Initiating person-centered care practices in long-term care facilities.
Person-centered care is a key concept guiding efforts to improve long-term care. Elements of person-centered care include personhood, knowing the person, maximizing choice and autonomy, comfort, nurturing relationships, and a supportive physical and organizational environment. The Oregon Health & Science University Hartford Center of Geriatric Nursing Excellence and the state agency that oversees health care for older adults worked in partnership with 9 long-term care facilities. Each developed and implemented person-centered care practices, including those focused on bathing, dining, or gardening. This article describes the processes used to develop and support these practices. Three exemplary facilities made significant practice changes, 4 made important but more moderate changes, and 2 made minimal progress. These facilities differed in terms of existing culture, management practices, staff involvement, and attention to sustainability.
Crandall
Lynda G
LG
Oregon Seniors and People With Physical Disabilities, Salem, USA.
White
Diana L
DL
Schuldheis
Sherrie
S
Talerico
Karen Amann
KA
D004496:Education, Continuing; D008134:Long-Term Care / Q000458:organization & administration; D009735:Nursing Homes / Q000458:organization & administration*; D015279:Organizational Culture; D018802:Patient-Centered Care