Resident Choice and the Survey Process: The Need for Standardized Observation and Transparency
| Autor: | Kelly A. Hickey, Rosanna M. Bertrand, Sandra F. Simmons, Alan White, John F. Schnelle, Marvin Feuerberg, David Squires, Donna Hurd |
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| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Activities of daily living Observation Choice Behavior Care provision Naturalistic observation Quality of life (healthcare) Nursing Patient-Centered Care Activities of Daily Living Humans Medicine Protocol (science) Data collection business.industry Reproducibility of Results Professional-Patient Relations General Medicine United States Nursing Homes Health Care Surveys Family medicine Observational study Geriatrics and Gerontology business Gerontology Independent living |
| Zdroj: | The Gerontologist. 49:517-524 |
| ISSN: | 1758-5341 0016-9013 |
| Popis: | Purpose: To describe a standardized observation protocol to determine if nursing home (NH) staff offer choice to residents during 3 morning activities of daily living (ADL) and compare the observational data with defi ciency statements cited by state survey staff. Design and Methods: Morning ADL care was observed in 20 NHs in 5 states by research staff using a standardized observation protocol. The number of observations in which choice was not offered was documented for 3 morning ADL care activities and compared with defi ciency statements made by surveyors. Results: Staff failed to offer choice during morning ADL care delivery for at least 1 of 3 ADL care activities in all 20 NHs. Observational data showed residents were not offered choice about when to get out of bed (11%), what to wear (25%), and breakfast dining location (39%). In comparison, survey staff issued only 2 defi ciencies in all 20 NHs relevant to choice in the targeted ADL care activities, and neither defi ciency was based on observational data. Implications: Survey interpretative guidelines instruct surveyors to observe if residents are offered choice during daily care provision, but standardized observation protocols are not provided to surveyors to make this determination. The use of a standardized observation protocol in the survey process similar to that used by research staff in this study would improve the accuracy and transparency of the survey process. |
| Databáze: | OpenAIRE |
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