title: Strategies for translating the resident care plan into daily practice.
abstract: The Omnibus Budget Reconciliation Act of 1987 required nursing facilities to complete a standardized comprehensive assessment known as the Resident Assessment Instrument (RAI) and to formulate a plan of care from the RAI to guide nursing care. The purpose of this retrospective case study was to examine the issues around the translation of nursing facility resident care plans to documents that guide daily care. Data were obtained by auditing 96 resident care plans in 10 nursing facilities in two states. Despite the importance of the resident plan of care, the audit revealed the provider approaches to resident problems varied appreciably in nursing facilities. The results of this study support the need for further research to assist in the development and implementation of strategies in nursing facilities that focus on standardized practices. Consistent systems can be promoted that translate the resident care plan into daily practice.
authors: Emporia State University, Newman Division of Nursing, Emporia, KS 66801, USA. ladamswe@emporia.edu
authors: Linda
authors: L
authors: Adams-Wendling
authors: Ubolrat
authors: U
authors: Piamjariyakul
authors: Marge
authors: M
authors: Bott
authors: Roma Lee
authors: RL
authors: Taunton
mesh_terms: D000368:Aged; D005161:Facility Regulation and Control; D019983:Guideline Adherence; D006801:Humans; D015146:Midwestern United States; D009731:Nursing Audit; D009732:Nursing Care / Q000592:standards*; D009735:Nursing Homes; D019982:Organizational Case Studies; D010347:Patient Care Planning / Q000592:standards*; D012015:Reference Standards