title: "We can't provide season tickets to the opera": Staff perceptions of providing preference based person centered care.
abstract: Knowledge of a nursing home resident's everyday living preferences provides the foundation for ongoing individualized care planning.
  
  
  OBJECTIVE
  The purpose of this study is to identify nursing home (NH) staff perceptions of facilitators and barriers to learning about and meeting residents' preferences and reasons why staff feel residents change their minds about preferences.
  
  
  METHODS
  Focus group sessions and interviews were conducted with 36 NH staff members working in a facility that has been actively assessing resident preferences for five years.
  
  
  RESULTS
  Thematic codes classifyingfacilitators, barriers, anddependencieswere identified. Staff shared ways they are able to help meet residents' preferences as well as barriers to fulfilling resident preferences through their own behaviors, facility characteristics, the social environment, and resident characteristics. In addition, staff believe that residents change their minds about important preferences 'depending on' several factors including; global environmental characteristics, social environment, resident characteristics, and general staff perceptions.
  
  
  CONCLUSIONS
  This work identifies key facilitators and barriers to consider when implementing quality improvement efforts designed to improve the person-centered nature of care in nursing homes and is intended to further inform the culture change movement, which aims to transform NHs by empowering staff and delivering person-centered care.
authors.affiliation: Department of Sociology and Gerontology, Miami University, 398 Upham Hall, Oxford, OH 45056, abbottkm@miamioh.edu , 215-813-8131.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Abbott
authors.affiliation: Rowan University School of Osteopathic Medicine, New Jersey Institute for Successful Aging, 42 E. Laurel Road, UDP Suite 2300, Stratford, NJ, heid@rowan.edu , 856-566-44594.
authors.forename: Allison R
authors.initials: AR
authors.lastname: Heid
authors.affiliation: College of Nursing, The Pennsylvania State University, 201 HHD East, University Park, PA 16802, ksv110@psu.edu.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Van Haitsma