Care planning for nursing home residents: incorporating the Minimum Data Set requirements into practice.
This study was designed to describe the care-planning process used in nursing homes and identify links among care planning, care provided, and the Resident Assessment Instrument and Minimum Data Set (MDS). Study participants in three Midwestern nursing homes included residents and family members, MDS coordinators, direct care staff, administrators, directors of nursing, and medical directors. Data were collected via semi-structured interview, observation, and resident record audit. The care-planning process differed among the three facilities despite the common MDS system structure. Care planning and the MDS system were linked to the care provided to residents through documentation in residents' records, translation of the MDS care plan to the documents used for daily care, and ongoing communication through end-of-shift report and other venues.
Taunton
Roma Lee
RL
School of Nursing, University of Kansas Medical Center, Kansas City 66160-7503, USA.
Swagerty
Daniel L
DL
Smith
Barbara
B
Lasseter
Joyce A
JA
Lee
Robert H
RH
D000368:Aged; D001291:Attitude of Health Personnel; D014487:Centers for Medicare and Medicaid Services, U.S.; D003142:Communication; D003625:Data Collection / Q000331:legislation & jurisprudence / Q000379:methods*; D004282:Documentation; D015577:Geriatric Assessment / Q000379:methods*; D005851:Geriatric Nursing / Q000193:education / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007400:Interprofessional Relations; D007615:Kansas; D015146:Midwestern United States; D009730:Nursing Assessment / Q000458:organization & administration; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D009735:Nursing Homes; D009737:Nursing Records; D010343:Patient Admission / Q000331:legislation & jurisprudence; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D011795:Surveys and Questionnaires; D014481:United States