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Work Environment and Person-centred Dementia Care in Nursing Homes-A Cross-sectional Study

Overview
Journal J Nurs Manag
Specialty Nursing
Date 2021 May 30
PMID 34053141
Citations 4
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Abstract

Aim: This study aims to explore the relationship between work environment, job characteristics and person-centred care for people with dementia in nursing homes.

Background: Person-centred care approaches have become a dominant indicator for good quality of care in nursing homes. Little is known about the relationship between work environment, job characteristics and person-centred care in nursing homes.

Method(s): Cross-sectional data from the LAD study were used. Direct care staff (n = 552) of nursing homes (n = 49) filled an online questionnaire about work environment characteristics and person-centred care. To examine relationships, multilevel linear regression analyses were conducted.

Results: Associations were found between a higher transformational leadership style, less social support from a leader, a higher unity in philosophy of care, higher levels of work satisfaction, more development opportunities, better experienced teamwork and staff-reported person-centred care.

Conclusion(s): In a complex nursing home environment, person-centred care is influenced by organisational and work characteristics, shared values and interpersonal relationships.

Implications For Nursing: Leaders may consider facilitating collaboration and creating unity between care staff, clients and family members in order to provide person-centred care. Therefore, a transformational leadership style, educational programmes and coaching for leaders are recommended.

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Work environment and person-centred dementia care in nursing homes-A cross-sectional study.

Rutten J, Backhaus R, Tan F, Prins M, van der Roest H, Heijkants C J Nurs Manag. 2021; 29(7):2314-2322.

PMID: 34053141 PMC: 8597031. DOI: 10.1111/jonm.13386.

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