Abstract
This prospective cohort study measured the effect of implementing a person-centered approach to assessment and care planning on quality of life and incontinence care at three residential care facilities for older persons (N=79) in Sweden. Based on the Gothenburg University Center for Person-Centered Care model (Ekman et al 2015), the 10 week behavioral intervention engaged all staff and management. Resident outcomes of quality of life and continence care were measured at base-line, immediately after, and post-six months; staff outcomes included strain. Resident narratives of needs, preferences and earlier habits were recorded in care plans; nursing notes throughout the intervention were examined in relation to these foundational narratives for congruence. Results indicated a significant increase in tailored, individualized assessments for continence care (p<.05), and a positive trend of gains in residents’ quality of life. Staff reported decreased job strain (p<.05). Findings indicate important effects of PCC on resident and staff outcomes.
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