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

Geriatr Nurs. 2020 Nov-Dec;41(6):730-739. doi: 10.1016/j.gerinurse.2020.04.018. Epub 2020 May 24.

Authors

Noortje Kloos¹, Constance H C Drossaert², Hester R Trompetter³, Ernst T Bohlmeijer², Gerben J Westerhof²

Affiliations

¹ Department of Psychology, Health and Technology, Centre for eHealth and Wellbeing Research, University of Twente, P.O. Box 217, 7500 AE, Drienerlolaan 5, 7522 NB Enschede, the Netherlands. Electronic address: n.kloos@utwente.nl.
² Department of Psychology, Health and Technology, Centre for eHealth and Wellbeing Research, University of Twente, P.O. Box 217, 7500 AE, Drienerlolaan 5, 7522 NB Enschede, the Netherlands.
³ Department of Medical and Clinical Psychology, Center of Research on Psychological and Somatic disorders, Tilburg University, the Netherlands.

PMID: 32460962
DOI: 10.1016/j.gerinurse.2020.04.018

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.

Keywords: Extended care facility; Implementation; Nursing staff; Person centered care; Well-being.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Humans
Nursing Homes*
Nursing Staff*
Patient-Centered Care
Self Care
Skilled Nursing Facilities