Preferences for Everyday Living: Understanding the Impact of Cognitive Status on Preference Importance Ratings in Nursing Homes.
Christopher J Carey, Allison R Heid, Kimberly Van Haitsma
PMID 28990636WHAT IT FOUND
Nursing home residents' everyday preference ratings did not differ across cognitive impairment levels, including moderate impairment, and they did not change over the 3-month follow-up.
Key findings
01The study did not detect differences in importance ratings of everyday living preferences across none-to-low, mild, and moderate cognitive impairment groups.
02The study did not detect change in importance ratings over 3 months.
03Mean importance ratings ranged from 1.53 for drinking alcohol on occasion to 3.81 for staff showing respect.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Attrition was 25%, and only 255 of 581 recruited residents completed both assessments. Residents were from nursing homes in one northeastern metropolitan region, so results may not apply to other nursing homes. Only residents with cognitive test scores of 13 or higher were included, so severe cognitive impairment was not represented. The cognitive groups were unequal, which may have made it harder to detect differences. Factors such as environment and fatigue were not measured and could have affected preference ratings.
Declared interests
The authors disclosed no financial or other conflicts of interest.
The easy way to misread this
Do not read the 3-month stability as proof that preferences never change. The study only followed residents for 3 months and did not test longer change.