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Published on: February 16, 2011
Initiating person-centered care practices in long-term care facilities
Lynda G Crandall1, Diana L White, Sherrie Schuldheis
1Oregon Seniors and People With Physical Disabilities, Salem, USA.
Journal of Gerontological Nursing
|November 21, 2007
Summary
Implementing person-centered care in long-term facilities improved practices, with varying success. Facility culture, management, and staff involvement influenced outcomes in adopting new care strategies.
Area of Science:
- Gerontology
- Healthcare Management
- Nursing Excellence
Background:
- Person-centered care is crucial for enhancing long-term care quality.
- Key elements include personhood, autonomy, relationships, and supportive environments.
- Collaborative initiatives aim to integrate these principles into daily practices.
Purpose of the Study:
- To describe the development and implementation processes of person-centered care practices in long-term care facilities.
- To identify factors influencing the success of these practice changes.
- To share lessons learned from a partnership between a university center and a state agency.
Main Methods:
- A partnership between Oregon Health & Science University Hartford Center of Geriatric Nursing Excellence and a state agency.
- Collaboration with 9 long-term care facilities to develop and implement person-centered care practices.
- Focus on specific practices such as bathing, dining, and gardening.
Main Results:
- Three facilities achieved significant practice changes.
- Four facilities made moderate progress.
- Two facilities showed minimal progress.
- Differences in outcomes were linked to existing culture, management, staff involvement, and sustainability planning.
Conclusions:
- The implementation of person-centered care practices yields varied results in long-term care settings.
- Organizational culture, leadership, and staff engagement are critical determinants of success.
- Sustainability planning is essential for maintaining practice improvements over time.
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