Exploring facilitators and barriers to using a person centered care intervention in a nursing home setting

• Published in: Geriatric nursing (New York) Vol. 41; no. 6; pp. 730 - 739
• Main Authors: Kloos, Noortje, Drossaert, Constance H.C., Trompetter, Hester R., Bohlmeijer, Ernst T., Westerhof, Gerben J.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.11.2020
• Subjects: Extended care facility; Implementation; Nursing; Nursing staff; Person centered care; Well-being; Person centered care; Extended care facility; Well-being; Nursing staff; Implementation
• ISSN: 0197-4572; 1528-3984
• DOI: 10.1016/j.gerinurse.2020.04.018

•Barriers and facilitators related differently to the three intervention components.•PCC implementation plans should thus differentiate between intervention components.•Nurse well-being assessments require a stable context and detailed implementation plan.•Nurse behavior changes require easy integration and collegial support. 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.