Nursing Home Staff Perspectives On Adoption Of An Innovation In Goals Of Care Communication

Keywords

Adoption; Care plan team; Diffusion of innovation; Goals of care communication; Nursing homes

Abstract

Nursing homes (NH) are important settings for end-of-life care, but limited implementation may impede goals of care discussions. The purpose of this study was to understand NH staff perceptions of adoption and sustainability of the Goals of Care video decision aid for families of residents with advanced dementia. Study design was a cross-sectional survey of staff at 11 NHs in North Carolina who participated in the Goals of Care (GOC) cluster randomized clinical trial. Staff perceived the GOC decision aid intervention as a positive innovation; it was perceived as more compatible with current practices by male staff, nurses, and more experienced NH staff. Perceptions were correlated with experience, implying that experience with an innovative approach may help to promote improved GOC communication in nursing homes. Nurses and social work staff could be effective champions for implementing a communication technique, like the GOC intervention.

Publication Date

3-1-2018

Publication Title

Geriatric Nursing

Volume

39

Issue

2

Number of Pages

157-161

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1016/j.gerinurse.2017.08.001

Socpus ID

85028616567 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/85028616567

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