associated with honoring NH residents’ risky preferences to inform intervention development. This descriptive, qualitative study used sequential focus groups and content analysis, revealing that nursing staff perceive negative and positive outcomes for staff and residents when seeking to honor residents’ risky preferences. This finding is supported by three themes: Potential Harms to Staff, Potential Harms to Residents, and Positive Shared Outcomes. These results contribute a set of nurse-driven quality of life and quality of care outcomes for NH staff and residents associated with PCC delivery in NHs.

Original languageEnglish (US)
Pages (from-to)271-281
Number of pages11
JournalResearch in Gerontological Nursing
Issue number6
StatePublished - Nov 2022

All Science Journal Classification (ASJC) codes

  • General Nursing
  • Gerontology
  • Health Policy
  • Geriatrics and Gerontology


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