Effects of Person-Centered Care Approaches to Dementia Care on Staff

Abstract

Person-centered care (PCC) has been the subject of several intervention studies reporting positive effects on people with dementia. However, its impact on staff remains unclear. The purpose of this systematic review was to assess the impact of PCC approaches on stress, burnout, and job satisfaction of staff caring for people with dementia in residential aged care facilities. Research articles published up to 2013 were searched on PubMed, Web of Knowledge, Scopus, and EBSCO and reference lists from relevant publications. The review was limited to experimental and quasi-experimental studies, published in English and involving direct care workers (DCWs). In all, 7 studies were included, addressing different PCC approaches: dementia care mapping (n=1), stimulation-oriented approaches (n=2), emotion-oriented approaches (n=2), and behavioral-oriented approaches (n=2). Methodological weaknesses and heterogeneity among studies make it difficult to draw firm conclusions. However, 5 studies reported benefits on DCWs, suggesting a tendency toward the effectiveness of PCC on staff.

Testing Reliability and Validity of the Person-centered Climate Questionnaire-staff version in Korean for Long-term Care Facilities

“…The literature shows that the person-centered care increases staff's job satisfaction through improved communication between the staff and residents and among the staff [7]. Job satisfaction was used to examine the convergent validity with KPCQ-S. Job satisfaction was measured using the Korean version of COPSOQ II (COPSOQ-K) [24], which was originally developed by the National Institute of Occupational Health in Denmark [23] and modified by June et al, [24].…”

“…The small-scale nursing homes (NHs) have also improved residents' quality of life by allowing residents to have more comfortable and individualized care [6]. Regarding the staff outcomes, the improvement of communication with residents decreased the staff's burnout and emotional exhaustion from work, increased their job satisfaction [7], and enhanced their confidence and ability by providing individualized care to residents based on the philosophical change of person-centeredness [8].…”

Person-Centered Approaches to Caregiving

“…A literature review of person-centered care studies in residential settings identified two randomized controlled trials (RCTs) that demonstrated success in reducing dementia care workers' stress, burnout, and job dissatisfaction (Barbosa et al, 2014). This would suggest that person-centered approaches focusing on the care recipient might also benefit the family, as was demonstrated with Mr. Larsen's family.…”

“…The greatest threat to personhood may be dementia, where one's sense of self, sometimes challenged by a varying awareness of declining memory and the ability to learn new things as dementia progresses, further "devolves" through negative interactions with others (Barbosa, Sousa, Nolan, & Figueiredo, 2014). Kitwood recognized this challenge and applied the concepts of person-centeredness to dementia care (Kitwood, 1997).…”

Measuring physical function in people with dementia: a psychometric investigation

“…Due to the low levels of function that people with dementia have (Fox, Henwood, et al, 2014a;Sterke et al, 2010) physical function should relate to the desires and needs of the individuals, which would connect the reality of people with dementia. This would also align assessment of physical function with consumer directed care model (Barbosa, Sousa, Nolan, & Figueiredo, 2014;Buntin et al, 2006). Furthermore, it has previously been established that while common mortality trajectories exist, where a decline in physical function is one aspect of this (Kelley, Ettner, Morrison, Du, & Sarkisian, 2012) these trajectories are largely individual (Lunney, Lynn, Foley, Lipson, & Guralnik, 2003).…”