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Nursing Staff Perceptions of Outcomes Related to Honoring Residents' "Risky" Preferences
Research in Gerontological Nursing
|October 10, 2022
Summary
Nursing home staff perceive both risks and benefits when honoring resident preferences. This qualitative study identifies potential harms and positive shared outcomes to guide person-centered care interventions.
Area of Science:
- Gerontology
- Nursing
- Healthcare Management
Background:
- Nursing homes (NHs) face challenges in consistently providing person-centered care (PCC), respecting residents' values and preferences.
- NH staff often link resident preferences to risks, but evidence-based strategies for managing these 'risky preferences' are limited.
Purpose of the Study:
- To explore NH staff perceptions of health and safety outcomes linked to honoring residents' risky preferences.
- To inform the development of interventions supporting PCC in NHs.
Main Methods:
- A descriptive, qualitative study design.
- Sequential focus groups and content analysis were employed to gather and analyze data.
Main Results:
- Nursing staff perceive both negative and positive outcomes for residents and themselves when attempting to honor risky resident preferences.
- Key themes identified include 'Potential Harms to Staff,' 'Potential Harms to Residents,' and 'Positive Shared Outcomes.'
Conclusions:
- Honoring residents' preferences in NHs involves a complex interplay of risks and benefits for both staff and residents.
- Findings provide a foundation for nurse-driven quality of life and care outcome measures in NHs, supporting effective PCC delivery.
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