Exploring facilitators and barriers to using a person centered care intervention in a nursing home setting

Noortje Kloos; Constance H. C. Drossaert; Hester R. Trompetter; Ernst T. Bohlmeijer; Gerben J. Westerhof

doi:10.1016/j.gerinurse.2020.04.018

Exploring facilitators and barriers to using a person centered care intervention in a nursing home setting

Noortje Kloos^*, Constance H. C. Drossaert, Hester R. Trompetter, Ernst T. Bohlmeijer, Gerben J. Westerhof

^*Corresponding author for this work

Medical and Clinical Psychology

Research output: Contribution to journal › Article › Scientific › peer-review

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Abstract

Person-centered care (PCC) interventions have the potential to improve resident well-being in nursing homes, but can be difficult to implement. This study investigates perceived facilitators and barriers reported by nursing staff to using a PCC intervention consisting of three components: assessment of resident well-being, planning of well-being support, and behavioral changes in care to support resident well-being. Our explorative mixed method study combined interviews (n = 11) with a longitudinal survey (n = 132) to examine which determinants were most prevalent and predictive for intention to use the intervention and actual implementation 3 months later (n = 63). Results showed that perceived barriers and facilitators were dependent on the components of the intervention. Assessment of resident well-being required a stable nursing home context and a detailed implementation plan, while planning of well-being support was impeded by knowledge. Behavioral changes in nursing care required easy integration in daily caring tasks and social support. (C) 2020 The Author(s). Published by Elsevier Inc.

Original language	English
Pages (from-to)	730-739
Journal	Geriatric Nursing
Volume	41
Issue number	6
DOIs	https://doi.org/10.1016/j.gerinurse.2020.04.018
Publication status	Published - 2020

Keywords

Nursing staff
Well-being
Person centered care
Implementation
Extended care facility
QUALITY-OF-LIFE
DEMENTIA-CARE
PSYCHOSOCIAL INTERVENTIONS
IMPLEMENTATION
PEOPLE
DETERMINANTS
RESIDENT
OUTCOMES
CADRES

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10.1016/j.gerinurse.2020.04.018

MCP Trompetter exploring facilitators and barriers GN 2020Final published version, 551 KBLicence: CC BY

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title = "Exploring facilitators and barriers to using a person centered care intervention in a nursing home setting",

abstract = "Person-centered care (PCC) interventions have the potential to improve resident well-being in nursing homes, but can be difficult to implement. This study investigates perceived facilitators and barriers reported by nursing staff to using a PCC intervention consisting of three components: assessment of resident well-being, planning of well-being support, and behavioral changes in care to support resident well-being. Our explorative mixed method study combined interviews (n = 11) with a longitudinal survey (n = 132) to examine which determinants were most prevalent and predictive for intention to use the intervention and actual implementation 3 months later (n = 63). Results showed that perceived barriers and facilitators were dependent on the components of the intervention. Assessment of resident well-being required a stable nursing home context and a detailed implementation plan, while planning of well-being support was impeded by knowledge. Behavioral changes in nursing care required easy integration in daily caring tasks and social support. (C) 2020 The Author(s). Published by Elsevier Inc.",

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author = "Noortje Kloos and Drossaert, {Constance H. C.} and Trompetter, {Hester R.} and Bohlmeijer, {Ernst T.} and Westerhof, {Gerben J.}",

year = "2020",

doi = "10.1016/j.gerinurse.2020.04.018",

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AU - Kloos, Noortje

AU - Drossaert, Constance H. C.

AU - Trompetter, Hester R.

AU - Bohlmeijer, Ernst T.

AU - Westerhof, Gerben J.

PY - 2020

Y1 - 2020

N2 - Person-centered care (PCC) interventions have the potential to improve resident well-being in nursing homes, but can be difficult to implement. This study investigates perceived facilitators and barriers reported by nursing staff to using a PCC intervention consisting of three components: assessment of resident well-being, planning of well-being support, and behavioral changes in care to support resident well-being. Our explorative mixed method study combined interviews (n = 11) with a longitudinal survey (n = 132) to examine which determinants were most prevalent and predictive for intention to use the intervention and actual implementation 3 months later (n = 63). Results showed that perceived barriers and facilitators were dependent on the components of the intervention. Assessment of resident well-being required a stable nursing home context and a detailed implementation plan, while planning of well-being support was impeded by knowledge. Behavioral changes in nursing care required easy integration in daily caring tasks and social support. (C) 2020 The Author(s). Published by Elsevier Inc.

AB - Person-centered care (PCC) interventions have the potential to improve resident well-being in nursing homes, but can be difficult to implement. This study investigates perceived facilitators and barriers reported by nursing staff to using a PCC intervention consisting of three components: assessment of resident well-being, planning of well-being support, and behavioral changes in care to support resident well-being. Our explorative mixed method study combined interviews (n = 11) with a longitudinal survey (n = 132) to examine which determinants were most prevalent and predictive for intention to use the intervention and actual implementation 3 months later (n = 63). Results showed that perceived barriers and facilitators were dependent on the components of the intervention. Assessment of resident well-being required a stable nursing home context and a detailed implementation plan, while planning of well-being support was impeded by knowledge. Behavioral changes in nursing care required easy integration in daily caring tasks and social support. (C) 2020 The Author(s). Published by Elsevier Inc.

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KW - Person centered care

KW - Implementation

KW - Extended care facility

KW - QUALITY-OF-LIFE

KW - DEMENTIA-CARE

KW - PSYCHOSOCIAL INTERVENTIONS

KW - IMPLEMENTATION

KW - PEOPLE

KW - DETERMINANTS

KW - RESIDENT

KW - OUTCOMES

KW - CADRES

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SP - 730

EP - 739

JO - Geriatric Nursing

JF - Geriatric Nursing

IS - 6

ER -

Exploring facilitators and barriers to using a person centered care intervention in a nursing home setting

Abstract

Keywords

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