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Recommended Citation
Adams B, Davey K, Giron J, et al. "What Matters" to Hospitalized Older Adults: Capturing the Perceptions of Nurses. Research poster presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Presentation Notes
Research poster presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Abstract
Background
The Age Friendly Health System (AFHS) 4Ms framework is designed to be clinically implemented to provide reliable, high-quality age-friendly care to older adults with reduced harm and hospital-associated complications. The 4M concept of ‘What Matters to You’ (WMTY) refers to engaging clinicians in assessing and aligning a patient’s specific health outcome goals and care preferences to ensure patient-centered care. There is limited empirical evidence on the WMTY concept and none describing the implementation and impact when used by clinical nurses in hospital settings.
Purpose
To gain an in-depth understanding of the knowledge, perceptions, and experiences of nurses who implement and use the WMTY concept and to evaluate the implementation and impact for older adults.
Methods
A qualitative phenomenology study was conducted using 90-minuate virtual focus groups with a convenience sample of consenting leaders and clinical nurses from six hospitals who use the WMTY concept in their daily practice. Interviews were led by an experience moderator using an interview guide and recorded. Data were transcribed, de-identified, and uploaded into NVivo with inductively coding and iterative analysis to identify significant themes.
Results
Participants had diverse characteristics. Many (86%) reported previous geriatric training. Perceptions were influenced by role, site, training, use beyond admission, and leader involvement. Six themes emerged: 1) Commitment to being ‘patient-centered’, giving care that matters; 2) Assessing WMTY on admission despite awkwardness and competing priorities; 3) Helping patients to “feel better” and “go home’ 4) Acting on WMTY ‘in the moment’ (vs. plan of care); 5) Recognizing when patient preferences don’t align with goals; 6) Making WMTY actionable at the bedside. Outcomes were mixed.
Conclusions/Implications
The current process is focused on asking WMTY question with actions in the moment. Additional research is needed to understand how to engage patients and ensure that their goals/preferences are fully integrated into their plan of care.
Document Type
Poster
Publication Date
11-13-2024
"What Matters" to Hospitalized Older Adults: Capturing the Perceptions of Nurses
Background
The Age Friendly Health System (AFHS) 4Ms framework is designed to be clinically implemented to provide reliable, high-quality age-friendly care to older adults with reduced harm and hospital-associated complications. The 4M concept of ‘What Matters to You’ (WMTY) refers to engaging clinicians in assessing and aligning a patient’s specific health outcome goals and care preferences to ensure patient-centered care. There is limited empirical evidence on the WMTY concept and none describing the implementation and impact when used by clinical nurses in hospital settings.
Purpose
To gain an in-depth understanding of the knowledge, perceptions, and experiences of nurses who implement and use the WMTY concept and to evaluate the implementation and impact for older adults.
Methods
A qualitative phenomenology study was conducted using 90-minuate virtual focus groups with a convenience sample of consenting leaders and clinical nurses from six hospitals who use the WMTY concept in their daily practice. Interviews were led by an experience moderator using an interview guide and recorded. Data were transcribed, de-identified, and uploaded into NVivo with inductively coding and iterative analysis to identify significant themes.
Results
Participants had diverse characteristics. Many (86%) reported previous geriatric training. Perceptions were influenced by role, site, training, use beyond admission, and leader involvement. Six themes emerged: 1) Commitment to being ‘patient-centered’, giving care that matters; 2) Assessing WMTY on admission despite awkwardness and competing priorities; 3) Helping patients to “feel better” and “go home’ 4) Acting on WMTY ‘in the moment’ (vs. plan of care); 5) Recognizing when patient preferences don’t align with goals; 6) Making WMTY actionable at the bedside. Outcomes were mixed.
Conclusions/Implications
The current process is focused on asking WMTY question with actions in the moment. Additional research is needed to understand how to engage patients and ensure that their goals/preferences are fully integrated into their plan of care.
Affiliations
Advocate Condell Medical Center, Advocate Sherman Hospital