Abstract
Objectives
Nursing home (NH) residents' preferences for everyday living are the foundation for
delivering individualized person-centered care. Yet, work has not examined what the
most and least important preferences of nursing home residents are and if those preferences
change over time.
Design
This study examined the change in nursing home residents' (n = 255) preferences for
everyday living over a 3-month period. Participants were recruited from 28 NHs in
the suburbs of a major metropolitan East Coast area of the United States.
Measures
Residents were interviewed face-to-face using the Preferences for Everyday Living
Inventory–Nursing Home version at baseline (T1) and 3 months later (T2). Change was
analyzed in 2 ways: (1) percentage exact agreement (eg, respondent stated “very important”
at both time points) and (2) percentage of preferences that remained either important
or not important between T1 and T2.
Results
Sixteen preferences were rated as very or somewhat important by 90% or more of NH
residents. With regard to the stability of preference ratings, findings demonstrate
an average exact agreement of 59%, and an average important versus not important agreement
of 82%. In addition, 68 of the 72 preferences had 70% or higher stability over time.
In other words, the preference either remained “important” or “not important” to the
NH resident 3 months later. Preferences in the domain of enlisting others in care
had the least amount of change.
Conclusion/Implications
This study highlights the most important everyday living preferences of NH residents
and provides assurance to care providers that the majority of preferences assessed
via the PELI are both important to NH residents and stable over time. Preference-based
care plans can be designed and used over a 3-month period with confidence by providers.
Keywords
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Article info
Publication history
Published online: October 01, 2018
Footnotes
The authors declare no conflicts of interest.
This work was made possible by generous funding from an NINR grant (R21NR011334: PI Van Haitsma) and The Patrick and Catherine Weldon Donaghue Medical Research Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research, the National Institutes of Health, or the Donaghue Foundation. M. Rovine was further supported by the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, through GrantUL1 TR000127.
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© 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
