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Strategies for translating the resident care plan into daily practice
Linda Adams-Wendling1, Ubolrat Piamjariyakul, Marge Bott
1Emporia State University, Newman Division of Nursing, Emporia, KS 66801, USA. ladamswe@emporia.edu
Journal of Gerontological Nursing
|August 22, 2008
Summary
Nursing facilities must translate resident care plans into daily practice. This study found significant variation in how care plans are implemented, highlighting the need for standardized nursing facility practices.
Area of Science:
- Gerontology
- Health Services Research
- Nursing Home Administration
Background:
- The Omnibus Budget Reconciliation Act of 1987 mandated standardized resident assessments (Resident Assessment Instrument - RAI) in nursing facilities.
- Care plans derived from the RAI are intended to guide nursing care and ensure resident well-being.
- Effective translation of care plans into daily practice is crucial for quality nursing home care.
Purpose of the Study:
- To examine the challenges in translating nursing facility resident care plans into actionable daily care documents.
- To investigate variations in the implementation of resident care plans across different nursing facilities.
Main Methods:
- A retrospective case study design was employed.
- Data were collected through the audit of 96 resident care plans across 10 nursing facilities in two states.
Main Results:
- Significant variability was observed in provider approaches to resident problems despite the standardized care plans.
- The audit revealed inconsistencies in how resident care plans were translated into daily nursing practices.
Conclusions:
- Further research is needed to develop and implement standardized strategies within nursing facilities.
- Promoting consistent systems can improve the translation of resident care plans into daily practice, enhancing care quality.
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