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Nursing Home Stakeholder Views of Resident Involvement in Medical Care Decisions
Journal article   Peer reviewed

Nursing Home Stakeholder Views of Resident Involvement in Medical Care Decisions

Theresa J Garcia, Tracie C Harrison and James S Goodwin
Qualitative health research, Vol.26(5), pp.712-728
04/01/2016
DOI: 10.1177/1049732315573206
PMCID: PMC5371402
PMID: 25721717
url
https://www.ncbi.nlm.nih.gov/pmc/articles/5371402View
Open Access

Abstract

Demand by nursing home residents for involvement in their medical care, or, patient-centered care, is expected to increase as baby boomers begin seeking long-term care for their chronic illnesses. To explore the needs in meeting this proposed demand, we used a qualitative descriptive method with content analysis to obtain the joint perspective of key stakeholders on the current state of person-centered medical care in the nursing home. We interviewed 31 nursing home stakeholders: 5 residents, 7 family members, 8 advanced practice registered nurses, 5 physicians, and 6 administrators. Our findings revealed constraints placed by the long-term care system limited medical involvement opportunities and created conflicting goals for patient-centered medical care. Resident participation in medical care was perceived as low, but important. The creation of supportive educational programs for all stakeholders to facilitate a common goal for nursing home admission and to provide assistance through the long-term care system was encouraged.
Chronic Disease - therapy Conflict, Psychological Decision Making Family Humans Interviews as Topic Long-Term Care - organization & administration Nursing Homes - organization & administration Patient Care Planning Patient Participation Patient-Centered Care - organization & administration Power, Psychological Qualitative Research Self Care

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