The Association Between Preference Satisfaction and Satisfaction with Overall Care for Nursing Home Residents

Madrigal, Caroline; Mogle, Jacqueline; Abbott, Katherine; Mills, Whitney L.; Fick, Donna M.; Scanlon, Dennis P.; Behrens, Liza; Eshraghi, Karen; VanHaitsma, Kimberly

doi:10.1080/08959420.2022.2029265

Cited by 9 publications

(5 citation statements)

References 45 publications

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“…NH staff can support residents’ in applying information to their own situation by engaging in conversations about perceived levels of risks and with adaptations in language used to discuss risks and benefits. Residents in this study also indicated the impact of having (or not having) a preference scenario honored in relationship to their everyday life lives by describing their quality of life and quality of care while living in the NH as seen in the theme “Impacts on Quality of Life & Quality of Care.” Clinicians can assist residents to evaluate treatments by asking questions that evaluate their perceived quality of life and care, such as satisfaction with honoring care preferences 20 . Finally, residents in this study were able to communicate their choice about “risky” preference scenarios, if not verbally—through their behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…Clinicians can assist residents to evaluate treatments by asking questions that evaluate their perceived quality of life and care, such as satisfaction with honoring care preferences. 20 Finally, residents in this study were able to communicate their choice about "risky" preference scenarios, if not verbally-through their behaviors. Residents identified the need for assistance with decision-making due to memory impairments in the theme "Reliance on NH Staff and Family."…”

Section: Strengths and Limitationsmentioning

confidence: 98%

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“I′m not a risk taker”

Behrens,

Anderson,

Kowalchik

et al. 2024

Alzheimer Disease &Amp; Associated Disorders

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Background: Persons living with Alzheimer’s disease and related dementia (ADRD) in nursing homes (NH) are often excluded from conversations about their health/safety. These omissions impinge on personhood and the rights to have care preferences heard and honored. While persons with ADRD maintain the ability to communicate their preferences long after their decision-making abilities are affected, little is known about how persons with ADRD understand the risks associated with their preferences. Methods: As part of a larger focused ethnography, in-depth interviews and an adapted risk propensity questionnaire explored the risk perceptions of NH residents with ADRD (N=7) associated with their preferences for care and activities of daily living. Results: Residents generally self-identified as risk avoiders (M=3.2±1.84) on the risk propensity scale and were able to rate risk associated with preferences described within 5 thematic categories: 1) participation in decision-making, 2) risk awareness, 3) paying attention to safety, 4) reliance on nursing home staff and family, and 5) impacts on quality of life and quality of care. Discussion: Results suggest NH residents with ADRD can express risk surrounding their preferences and should be encouraged to participate in discussions about their health and safety.

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Section: Discussionmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 98%

“I′m not a risk taker”

Behrens,

Anderson,

Kowalchik

et al. 2024

Alzheimer Disease &Amp; Associated Disorders

Self Cite

View full text Add to dashboard Cite

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“…Using preference satisfaction ratings via assessments such as ComPASS (Care Preference Assessment of Satisfaction; https://compass.linkedsenior.com/) is an alternative strategy for those who can participate more fully in the assessment process (Van Haitsma et al, 2014). Preference satisfaction ratings use information from the PAT to evaluate how well important preferences are satisfied over time (Heid et al, 2020) and have been linked to residents’ overall satisfaction with care (Madrigal et al, 2022). Both objective, observation-based measures and subjective, survey-based measures give residents and staff the opportunity to communicate about preferences and improve the delivery of person-centered care.…”

Section: Discussionmentioning

confidence: 99%

Comparing Resident, Proxy, and Staff Respondents for Nursing Home Residents’ Preferences for Everyday Living

et al. 2022

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To encourage person-centered care, the Centers for Medicare and Medicaid require nursing homes to measure resident preferences using the Preferences Assessment Tool (PAT). No known research has examined the implications of respondent type (i.e., resident, proxy, staff) on preference importance; therefore, the purpose of this study was to compare the importance of preferences depending on which respondent completed the PAT. Participants included 16,111 Veterans discharged to community-based skilled nursing facilities after hospitalization for heart failure. A majority (95%) of residents completed the PAT compared to proxy (3%) and staff (2%). Proxy responders were both more and less likely to indicate individual preferences as important compared to residents. Staff members were consistently less likely to indicate all preferences as important compared to residents. Findings from this study emphasize the need for proxy and staff to find methods to better understand residents’ preferences when residents are not able to participate in assessments.

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“…A related study found that older people of higher age have higher requirements for medical and health facilities and the environment of elderly care institutions. In contrast, the lower-aged elderly prefers spiritual comfort and rich cultural and entertainment activities [ 35 – 37 ]. There are significant differences in the preferences of older people and their family members in choosing elderly care institutions, specifically in the level of medical care, environmental facilities, spiritual culture, and service costs.…”

Section: Introductionmentioning

confidence: 99%

Middle-aged and older people’s preference for medical-elderly care integrated institutions in China: a discrete choice experiment study

Jiang,

Xiao,

Zhang

et al. 2024

BMC Nurs

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Background With the continuing impact of the aging population, medical-elderly care integrated institutions, as a way to bear the pressure of medical and elderly care, effectively ensure the quality of life of the elderly in their later years. Objectives To explore the preferences of medical-elderly care integrated institutions among Chinese middle-aged and older people and to provide a reference for establishing elderly-oriented development of medical-elderly care integrated institutions. Methods In this study, a discrete choice experiment (DCE) was used to investigate the preferences of people aged 45 years and older in medical-elderly care integrated institutions in China from October 20, 2022, to November 10, 2022. A mixed logit regression model was used to analyze the DCE data. Participants’ willingness to pay for each attribute was also calculated. Results Data from 420 participants who provided valid responses were included in the analysis. In terms of the choice preference, moderate service quality (vs. poor service quality: β = 1.707, p < 0.001, 95% CI 1.343 ~ 2.071) and high medical technology level (vs. low medical technology level: β = 1.535, p < 0.001, 95% CI 1.240 ~ 1.830) were the most important attributes to middle-aged and older people, followed by monthly cost, environmental facilities, the convenience of transportation, and entertainment activities. Regarding the willingness to pay, participants were more willing to pay for service quality and medical technology level than for other attributes. They were willing to pay $3156 and $2838 more for “poor service quality” and “low medical technology level,” respectively, to receive “moderate service quality " (p = 0.007, 95% CI 963 ~ 5349) and “high medical technology level” (p = 0.005, 95% CI 852 ~ 4824). Conclusions The state should attach great importance to the development of medical-elderly care integrated services industry, actively optimize the model of the medical-elderly care integrated service, improve the facilities, and create a healthy environment. At the same time, give full play to the role of medical insurance, long-term care insurance, and commercial insurance, so as to improve the comprehensive quality of life of the elderly. Public contribution The design of the experimental selection was guided by 10 experts in the field, 5 Chinese government officials, and interviews and focus group discussions, without whose participation this study would not have been possible.

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The Association Between Preference Satisfaction and Satisfaction with Overall Care for Nursing Home Residents

Cited by 9 publications

References 45 publications

“I′m not a risk taker”

“I′m not a risk taker”

Comparing Resident, Proxy, and Staff Respondents for Nursing Home Residents’ Preferences for Everyday Living

Middle-aged and older people’s preference for medical-elderly care integrated institutions in China: a discrete choice experiment study

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