"A Bone of Contention…": Perceived Barriers and Situational Dependencies to Food Preferences of Nursing Home Residents.
"A Bone of Contention…": Perceived Barriers and Situational Dependencies to Food Preferences of Nursing Home Residents.
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“争论的焦点……”：疗养院居民食物偏好的感知障碍和情境依赖性。
DOI：
10.1080/21551197.2019.1617220
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发表时间：
2019
影响因子：
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通讯作者：
VanHaitsma,Kimberly
中科院分区：
文献类型：
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作者：
Goldstein,ChelseaN;Abbott,KatherineM;Bangerter,LaurenR;KottermanRD,LD,Amy;VanHaitsma,Kimberly
本研究从疗养院（NH）居民的角度调查了实现食物偏好的障碍，以及偏好改变的原因（情境依赖性）。采访完成了255名居民在28个NHs在大费城，PA使用6个食品项目从日常生活清单-NH（PELI-NH）的偏好。参与者主要是白色（77%），女性（67.8%）和丧偶（44%）与高中教育（48%）。内容分析被用来识别yn = 386个障碍和n = 57个情境依赖。参与者报告说，供应商的政策和工作人员的熟练程度作为环境的障碍，以实现偏好关于什么，什么时候，在哪里吃。感知健康和个人资源是获得零食，外卖和外出就餐的障碍。居民的健康感知和家庭关系的质量导致了情境依赖。结果有影响提供者集中食物偏好履行护理规划，并使用食物偏好，以解决餐饮质量的问题。
This study investigated barriers to fulfilling food preferences from nursing home (NH) residents’ perspectives, and the reasons preferences changed (situational dependencies). Interviews were completed with 255 residents in 28 NHs across greater Philadelphia, PA using six food items from thePreferences for Everyday Living Inventory-NH(PELI-NH). Participants were predominantly white (77%), female (67.8%), and widowed (44%) with high school educations (48%). Content analysis was used to identifyn= 386 barriers andn= 57 situational dependencies. Participants reported provider policies and staff proficiency as environmental barriers to preference fulfillment regarding what, when, and where to eat. Perceived health and personal resources were barriers to obtaining snacks, take-out, and dining out. Situational dependencies resulted from residents’ perceived health and quality of family relationships. Results have implications for providers to centralize food preference fulfillment in care planning, and to use food preferences to address dining quality concerns.