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Person-directed care planning in nursing homes: A scoping review.

Publication ,  Journal Article
Lepore, M; Scales, K; Anderson, RA; Porter, K; Thach, T; McConnell, E; Corazzini, K
Published in: International journal of older people nursing
December 2018

Federal regulations require nursing homes in the United States to support residents in directing their own care rather than having their care plans developed for them without their engagement, but knowledge of person-directed approaches to care planning in nursing homes is limited. The purpose of this study was to advance understanding of person-directed care planning (PDCP).A multidisciplinary research team conducted a scoping review on individual and family involvement in care planning, including literature from a variety of care contexts. Search results were systematically screened to identify literature that addressed individual or family involvement in care planning as a primary concern, and then analysed using thematic content analysis.Several themes were identified, including definitions of the concept of PDCP, essential elements of PDCP, barriers, facilitators and outcomes. The concept of PDCP is informed by multiple disciplines, including humanist philosophy, disability rights and end-of-life care. Essential elements of PDCP include knowing the person, integrating the person's goals in care planning and updating care plans as individuals' needs or preferences change. Limited time for care planning in nursing homes hinders PDCP. Facilitators include regulatory mandates and humanist social trends. Outcomes of PDCP were found to be positive (e.g., increased independence), but were inconsistently assessed across studies.This study offers pragmatic information that can support PDCP within nursing homes and insights for policy reform that may more effectively support PDCP.These findings can be used to guide implementation of PDCP.

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Published In

International journal of older people nursing

DOI

EISSN

1748-3743

ISSN

1748-3735

Publication Date

December 2018

Volume

13

Issue

4

Start / End Page

e12212

Related Subject Headings

  • Patient-Centered Care
  • Nursing Homes
  • Humans
  • Aged
  • 4205 Nursing
  • 3901 Curriculum and pedagogy
  • 1110 Nursing
 

Citation

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Lepore, M., Scales, K., Anderson, R. A., Porter, K., Thach, T., McConnell, E., & Corazzini, K. (2018). Person-directed care planning in nursing homes: A scoping review. International Journal of Older People Nursing, 13(4), e12212. https://doi.org/10.1111/opn.12212
Lepore, Michael, Kezia Scales, Ruth A. Anderson, Kristie Porter, Trini Thach, Eleanor McConnell, and Kirsten Corazzini. “Person-directed care planning in nursing homes: A scoping review.International Journal of Older People Nursing 13, no. 4 (December 2018): e12212. https://doi.org/10.1111/opn.12212.
Lepore M, Scales K, Anderson RA, Porter K, Thach T, McConnell E, et al. Person-directed care planning in nursing homes: A scoping review. International journal of older people nursing. 2018 Dec;13(4):e12212.
Lepore, Michael, et al. “Person-directed care planning in nursing homes: A scoping review.International Journal of Older People Nursing, vol. 13, no. 4, Dec. 2018, p. e12212. Epmc, doi:10.1111/opn.12212.
Lepore M, Scales K, Anderson RA, Porter K, Thach T, McConnell E, Corazzini K. Person-directed care planning in nursing homes: A scoping review. International journal of older people nursing. 2018 Dec;13(4):e12212.
Journal cover image

Published In

International journal of older people nursing

DOI

EISSN

1748-3743

ISSN

1748-3735

Publication Date

December 2018

Volume

13

Issue

4

Start / End Page

e12212

Related Subject Headings

  • Patient-Centered Care
  • Nursing Homes
  • Humans
  • Aged
  • 4205 Nursing
  • 3901 Curriculum and pedagogy
  • 1110 Nursing