A Preference-Based Model of Care: An Integrative Theoretical Model of the Role of Preferences in Person-Centered Care

被引:86
作者
Van Haitsma, Kimberly [1 ]
Abbott, Katherine M. [2 ]
Arbogast, Annabelle [2 ]
Bangerter, Lauren R. [3 ]
Heid, Allison R.
Behrens, Liza L. [1 ]
Madrigal, Caroline [1 ]
机构
[1] Penn State Univ, Coll Nursing, 201 Nursing Sci Bldg, University Pk, PA 16802 USA
[2] Miami Univ, Dept Sociol & Gerontol, Oxford, OH 45056 USA
[3] Mayo Clin, Robert D & Patricia E Kern Ctr Healthcare Deliver, Coll Med, Rochester, MN USA
关键词
Long-term care; Theory; Preference-based care; Person-environment fit; NURSING-HOME RESIDENTS; POSITIVE EMOTIONS; DEMENTIA; VALUES; WELL; INDIVIDUALS; ELDERS;
D O I
10.1093/geront/gnz075
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Knowledge of individuals' everyday preferences is a cornerstone of person-centered care (PCC). Initial evidence demonstrates the positive impact of honoring preferences in care for older adults receiving long-term services and supports (LTSS). Yet, the mechanisms through which preference-based care affects individual well-being remain poorly understood. This article proposes a theoretical model of PCC entitled the Preference-Based Model of Care that integrates the Theory of Human Motivation, Self-determination Theory, the Competence-Press Model of person and environment fit, the Living Systems Framework, and the Broaden-and-Build theory of positive emotions to deepen our understanding of the processes through which preference-based care affects well-being among older adults receiving LTSS. The Preference-Based Model of Care illustrates how goal-directed behaviors facilitate need fulfillment through the expression of individual preferences and how these behaviors mediate the relationship between person-environment fit and affect balance within a particular social, cultural, and political context. The Preference-Based Model of Care can advance research on PCC in LTSS and can inform LTSS clinical practice guidelines for older adults, regardless of functional or cognitive capacity.
引用
收藏
页码:376 / 384
页数:9
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