Journal of the American Medical Directors Association · 2026
Implemented but Invisible: Documentation of Individualized Positive Psychosocial Interaction (IPPI) Components in Nursing Home Care Plans.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kalu Mercy C, Kwon Jenny, Jallow Awa, Heid Allison R, Noble Molly, Van Haitsma Kimberly S, Abbott Katherine M
Аннотация
OBJECTIVES: Care plans are the primary reference documents guiding nursing home (NH) resident care, informing staff training, supporting care continuity, and serving as evidence of service delivery for regulatory compliance. Integration of evidence-based, psychosocial interventions into the resident care plan is key to thesustainability of an intervention in NHs, as it would indicate full implementation of the intervention into the care process. The purpose of this article was to examine the extent to which eligibility and core components of the Individualized Positive Psychosocial Interaction (IPPI) program were documented in a random subset of NH resident care plans as part of an embedded pragmatic clinical trial.
DESIGN: Content analysis of NH resident care plans for mentions of eligibility (eg, mood and/or behaviors), IPPI components-(1) use of emotion-focused communication, (2) mentions of resident preferences, and (3) one-to-one activities-and references to the IPPI program by name was counted.
SETTING AND PARTICIPANTS: Deidentified resident care plans (N = 21) from 7 NHs participating in an embedded pragmatic clinical trial of the IPPI were the primary data source for this study. Three care plans from residents who completed the intervention were randomly selected from each NH.
RESULTS: Evidence of participant eligibility based on behavioral and psychological symptoms of distress was identified across all 21 care plans (n = 186 instances of documentation). IPPI components of emotion-focused communication (n = 172), resident preferences (n = 156), and one-to-one activities (n = 19) were also documented across care plans. However, mention of the IPPI program by name occurred only once in 1 care plan.
CONCLUSIONS AND IMPLICATIONS: This study found inconsistent documentation of IPPI intervention-related language, which represents a missed opportunity to formalize intervention delivery as part of routine practice. Strengthening care plan documentation may ensure accountability and promote long-term sustainability, particularly in settings with high staff turnover.
DESIGN: Content analysis of NH resident care plans for mentions of eligibility (eg, mood and/or behaviors), IPPI components-(1) use of emotion-focused communication, (2) mentions of resident preferences, and (3) one-to-one activities-and references to the IPPI program by name was counted.
SETTING AND PARTICIPANTS: Deidentified resident care plans (N = 21) from 7 NHs participating in an embedded pragmatic clinical trial of the IPPI were the primary data source for this study. Three care plans from residents who completed the intervention were randomly selected from each NH.
RESULTS: Evidence of participant eligibility based on behavioral and psychological symptoms of distress was identified across all 21 care plans (n = 186 instances of documentation). IPPI components of emotion-focused communication (n = 172), resident preferences (n = 156), and one-to-one activities (n = 19) were also documented across care plans. However, mention of the IPPI program by name occurred only once in 1 care plan.
CONCLUSIONS AND IMPLICATIONS: This study found inconsistent documentation of IPPI intervention-related language, which represents a missed opportunity to formalize intervention delivery as part of routine practice. Strengthening care plan documentation may ensure accountability and promote long-term sustainability, particularly in settings with high staff turnover.