title: Honoring the Everyday Preferences of Nursing Home Residents: Perceived Choice and Satisfaction With Care.
abstract: The nursing home (NH) culture change movement advocates for residents to be able to make choices about important aspects of their care. This study seeks to understand NH residents' perceptions of choice that they have in the care they receive while in the NH setting. We examine the association between residents' perceived choice and satisfaction with care preferences being met using a mixed methods approach.
  
  
  
  Using the Preferences of Everyday Living Inventory, cognitive interviews were completed with 39 NH residents which resulted in a total of 600 item-level ratings of residents' perceived choice and satisfaction and corresponding open-ended comments on choice.
  
  
  
  Quantitative findings revealed a significant Pearson correlation between residents' perceived choice and satisfaction (r = .47, p < .001). Participants' responses of free choice were linked to significantly higher ratings of satisfaction compared to no choice and some choice. Responses of some choice were associated with significantly higher ratings of satisfaction than the no choice group. Open-ended comments provided greater depth in understanding regarding how residents perceive the level of choice in fulfilling their preferences.
  
  
  
  This study establishes a positive association between NH residents' perceived choice and feelings of satisfaction with their care preferences being met. Offering choices that are deemed favorable or solicited from NH residents is a fundamental step toward increasing resident satisfaction with NH care.
authors.affiliation: Department of Human Development and Family Studies, The Pennsylvania State University, University Park.
authors.forename: Lauren R
authors.initials: LR
authors.lastname: Bangerter
authors.affiliation: The New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Stratford.
authors.forename: Allison R
authors.initials: AR
authors.lastname: Heid
authors.affiliation: The Department of Sociology and Gerontology, Miami University, Oxford, Ohio.
authors.forename: Katherine
authors.initials: K
authors.lastname: Abbott
authors.affiliation: The College of Nursing, The Pennsylvania State University, University Park.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Van Haitsma
mesh_terms: D000368:Aged; D002755:Choice Behavior; D005260:Female; D006707:Homes for the Aged / Q000592:standards*; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000592:standards*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010358:Patient Participation / Q000523:psychology*; D057240:Patient Preference / Q000523:psychology*; D058996:Quality Improvement; D012938:Social Perception; D014481:United States
keywords: Care satisfaction; Choice; Nursing homes; Person-centered care