Res Gerontol Nurs. 2022 Nov-Dec;15(6):271-281. doi: 10.3928/19404921-20220930-01. Epub 2022 Oct 10.
Nursing homes (NHs) are challenged to consistently deliver person-centered care (PCC), or care based on residents' values and preferences. NH staff associate certain resident preferences with risk. However, there are limited evidence-based person-centered risk management strategies to assist NH staff with risky resident preferences. The purpose of the current study was to explore NH staff perceptions of health and safety outcomes associated with honoring NH residents' risky preferences to inform intervention development. This descriptive, qualitative study used sequential focus groups and content analysis, revealing that nursing staff perceive negative and positive outcomes for staff and residents when seeking to honor residents' risky preferences. This finding is supported by three themes: , , and . These results contribute a set of nurse-driven quality of life and quality of care outcomes for NH staff and residents associated with PCC delivery in NHs. [(6), 271-281.].
养老院（NHs）面临着持续提供以患者为中心的护理（PCC）或基于患者价值观和偏好的护理的挑战。NH 工作人员将某些患者偏好与风险联系起来。然而，目前缺乏基于证据的以患者为中心的风险管理策略来帮助 NH 工作人员处理有风险的患者偏好。本研究的目的是探讨 NH 工作人员对与尊重 NH 患者有风险的偏好相关的健康和安全结果的看法，以为干预措施的制定提供信息。这项描述性的定性研究使用了顺序焦点小组和内容分析，结果表明，护理人员在试图尊重患者的风险偏好时，会对员工和患者产生负面和正面的结果。这一发现得到了三个主题的支持：风险与获益、实施困难和权衡取舍。这些结果为 NH 工作人员和患者提供了一套与 NH 中提供以患者为中心的护理相关的生活质量和护理质量结果，这些结果是由护士驱动的。
