Designing and Implementing a Person-Centered Intervention: A Novel Academic and Community Partnership
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Date
2018-04
Journal Title
Journal ISSN
Volume Title
Publisher
Ohio State University. Office of Outreach and Engagement
Abstract
Person-centered care is a philosophy that recognizes "knowing the person" and honors individual preferences. However, systematically assessing and communicating information about nursing home residents' preferences across care team members is difficult. We will describe a novel communication intervention collaboratively developed between four nursing homes and researchers at Miami University. The intervention assesses resident recreation/leisure preferences and communicates them throughout the organization via a personalized 5x7 laminated card. In all, 60 "PAL" cards were created across four provider communities. Results indicate the cards can be used as conversation starters between staff and residents, or volunteers and residents. Learn about barriers (e.g., resident fatigue and cognition) and facilitators (e.g., support from leadership) to implementing person-centered care interventions in nursing homes.
Description
In recent years, there has been a push in the field of long-term services and supports to focus on person-centered care (PCC), a philosophy that recognizes "knowing the person" and honoring individual preferences. However, systematically assessing and communicating information about nursing home residents' important preferences across care team members is difficult. Not all care team members have access to electronic medical records to access resident preferences as well as high staff turnover are barriers to communicating preferences. The purpose of this presentation is to describe a reliable and valid preference assessment and corresponding novel communication intervention collaboratively developed between four nursing homes and researchers at Miami University. The intended audience for this presentation are researchers working collaboratively with community partners as well as nursing home providers seeking to provide individualized care. The presenters, including experts in preference-based person-centered care, developed and tested the intervention, called Preferences for Activity and Leisure (PAL) Cards. The intervention assesses resident recreation and leisure preferences and communicates them throughout the organization via a personalized 5x7 laminated card. In all, 60 PAL cards were created across four provider communities and reviewed by each resident to verify the accuracy of the information. Preference cards were then attached to residents' doors, wheelchairs, or walkers so the information would be readily available to staff, volunteers, and other residents. Results indicate that PAL cards can be used successfully as conversation starters between staff and residents, or volunteers and residents. In addition, residents felt that their voices were heard, which brought them joy. Finally, barriers (e.g., resident fatigue and cognition) and facilitators (e.g., support from leadership) to implementing person-centered care interventions in nursing homes will be presented.
AUTHOR AFFILIATION: Morgan Liddic, Graduate Student, Miami University, liddicma@miamioh.edu (Corresponding Author); Chelsea Goldstein, Graduate Student, Miami University; Anjali BK, Graduate Student, Miami University.
AUTHOR AFFILIATION: Morgan Liddic, Graduate Student, Miami University, liddicma@miamioh.edu (Corresponding Author); Chelsea Goldstein, Graduate Student, Miami University; Anjali BK, Graduate Student, Miami University.
Keywords
nursing homes, person-centered care, preferences, assessment
Citation
Engaged Scholars, v. 6 (2018).