1. "A Bone of Contention...": Perceived Barriers and Situational Dependencies to Food Preferences of Nursing Home Residents.
- Author
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Goldstein, Chelsea N., Abbott, Katherine M., Bangerter, Lauren R., Kotterman, Amy, and Van Haitsma, Kimberly
- Subjects
ELDER care ,CONTENT analysis ,FOOD preferences ,HEALTH facilities ,HEALTH status indicators ,INTERVIEWING ,NURSING home patients ,PERSONNEL management ,RESEARCH funding ,STATISTICAL sampling ,FAMILY relations ,JOB performance ,PSYCHOSOCIAL factors ,SOCIOECONOMIC factors ,PATIENT-centered care ,DESCRIPTIVE statistics ,OLD age - Abstract
This study investigated barriers to fulfilling food preferences from nursing home (NH) residents' perspectives, and the reasons preferences changed (situational dependencies). Interviews were completed with 255 residents in 28 NHs across greater Philadelphia, PA using six food items from the Preferences for Everyday Living Inventory-NH (PELI-NH). Participants were predominantly white (77%), female (67.8%), and widowed (44%) with high school educations (48%). Content analysis was used to identify n = 386 barriers and n = 57 situational dependencies. Participants reported provider policies and staff proficiency as environmental barriers to preference fulfillment regarding what, when, and where to eat. Perceived health and personal resources were barriers to obtaining snacks, take-out, and dining out. Situational dependencies resulted from residents' perceived health and quality of family relationships. Results have implications for providers to centralize food preference fulfillment in care planning, and to use food preferences to address dining quality concerns. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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