141st APHA Annual Meeting

In This section

Working from a strengths perspective: An evidence-based omaha system care plan for older adults with chronic health condions

Monday, November 4, 2013 : 5:30 PM - 5:50 PM

Catherine Vanderboom, PhD, RN , Department of Nursing, Mayo Clinic, Rochester, MN
Karen A. Monsen, RN, PhD, FAAN , School of Nursing, University of Minnesota, Minneapolis, MN
Ping Fung-Houger , School of Nursing, University of Minnesota, Minneapolis, MN
Diane Holland, PhD, RN, FGSA , Department of Nursing, Mayo Clinic, Rochester, MN
Background: A strengths-based approach recognizes and values positive aspects of a patient/family's experience, resources and support systems. A strengths approach supports self-management of complex chronic health conditions using past, successful strategies and resources. Informatics provides a systematic language using standardized terminologies to support a strengths-based practice. In a previous study of older adults with six or more chronic health conditions, subjects had an average of 7.2 strengths (range 4 to12). Methods are needed to promote a strengths-based approach to the provision of nursing care. The purpose of this validation study was to develop and validate a strengths-based care plan for community-dwelling older adults using a standardized terminology. Methods: This validation study used clinical expert consensus to evaluate the validity of a standardized strengths-based care plan. A computer-mediated Delphi methodology was used. A panel of experts in the Omaha System participated. The care plan was developed using the Omaha System and consisted of interventions addressing concepts in the psychosocial and health-related behaviors domains from a strengths perspective. Results: Preliminary results show expert agreement regarding 80% of interventions in the strengths-based care plan. The final results will be available in summer 2013. Conclusions: Strengths can be classified and quantified using the Omaha System. Interventions can be planned and directed by patient strengths. The Omaha System strengths-based care plan supports a strengths-based approach to self-management of chronic health conditions.

Learning Areas:
Chronic disease management and prevention
Communication and informatics
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
Describe the use of a strengths-based perspective for planning care of adults with chronic health conditions using a standardized terminology.

Keywords: Chronic Illness, Health Information Systems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal of multiple studies focusing on chronic illness care for community-dwelling older adults. My long-term research goal is to develop nurse care coordination interventions that can be used to improve population level health outcomes for individuals with multiple chronic health conditions.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.