Health Care Preferences Among Nursing Home Residents Perceived Barriers and Situational Dependencies to Person-Centered Care
Health Care Preferences Among Nursing Home Residents Perceived Barriers and Situational Dependencies to Person-Centered Care
复制标题
DOI：
10.3928/00989134-20151218-02
复制
发表时间：
2016-02-01
影响因子：
1.3
通讯作者：
Van Haitsma, Kimberly
中科院分区：
文献类型：
--
作者：
Bangerter, Lauren R.;Abbott, Katherine;Van Haitsma, Kimberly
虽然许多研究已经检查了养老院（NH）居民的临终关怀偏好，但很少有工作检查了居民对日常医疗保健的偏好。目前的研究采访了来自35个NHs的255名居民。内容分析确定了障碍（即，实现居民偏好的障碍）和情境依赖（即，什么会使居民改变他们对这些偏好的重要性的看法）与使用心理健康服务的偏好、选择医疗服务提供者和选择参与护理讨论的个人相关。障碍和情境依赖嵌入在个人、设施环境和社会环境中。大约一半的住院医生认为，他们在选择参与护理的其他人和选择医疗服务提供者方面存在障碍。相比之下，心理健康服务的重要性取决于居民的需要。结果强调了实践和设施政策的改进机会，以促进以人为本的护理。
Although much research has examined end-of-life care preferences of nursing home (NH) residents, little work has examined resident preferences for everyday health care. The current study conducted interviews with 255 residents recruited from 35 NHs. Content analysis identified barriers (i.e., hindrances to the fulfillment of resident preferences) and situational dependencies (i.e., what would make residents change their mind about the importance of these preferences) associated with preferences for using mental health services, choosing a medical care provider, and choosing individuals involved in care discussions. Barriers and situational dependencies were embedded within the individual, facility environment, and social environment. Approximately one half of residents identified barriers to their preferences of choosing others involved in care and choosing a medical care provider. In contrast, the importance of mental health services was situationally dependent on needs of residents. Results highlight opportunities for improvement in practice and facility policies that promote person-centered care.