CHOICE PROJECT
OFFERING CHOICE TO NURSING HOME RESIDENTSBackground
Offering choice and honoring preferences are key points of cultural change, resident quality of life, and recent focus of nursing home state survey teams.
Dr. Schnelle, the Principle Investigator, provides a brief overview of the purpose and background of offering choice to nursing home residents.
Research Questions
- Will staff training increase the number of care episodes where choice is offered to residents?
- Are there any resident related effects over time?
- Observation of CNA/Resident Interactions during morning care; 1-2 times per week. (Forms & Templates)
- Resident Interviews for Care Preferences, Quality of Life, Pain, Depression, and Mental status
Intervention: Staff Training (3 months)
- Training of CNAs: 12 weekly 10-minute sessions on how to offer choice in four morning care ADL areas. Each session comprised of specific training video vignette's, active discussions, and feedback on prior week's observational data. (Training Vignette's)
- Training of Nursing Supervisors: Observations of morning care throughout the week. (Forms & Templates)
Quality Improvement Process: Post-Intervention Transition
- Encourage nurse supervisors to maintain care improvements by continuing observations and tracking progress with a simple Quality Improvement template. (Forms &Templates)
