Nursing Staff Perceptions of Outcomes Related to Honoring Residents' "Risky" Preferences.

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing Pub Date : 2022-11-01 Epub Date: 2022-10-10 DOI:10.3928/19404921-20220930-01

Liza L Behrens, Marie Boltz, Mark Sciegaj, Ann Kolanowski, Joanne Roman Jones, Anju Paudel, Kimberly Van Haitsma

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引用次数: 1

Abstract

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. [Research in Gerontological Nursing, 15(6), 271-281.].

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护理人员对结果的认知与尊重居民的“风险”偏好有关。

养老院（NHs）面临着持续提供以人为中心的护理（PCC）或基于居民价值观和偏好的护理的挑战。NH工作人员将某些居民偏好与风险联系起来。然而，以证据为基础的以人为中心的风险管理策略有限，无法帮助NH工作人员应对有风险的居民偏好。本研究的目的是探讨NH工作人员对与尊重NH居民的风险偏好相关的健康和安全结果的看法，以告知干预发展。这项描述性、定性研究使用了顺序焦点小组和内容分析，揭示了护理人员在寻求尊重居民的风险偏好时，对工作人员和居民的负面和正面结果的看法。这一发现得到了三个主题的支持：对员工的潜在伤害、对居民的潜在伤害和积极的共享结果。这些结果为NH工作人员和居民提供了一套由护士驱动的生活质量和护理质量结果，这些结果与NH中PCC的提供有关。[老年护理研究，15（6），271-281。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Gerontological Nursing NURSING-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.