Associations between person‐centred climate and perceived quality of care in nursing homes: A cross‐sectional study of relatives’ experiences

Abstract

Aims To explore the extent to which a more person‐centred climate could explain the variation in quality of care, as rated by relatives to nursing home residents in three countries. Design A cross‐sectional, correlational, anonymous questionnaire study. Methods Questionnaires were administered to 346 relatives to residents in six nursing homes in Australia, Norway and Sweden between April–June 2016. Relatives (N = 178) agreed to participate. Data were analysed using descriptive statistics and hierarchical multiple regression. Results The results showed that the relatives’ experiences of a more person‐centred climate were associated with higher ratings of the quality of care. A person‐centred climate of safety had the strongest unique association with the quality of care, explaining 14% of the variance in quality of care. In addition, the results indicated that the relatives in general were satisfied with the quality of care and that children to the residents rated the quality of care higher than partners or other relatives. Conclusion This study advances the understanding of the relationship between person‐centredness in nursing homes and quality of care, showing that person‐centred climate aspects of safety and hospitality have a significant role in the quality of care as perceived by relatives. Impact Person‐centredness in nursing homes is often mentioned as a quality of care indicator, but the empirical evidence for this suggestion is limited. This study expanded the evidence‐base for person‐centredness as a significant aspect of relatives’ experiences of the quality of care in nursing homes.

Significant others’ perceptions of being taken seriously by the Swedish Ambulance Service when the patient is assessed as nonurgent

“…It is congruent with initiating a partnership, described as a fundamental part of PCC (17) and found to be important for experiences of person-centredness (42). A more person-centred climate is associated with higher quality of care ratings both among patients (43) and relatives (44). Ambulance clinicians manage to not only take an interpersonal approach to patients, who experienced the psychosocial climate as person-centred (22), but also to significant others, as demonstrated in the present study.…”

Nurse-patient interaction and self-transcendence: assets for a meaningful life in nursing home residents?

“…However, the accomplishment of such a health-promoting nurse-patient interaction requires caregivers who are willing to and competent in engaging with their residents in different ways, such as learning about the person through life histories [115][116][117][118], listening to their life experiences, wisdom, dreams and frightens. Professional nursing care is determined by the way nurses use their knowledge, attitudes, behaviour, and communication skills to appreciate the uniqueness of the person being cared for [118][119][120].…”

Effects of a staff education programme about person-centred care and promotion of thriving on relatives’ satisfaction with quality of care in nursing homes: a multi-centre, non-equivalent controlled before-after trial

“…Considering the increase of older people in need of nursing home care and the enduring nature of quality of nursing home care concerns, there is a need for more research on how to improve the quality of nursing home care. In a recent study, Lood et al [1] suggest that a more person-centred environment, with emphasis on safety and hospitality, is related to higher quality of care as perceived by relatives [1]. In addition to this, older people living in nursing homes and their relatives seem to associate a good life at the nursing home with both physical and psychosocial aspects of the care environment [2].…”

“…Relatives' involvement in nursing home care has also been described as an important aspect of quality of care from the perspective of both the person living in the nursing home and the relative [2], and relatives have been highlighted as important resources to provide different experiences of nursing home services [22]. However, relatives seem to experience difficulties with involvement in the care process and may perceive the quality of care as low because of this, even when they are satisfied with the direct care provided to the older person [1].…”