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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.
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The impact of person-centered care on older people’s perceptions of care quality in nursing homes: An intervention study Liv Berit Fagerli, MSc, RNTVigdis Abrahamsen Grøndahl, PhD, MSc, RNTAnn Karin Helgesen, PhD, MSc, RNTAssociate professors in Nursing ScienceNORWAY
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
Discussion Intervention 1: Greeting the residents
Discussion Intervention 2: One to one contact
Discussion Intervention 3: Information about legal rights
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