The impact of person-centered care on older people’s perceptions of care quality in nursing homes: An intervention study Liv Berit Fagerli, MSc, RNT Vigdis Abrahamsen Grøndahl, PhD, MSc, RNT Ann Karin Helgesen, PhD, MSc, RNT Associate professors in Nursing Science NORWAY 1
Statement of the Problem The quality of care offered to older people is still poor Nursing home administrators often claim that they provide person-centered care, but research indicates that institutional goals take precedence
The purpose of the study To explore the impact of person-centered care on residents’ perceptions of care quality
Methodology & Theoretical Orientation Design: Intervention study Sample and setting: 41 residents and 55 healthcare personnel in one nursing home The interventions were conducted for 12 months
Methodology & Theoretical Orientation The interventions: 1.The carers should greet the residents at the beginning of each shift 2.One carer should spend 30 minutes twice a week alone with one resident 3.The headnurses should give information about legal rights two times during each resident`s stay 4.The RNs should give information to the residents consecutively when the residents` medication were changed. Standardized care plans were developed for use.
Methodology & Theoretical Orientation Face-to-face interviews; Quality from Patient’s Perspective (QPP) questionnaire Descriptive statistics and Mann-Whitney U-tests
Results I Sample characteristics
Results II The residents’ perceptions of care quality
Results III
Intervention 1: Greeting the residents Discussion Intervention 1: Greeting the residents
Intervention 2: One to one contact Discussion Intervention 2: One to one contact
Information about legal rights Discussion Intervention 3: Information about legal rights
Information about changes in medication Discussion Intervention 4: Information about changes in medication
Conclusion & Significance Residents’ perceptions of care quality increase when person-centered care is operationalized and takes precedence over ward routines The results indicate that it is possible to design a care system where the residents are the center of the health care offered Person-centered care is possible!
Thank you for your attention! Contact adresses: Vigdis A. Grøndahl, vigdis.a.grondahl@hiof.no Liv Berit Fagerli, liv.b.fagerli@hiof.no Ann Karin Helgesen, ann.k.helgesen@hiof.no N-1757 Halden Norway