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Everyday matters in the lives of nursing home residents
 — wish for and perception of choice and control
Author(s)Rosalie A Kane, Arthur L Caplan, Ene K Urv-Wong
Journal titleJournal of the American Geriatrics Society, vol 45, no 9, September 1997
Pagespp 1086-1093
KeywordsIndependence ; Residents [care homes] ; Nursing homes ; Rights [elderly] ; Life satisfaction ; United States of America.
AnnotationThe importance ascribed by nursing home residents and nursing assistants to control and choice over everyday issues, the satisfaction of residents with their control and choice over these issues, and nursing assistants' impressions of the extent to which such control and choice exist, were examined. 135 cognitively intact residents, 3 from each of 25 nursing homes in Minnesota, Arkansas, New Mexico, and California were selected: the resident council chair, a short-stay resident and a long-stay resident from each home. Also participating were 134 nursing assistants. Residents attach importance to choice and control on bedtime, getting up, food, room-mates, care routines, use of money, use of the telephone, trips out, and initiating contact with a doctor. All such control was viewed as important by nursing assistants, although importance attached differed with that of residents. A self-defeating cycle has been identified where neither resident nor staff are optimistic about achieving more resident control and choice, which both groups perceive as desirable. Suggestions are offered for structuring nursing assistants' roles, doctor and nurse leadership, changes in routines and practices, and public policy changes. (RH).
Accession NumberCPA-981127205 A
ClassmarkC3: KX: LHB: IKR: F:5HH: 7T

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