Adams Katy, Anderson Janet B, Archuleta Martha, Smith Kudin Janette
Piland, Adams & Associates, Inc., La Grange, TX 78945, USA.
J Nutr Gerontol Geriatr. 2013;32(3):213-32. doi: 10.1080/21551197.2013.810560.
The desire of skilled nursing facilities to increase quality of service to meet changes in residents' expectations, improve marketability, and adhere to regulations warrant a new look at culture change and homelike dining as defined by residents in skilled nursing facilities (SNF). The objectives of this study were to determine residents' home dining practices, to define residents' desired dining style practices in the SNF, and to determine the relationship between home dining practices and dining preferences in SNF. One hundred and four residents in three SNF in the central Texas area who met the cognition criteria and consumed facility-provided food were engaged in a standardized interview using the Resident Dining Style Preferences Survey. Data were analyzed to determine the degree to which home practices determine SNF dining preferences. Our findings showed that the majority of the participants want hot, home cooked meals served in the dining room. They want to be seated at the table with friends and neighbors and served on every day plates in a quiet atmosphere, with food served restaurant or table service style. Length of stay and generational group were not significant predictors of dining style preferences. Study limitations included small sample size and lack of ethnic diversity. Our study results show that removing dining time restrictions may be the most valuable adaptation for a SNF looking to initiate culture change.
熟练护理机构希望提高服务质量，以满足居民期望的变化、提升市场竞争力并遵守相关规定，这使得我们有必要重新审视文化变革以及熟练护理机构（SNF）中居民所定义的家庭式用餐。本研究的目的是确定居民的家庭用餐习惯，界定居民在熟练护理机构中期望的用餐方式，并确定家庭用餐习惯与熟练护理机构用餐偏好之间的关系。对德克萨斯州中部地区三家熟练护理机构中符合认知标准且食用机构提供食物的104名居民，使用《居民用餐风格偏好调查问卷》进行了标准化访谈。对数据进行分析，以确定家庭习惯在多大程度上决定了熟练护理机构的用餐偏好。我们的研究结果表明，大多数参与者希望在餐厅提供热的、家常烹制的饭菜。他们希望与朋友和邻居一起坐在餐桌旁，在安静的氛围中使用日常餐盘用餐，食物以餐厅服务或餐桌服务的方式提供。入住时间长短和代际群体并不是用餐风格偏好的显著预测因素。研究的局限性包括样本量小和缺乏种族多样性。我们的研究结果表明，取消用餐时间限制可能是希望启动文化变革的熟练护理机构最有价值的调整措施。
