Honoring preferences is a significant facet of person-centered care (PCC). However, nursing home (NH) staff perceptions of the risks that residents’ preferences may have on resident safety and health can create a barrier to delivering PCC. This study utilized an innovative sequential focus group methodology to gain insight into staff perceptions of honoring risky preferences. Results indicated that pervasive, risk-avoiding attitudes are present throughout the organization, during care, and when attempting to honor resident preferences. “Risk-phobic” attitudes, apparent at all levels within NHs as well as written into organizational policies, may impede the delivery of PCC. The authors suggest that these attitudes can be mitigated by improving staff sense of agency while supporting appropriate risk-taking for residents, which can promote more PCC.  

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https://academic.oup.com/gerontologist/article-abstract/60/8/1424/5881440

Funder(s)

This work was supported, in part, by the National Center for Advancing Translational Sciences, National Institutes of Health (NIH) (grant UL1 TR002014); National Institute of Nursing Research Ruth L. Kirschstein National Research Service Award program (T32NR009356); and the 2019 Eastern Nursing Research Society/Council for the Advancement of Nursing Science Dissertation Award.

Citation

Behrens, L. L., Boltz, M., Kolanowski, A., Sciegaj, M., Madrigal, C., Abbott, K., & Van Haitsma, K. (2020). Pervasive Risk Avoidance: Nursing Staff Perceptions of Risk in Person-Centered Care Delivery. The Gerontologist, 60(8), 1424–1435. https://doi.org/10.1093/geront/gnaa099  

Team Members as Authors

Members of the the PELI Team who contributed to this publication.

Liza Behrens, Ph.D, RN

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Dennis Cheatham

Communication Director

Assistant Professor, Ross and Carol Nese College of Nursing, Penn State Univerity

Liza Behrens, Ph.D, RN

Ann Kolanowski, PhD, RN, FGSA, FAAN

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Dennis Cheatham

Communication Director

Professor Emerita of Nursing, College of Nursing

Professor Emerita of Psychiatry, Penn State Hershey College of Medicine

Ann Kolanowski, PhD, RN, FGSA, FAAN

Caroline Madrigal, Ph.D, RN

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Dennis Cheatham

Communication Director

Advanced Fellow in Health Services Research, US Department of Veterans Affairs

Caroline Madrigal, Ph.D, RN

Katherine Abbott, Ph.D, MGS

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Dennis Cheatham

Communication Director

Associate Professor, Department of Sociology & Gerontology

Scripps Gerontology Research Fellow

Katherine Abbott, Ph.D, MGS

Kimberly VanHaitsma, Ph.D., FGSA

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Dennis Cheatham

Communication Director

Professor, Penn State Ross and Carol Nese College of Nursing
Director, Program for Person-Centered Living Systems of Care

Kimberly VanHaitsma, Ph.D., FGSA