Related Experiment Video
Updated: Dec 12, 2025
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
24.2K
Pervasive Risk Avoidance: Nursing Staff Perceptions of Risk in Person-Centered Care Delivery
Liza L Behrens1, Marie Boltz2, Ann Kolanowski2
1NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia.
The Gerontologist
|August 7, 2020
Summary
Nursing home staff often avoid risks to resident safety, hindering person-centered care (PCC). Understanding these risk perceptions is key to improving care quality and honoring resident preferences.
Area of Science:
- Gerontology
- Healthcare Management
- Nursing Research
Background:
- Staff perceptions of risk are a significant barrier to person-centered care (PCC) in nursing homes.
- Honoring resident preferences is central to delivering high-quality, individualized care.
Purpose of the Study:
- To explore direct-care nursing staff perceptions of risks associated with honoring resident preferences.
- To identify how risk perceptions influence the delivery of person-centered care in nursing home settings.
Main Methods:
- Qualitative, descriptive study utilizing sequential focus group (FG) methodology.
- Content analysis of data from 12 focus groups with 27 nursing staff participants.
Main Results:
- A pervasive theme of risk avoidance among nursing staff was identified.
- Subthemes revealed staff values, limited support for risk-taking, and challenges in honoring resident preferences.
- Findings suggest risk perceptions may impede the effective delivery of person-centered care.
Conclusions:
- Developing a framework to understand nursing staff risk perspectives is crucial for managing older adult preferences.
- This research contributes to improving the clinical management of preferences and evaluating preference-based PCC in nursing homes.
Related Concept Videos
01:13Patient-centered Care
2.7K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.7K
01:27Ethical Issues
1.7K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.7K
01:23Nurses' Legal Responsibilities II
1.2K
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
1.2K
01:27Nursing Ethical Principles II
1.8K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.8K
01:23Ethical Standards II
1.1K
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
1.1K
01:22Nursing Ethical Principles I
3.3K
Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
3.3K