ERIC Number: EJ947575
Record Type: Journal
Publication Date: 2011-Dec
Abstractor: As Provided
Reference Count: 0
Resident-Directed Long-Term Care: Staff Provision of Choice during Morning Care
Simmons, Sandra F.; Rahman, Annie; Beuscher, Linda; Jani, Victoria; Durkin, Daniel W.; Schnelle, John F.
Gerontologist, v51 n6 p867-875 Dec 2011
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.
Descriptors: Nursing Homes, Health Facilities, Institutionalized Persons, Selection, Interpersonal Communication, Health Services, Observation, Measures (Individuals)
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A