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While much research has examined end of life care preferences of nursing home (NH) residents, little work has examined resident preferences for everyday healthcare. The present study conducted interviews with 255 residents recruited from 35 NHs. Content analysis identified barriers (hindrances to the fulfillment of resident preferences) and situational dependencies (what would make residents change their mind about the importance of these preferences) associated with preferences for utilizing mental health services, choosing a medical care provider, and choosing individuals involved in care discussions. Barriers and situational dependencies were embedded within the person, facility environment, and social environment. Nearly half of residents identified barriers to their preferences of choosing others involved in care and choosing a medical care provider. In contrast, the importance of mental health services was situationally dependent on needs of residents. Results highlight opportunities for improvement in practice and facility policies that promote person-centered care.

Journal of Gerontological Nursing, 42(2), 11-16. doi: 10.3928/00989134-20151218-02