Background Person-Centered Care is often seen as an indicator of quality of care. However, it is not known whether and to what extent person-centered care can be enhanced by continuing education interventions in older people’s long-term care settings. This systematic review aimed to analyze and synthesize the existing research literature about person-centered care-based continuing educational interventions for nurses working in long-term care settings for older people. Methods Five databases were searched 6/2019 and updated 7/2020; PubMed (Medline), CINAHL, PsycINFO, Cochrane and Eric using the keywords person-centered car* OR person-centred car * OR patient-centered car* OR client-centered car* OR tailored car* OR resident-centered car* OR individualized car* AND older* OR elder* OR old person* AND Long-Term Care OR Nursing home OR 24-h treatment OR long-term treatment. Twenty-seven full texts from 2587 initially retrieved citations were included. Results The continuing educational interventions found were divided into five themes: person-centered interventions focusing on medication; interaction and caring culture; nurses’ job satisfaction; nursing activities; and older people’s quality of life. The perspective of older people and their next of kin about the influence of continuing education interventions were largely absent. The background theories about interventions, the measurements taken, and the clarity around the building blocks of the continuing-care interventions need further empirical verification. The pedagogical methods used were mainly quite behavioristic mostly lectures and seminars. Conclusion Most of person-centered care continuing education interventions are effective. Still more empirical research-based continuing education interventions are needed that include learner-centered pedagogical methods, with measurable outcomes that consider the opinions of older people and their next of kin. Continuing educational interventions for nurses need to be further developed to strengthen nurse’s competence in person-centered care, job satisfaction and for better quality of care.

Background Person‐centred care requires that nurses are competent in this approach to care. There may be an association between person‐centred care competence and person‐centred care climate, but it has not been demonstrated in the literature. This is the justification for the survey study to gain staff's perceptions of such a relationship. Objectives The aim of this study was to analyse the levels and associations between person‐centred care competence and the person‐centred care climate as assessed by professional nurses in long‐term care settings for older people. Methods A descriptive cross‐sectional survey design with cluster sampling was used to recruit professional nurses of different levels from six long‐term care institutions for older people. Data were collected using the Patient‐centred Care Competency scale (PCC) and the Person‐centred Climate Questionnaire staff version (PCQ‐S) in September 2021 and analysed with descriptive and inferential statistics. Results The mean score on the PCC was rated at a good level of 3.80 (SD 0.45), and the PCQ‐S was rated at a good level of 3.87 (SD 0.53). The correlation between PCC and PCQ‐S total scores (r = .37, p < .001) indicated that person‐centred care competence and person‐centred care climate were associated. No associations were detected between nurses’ educational levels and PCC (p = .19) or PCQ‐S (p = .13) or in terms of age or work experience. Conclusions The results provide insights into competence and climate levels of person‐centred care and preliminary evidence of an association between nurses’ assessed competence in person‐centred care and the perceived person‐centred care climate in long‐term care. Nurses’ individual characteristics did not appear to affect the level of person‐centred care competence or climate. In the future professional nurses of different levels could benefit from effective continuing education in person‐centred care. This study design serving for the future intervention study registered to the ClinicalTrials.goc NCT04833153

Aim. To evaluate effectiveness of “Person First –Please” (PFP) intervention in supporting nurses’ collective competence in Person-centred Care (PCC) in Long-Term Care (LTC) of older people. Design. Cluster randomised controlled trial. Methods. Intervention group comprising nurses working on older people LTC will receive PFP Continuing Education (CE) intervention; control group will work as usual. The primary outcomes are nurses’ individual PCC competence and intervention’s effectiveness for collective competence. Secondary outcomes are PCC climate as perceived by nurses, residents and their families. Measurements are conducted three times (baseline, after PFP intervention and after 6-week follow-up) in both groups. Results. The study will provide evidence of PFP’s effectiveness and its influence on PCC climate of older people LTC. If effective, the educational intervention can be used to improve PCC and quality care for older people. Keywords Person-centred care, older people, long-term care, intervention, continuing education, collective competence