2.50
Hdl Handle:
http://hdl.handle.net/10755/161110
Type:
Presentation
Title:
Medication Administration in Resident-Centered Nursing Homes
Abstract:
Medication Administration in Resident-Centered Nursing Homes
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Krause, Melanie
P.I. Institution Name:University of Wisconsin - Madison
Title:Predoctoral Student
Contact Address:School of Nursing, 1523 Madison Street, Madison, WI, 53711, USA
Contact Telephone:(262)325-0174
Resident-centered models of care are becoming increasingly popular in long term care facilities. This marks a departure from traditional models to a model that is more responsive to resident preferences. Organizational routine, including timing of meals and medication passes, must be altered to accommodate these preferences. However, strategies for implementation of these models are often poorly articulated. The purpose of this study was to describe how staff incorporate resident-centered models of care into medication passes. Data were gathered using a field research design at two Midwestern nursing homes with resident-centered models of care. A total of 10 participants, 8 nurses and 2 certified medical assistants, were observed during medication passes and later interviewed. Field notes were recorded and interviews were transcribed by the researcher. Data were analyzed using grounded dimensional analysis to develop theory about how resident-centered care is conceptualized and how this care is incorporated into medication passes. Several of the findings were notable. First, while all staff sought to deliver resident-centered care, conceptualizations of resident-centered care varied. Secondly, conflicts were reported between resident-centered ideals and nursing care standards. Finally, there were reports that incorporating this model resulted in increased work loads and difficulty completing work on time. As resident-centered models of care become increasingly prevalent in long term care, more research must be undertaken to understand the impact of the model of care on nursing practice in long term care. This research serves as a foundation for understanding how staff conceptualize resident-centered care, how this model of care is incorporated into daily work routines and how conflict is managed between resident-centered ideals and mandated care standards. This is critical for developing strategies for implementation and evaluation of these models of care. [Poster Presentation]
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMedication Administration in Resident-Centered Nursing Homesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161110-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Medication Administration in Resident-Centered Nursing Homes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Krause, Melanie</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin - Madison</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Predoctoral Student</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 1523 Madison Street, Madison, WI, 53711, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(262)325-0174</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">melkrause@yahoo.com</td></tr><tr><td colspan="2" class="item-abstract">Resident-centered models of care are becoming increasingly popular in long term care facilities. This marks a departure from traditional models to a model that is more responsive to resident preferences. Organizational routine, including timing of meals and medication passes, must be altered to accommodate these preferences. However, strategies for implementation of these models are often poorly articulated. The purpose of this study was to describe how staff incorporate resident-centered models of care into medication passes. Data were gathered using a field research design at two Midwestern nursing homes with resident-centered models of care. A total of 10 participants, 8 nurses and 2 certified medical assistants, were observed during medication passes and later interviewed. Field notes were recorded and interviews were transcribed by the researcher. Data were analyzed using grounded dimensional analysis to develop theory about how resident-centered care is conceptualized and how this care is incorporated into medication passes. Several of the findings were notable. First, while all staff sought to deliver resident-centered care, conceptualizations of resident-centered care varied. Secondly, conflicts were reported between resident-centered ideals and nursing care standards. Finally, there were reports that incorporating this model resulted in increased work loads and difficulty completing work on time. As resident-centered models of care become increasingly prevalent in long term care, more research must be undertaken to understand the impact of the model of care on nursing practice in long term care. This research serves as a foundation for understanding how staff conceptualize resident-centered care, how this model of care is incorporated into daily work routines and how conflict is managed between resident-centered ideals and mandated care standards. This is critical for developing strategies for implementation and evaluation of these models of care. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-26T23:16:04Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:16:04Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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