Person-directed care planning in nursing homes: A scoping review.
Michael Lepore, Kezia Scales, Ruth A Anderson and 4 others
PMID 30358099WHAT IT FOUND
Person-directed care planning in nursing homes requires knowing the individual, integrating their goals into care planning, and revising plans as needs and preferences change.
The review found barriers were time, staff training and forms, and reported outcomes were favorable but inconsistently measured.
Key findings
01Person-directed care planning requires knowing the individual, integrating their goals into care planning, and revising plans as needs and preferences change.
02Barriers to person-directed care planning included limited time, lack of staff awareness or training, and nursing documentation forms that allow limited psychosocial detail.
03Included studies reported favorable outcomes, but person-directed care planning was inconsistently defined and often delivered alongside other changes, so specific effects cannot be separated.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review included editorials, organisational reports and a magazine article, not only research articles. It was limited to English-language literature and mostly items published between 2010 and December 2015. Findings were not all specific to nursing homes because literature from varied care contexts was included. Person-directed care planning was inconsistently defined and outcomes were inconsistently assessed across studies. Care planning interventions often were implemented with other changes, so it is difficult to determine which changes affected outcomes. The review did not explicitly examine resident involvement in assessments such as the minimum data set, which provide foundational information for care plans.
The easy way to misread this
Do not read the reported improvements in health, care outcomes or daily activities as proof that person-directed care planning works. The review found outcomes were inconsistently assessed, and care planning interventions often were implemented alongside other changes.