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

Autor:	Rutten JER; Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.; Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands., Backhaus R; Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.; Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands., Tan F; Department of Methodology and Statistics, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands., Prins M; Department on Aging, Netherlands Institute of Mental Health and Addiction (Trimbos-institute), Utrecht, The Netherlands., van der Roest H; Department on Aging, Netherlands Institute of Mental Health and Addiction (Trimbos-institute), Utrecht, The Netherlands., Heijkants C; Department on Aging, Netherlands Institute of Mental Health and Addiction (Trimbos-institute), Utrecht, The Netherlands., Hamers JPH; Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.; Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands., Verbeek H; Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.; Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of nursing management [J Nurs Manag] 2021 Oct; Vol. 29 (7), pp. 2314-2322. Date of Electronic Publication: 2021 Jun 27.
DOI:	10.1111/jonm.13386
Abstrakt:	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. (© 2021 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd.)
Databáze:	MEDLINE
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