The Impact of COVID-19 on the Person-Centered Care Practices in Nursing Homes

Morgan, Jennifer Craft; Ahmad, Waqar; Chen, Yun-Zih; Burgess, Elisabeth O.

doi:10.1177/07334648231154544

Cited by 6 publications

(1 citation statement)

References 23 publications

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“…Research should examine how PCC is implemented across ownership status. Fourth, the data are from 2015 and 2017, and are therefore unable to account for the substantial impact of the COVID-19 pandemic on NH staffing and PCC (Morgan et al, 2023). While the analyses help establish a baseline relationship between PCC and staffing, post-pandemic research is needed to understand if/ how these relationships have changed.…”

Section: Limitations and Strengthsmentioning

confidence: 99%

Exploring the Relationship Between Extent of Person-Centered Care Implementation and Staffing Levels in Ohio Nursing Homes

et al. 2023

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Background: The Preferences for Everyday Living Inventory (PELI) is a person-centered care (PCC) tool that uncovers/honors older adults’ important preferences. PCC implementation in nursing homes (NHs) often requires additional resources, such as staff time. We explored if PELI implementation is associated with NH staffing levels. Methods: Using NH-year as the unit of observation ( n = 1307), 2015 and 2017 data from Ohio NHs was used to examine the relationship between complete versus partial PELI implementation and staffing levels, measured in hours per resident day, for various positions and total nursing staff. Results: Complete PELI implementation was associated with higher nursing staff levels in both for-profits and not-for-profits; however, total nursing staff levels in not-for-profits were higher than for-profits (0.16 vs. 0.09 hours per resident day). The specific nursing staff associated with PELI implementation varied by ownership. Discussion: For NHs to fully implement PCC, a multifaceted approach to improve staffing is needed.

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Section: Limitations and Strengthsmentioning

confidence: 99%

Exploring the Relationship Between Extent of Person-Centered Care Implementation and Staffing Levels in Ohio Nursing Homes

et al. 2023

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Can Implementing Person-Centered Care Tools Reduce Complaints? Evidence from the Implementation of PELI in Ohio Nursing Homes

Kunkel,

Bowblis,

Straker

et al. 2023

Journal of Aging & Social Policy

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Concept Analysis: The Occupational Experiences of Long‐Term Care Nurses—Navigating Fragmented Transitions

Bartlett,

Monagle

2024

Journal of Advanced Nursing

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AimTransitions are broadly defined as movements from one place, stage, or subject to another. However, transitions which are broken and incomplete are referred to fragmented transitions. The aims of this concept analysis were to analyze the navigation of fragmented occupational transitions among long‐term care nurses and to develop a working conceptual definition of fragmented occupational transitions to inform diverse stakeholders.DesignConcept analysis.Data SourcesGoogle Scholar, PubMed, and the Cumulative Index of Nursing and Allied Health Literature databases were accessed. Identified sources were interprofessional scholarly literature published between January 1, 2018, and January 1, 2024, and seminal references.MethodWalker and Avant's eight‐stage concept analysis method.ResultsOccupational transitions in long‐term care are fragmented leading to grievous challenges across multiple aspects of nurses' lives. An analysis of the literature using a Transitions Theory lens reveals that their thoughts, feelings and ethical decisions are influenced over time by these transitions. Cardinal attributes include: (1) Fragmentation, (2) Ill‐timing, (3) Disruption, (4) Liminality, (5) Ambiguity, (6) Ambivalence and (7) Facilitators/Inhibitors. Antecedents stem from external sources and facility‐led initiatives. Consequences encompass product and process outcomes. Product outcomes include physical and psychological conditions, and process outcomes encompass resilience, flexibility, connection, coping, creativity, and communication.ConclusionThis concept analysis advances the science for understanding nurses' occupational transitional experiences in long‐term care. It will assist in risk assessment and instrument development ultimately improving the quality of long‐term care.ImplicationsFragmented occupational transitions in long‐term care are multifaceted and complex phenomena that require distinct responses from government, healthcare leaders, and scholars to improve the plight of long‐term care nurses and stakeholders.Patient or Public ContributionDr. A. I. Meleis contributed to this article by sharing her vast insight into transitions.

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The Impact of COVID-19 on the Person-Centered Care Practices in Nursing Homes

Cited by 6 publications

References 23 publications

Exploring the Relationship Between Extent of Person-Centered Care Implementation and Staffing Levels in Ohio Nursing Homes

Exploring the Relationship Between Extent of Person-Centered Care Implementation and Staffing Levels in Ohio Nursing Homes

Can Implementing Person-Centered Care Tools Reduce Complaints? Evidence from the Implementation of PELI in Ohio Nursing Homes

Concept Analysis: The Occupational Experiences of Long‐Term Care Nurses—Navigating Fragmented Transitions

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