Nursing home staff perspectives on adoption of an innovation in goals of care communication

Latarsha Chisholm; Sheryl Zimmerman; Cherie Rosemond; Eleanor McConnell; Bryan J Weiner; Feng-Chang Lin; Laura Hanson

doi:10.1016/j.gerinurse.2017.08.001

Nursing home staff perspectives on adoption of an innovation in goals of care communication

Geriatr Nurs. 2018 Mar-Apr;39(2):157-161. doi: 10.1016/j.gerinurse.2017.08.001. Epub 2017 Aug 31.

Authors

Latarsha Chisholm¹, Sheryl Zimmerman², Cherie Rosemond³, Eleanor McConnell⁴, Bryan J Weiner⁵, Feng-Chang Lin⁶, Laura Hanson⁷

Affiliations

¹ University of Central Florida, 436 Scorpius St, Orlando, 32816, USA. Electronic address: latarsha.chisholm@ucf.edu.
² University of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: Sheryl_zimmerman@unc.edu.
³ University of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: Cherie.rosemond@email.unc.edu.
⁴ Duke University, 2138 Campus Drive, Durham, NC, 27708, USA. Electronic address: eleanor.mcconnell@duke.edu.
⁵ University of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: weiner@email.unc.edu.
⁶ University of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: flinn33@email.unc.edu.
⁷ University of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: laura.hanson@med.unc.edu.

Abstract

Nursing homes (NH) are important settings for end-of-life care, but limited implementation may impede goals of care discussions. The purpose of this study was to understand NH staff perceptions of adoption and sustainability of the Goals of Care video decision aid for families of residents with advanced dementia. Study design was a cross-sectional survey of staff at 11 NHs in North Carolina who participated in the Goals of Care (GOC) cluster randomized clinical trial. Staff perceived the GOC decision aid intervention as a positive innovation; it was perceived as more compatible with current practices by male staff, nurses, and more experienced NH staff. Perceptions were correlated with experience, implying that experience with an innovative approach may help to promote improved GOC communication in nursing homes. Nurses and social work staff could be effective champions for implementing a communication technique, like the GOC intervention.

Keywords: Adoption; Care plan team; Diffusion of innovation; Goals of care communication; Nursing homes.

Publication types

Randomized Controlled Trial
Research Support, N.I.H., Extramural

MeSH terms

Communication*
Diffusion of Innovation*
Female
Humans
Male
Nursing Staff / psychology*
Patient Care Planning*
Terminal Care / methods
Video Recording

Abstract

Publication types

MeSH terms

Grants and funding