Nursing home staff perspectives on adoption of an innovation in goals of care communication.

Journal Article (Journal Article)

Nursing homes (NH) are important settings for end-of-life care, but limited implementation may impede goals of care discussions. The purpose of this study was to understand NH staff perceptions of adoption and sustainability of the Goals of Care video decision aid for families of residents with advanced dementia. Study design was a cross-sectional survey of staff at 11 NHs in North Carolina who participated in the Goals of Care (GOC) cluster randomized clinical trial. Staff perceived the GOC decision aid intervention as a positive innovation; it was perceived as more compatible with current practices by male staff, nurses, and more experienced NH staff. Perceptions were correlated with experience, implying that experience with an innovative approach may help to promote improved GOC communication in nursing homes. Nurses and social work staff could be effective champions for implementing a communication technique, like the GOC intervention.

Full Text

Duke Authors

Cited Authors

  • Chisholm, L; Zimmerman, S; Rosemond, C; McConnell, E; Weiner, BJ; Lin, F-C; Hanson, L

Published Date

  • March 2018

Published In

Volume / Issue

  • 39 / 2

Start / End Page

  • 157 - 161

PubMed ID

  • 28866315

Pubmed Central ID

  • PMC5832512

Electronic International Standard Serial Number (EISSN)

  • 1528-3984

International Standard Serial Number (ISSN)

  • 0197-4572

Digital Object Identifier (DOI)

  • 10.1016/j.gerinurse.2017.08.001


  • eng