Supporting autonomy in long-term care: Lessons from nursing assistants

Maximizing nursing home (NH) resident autonomy is a person-centered care (PCC) best practice. The purpose of this study was to identify and describe specific autonomy-supportive techniques used by nursing assistants (NAs) in three NH neighborhoods at one Veterans Affairs medical center. Thirteen interviews and approximately 80  h of behavioral observation of NAs were conducted across the three NH neighborhoods. Data were analyzed using thematic analysis. Ten autonomy-supportive tactics were identified: assisting, monitoring, encouraging, bargaining, informing, providing instructions, persuading, asking, providing options , and redirecting.

Source: Geriatric Nursing - August 16, 2018 Category: Nursing Authors: M. Lindsey Jacobs, A. Lynn Snow, Rebecca S. Allen, Christine W. Hartmann, Natalie Dautovich, Patricia A. Parmelee Source Type: research