ERIC Number: EJ847860
Record Type: Journal
Publication Date: 2009-Aug
Abstractor: As Provided
Reference Count: 0
Resident Choice and the Survey Process: The Need for Standardized Observation and Transparency
Schnelle, John F.; Bertrand, Rosanna; Hurd, Donna; White, Alan; Squires, David; Feuerberg, Marvin; Hickey, Kelly; Simmons, Sandra F.
Gerontologist, v49 n4 p517-524 Aug 2009
Purpose: To describe a standardized observation protocol to determine if nursing home (NH) staff offer choice to residents during 3 morning activities of daily living (ADL) and compare the observational data with deficiency statements cited by state survey staff. Design and Methods: Morning ADL care was observed in 20 NHs in 5 states by research staff using a standardized observation protocol. The number of observations in which choice was not offered was documented for 3 morning ADL care activities and compared with deficiency statements made by surveyors. Results: Staff failed to offer choice during morning ADL care delivery for at least 1 of 3 ADL care activities in all 20 NHs. Observational data showed residents were not offered choice about when to get out of bed (11%), what to wear (25%), and breakfast dining location (39%). In comparison, survey staff issued only 2 deficiencies in all 20 NHs relevant to choice in the targeted ADL care activities, and neither deficiency was based on observational data. Implications: Survey interpretative guidelines instruct surveyors to observe if residents are offered choice during daily care provision, but standardized observation protocols are not provided to surveyors to make this determination. The use of a standardized observation protocol in the survey process similar to that used by research staff in this study would improve the accuracy and transparency of the survey process.
Descriptors: State Surveys, Nursing Homes, Older Adults, Gerontology, Naturalistic Observation, Daily Living Skills, Independent Living, Measurement Techniques, Data Collection, Residential Care
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A