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Geriatr Nurs. 2017 Nov - Dec;38(6):548-550. doi: 10.1016/j.gerinurse.2017.04.003. Epub 2017 May 31.

Using spontaneous commentary of nursing home residents to develop resident-centered measurement tools: A case study.

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Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Rochester, MN 55905, USA. Electronic address:
The Department of Sociology and Gerontology, Miami University, Oxford, OH 45056, USA. Electronic address:
The New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Stratford, NJ 08084, USA. Electronic address:
The Abramson Center for Jewish Life, North Wales, PA 19454, USA. Electronic address:
The College of Nursing, The Pennsylvania State University, University Park, PA 16802, USA. Electronic address:


Nursing home (NH) residents routinely complete surveys that assess their health, well-being, preferences, and care needs. Such surveys reveal important information, however, are largely based on the concerns of providers as opposed to the concerns of residents. Thus, researchers must enhance efforts to ensure that these surveys are guided by the priorities, needs, and concerns of residents. We present a case study to demonstrate how spontaneous commentary of NH residents holds particular efficacy for ensuring that measurement tools are guided by the needs, concerns, and priorities of residents. Spontaneous comments from NH residents (N = 370) collected as part of a study developing the Preferences for Everyday Living Inventory for NH residents (PELI-NH) were used to refine the PELI-NH across key phases of measurement development. This work demonstrates how the spontaneous commentary of NH residents may contribute to the refinement of NH measurement tools, and allow researchers to base these tools on the needs and priorities of NH residents.


Measurement development; Nursing home resident; Spontaneous commentary

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