To what extent is the work environment of staff related to person‐centred care? A cross‐sectional study of residential aged care

Sjögren, Karin; Lindkvist, Marie; Sandman, Per‐Olof; Zingmark, Karin; Edvardsson, David

doi:10.1111/jocn.12734

Cited by 80 publications

(108 citation statements)

References 32 publications

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“…The spontaneous narratives of the older persons list shortcommings in staff such as no education, no previous experience of caregiving and not being able to speak Swedish as reasons for this. This is confirmed by a Swedish study of staffs’ perceptions of person‐centred care in nursing homes (Sjögren, Lindkvist, Sandman, Zingmark, & Edvardsson, ) which found that lower levels of job strain, high levels of conscious stress, higher levels of staff satisfaction and supportive psychosocial climate for the staff were associated with person‐centred care. A reasonable explanation of the decrease in safety in the intervention group can therefore be shortage of staff leading to a high workload, high staff turnover and/or an insufficient leadership.…”

Section: Discussionsupporting

confidence: 55%

Evaluating person‐centredness for frail older persons in nursing homes before and after implementing a palliative care intervention

et al. 2019

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AimTo evaluate person‐centeredness in nursing homes from the perspective of frail older persons, before and after implementing an educational intervention about palliative care.DesignA crossover design.MethodsForty‐four older persons living in nursing homes were interviewed. A convergent mixed‐method was used to analyse data.ResultsThe older persons expressed feelings of unsafety related to shortcomings in staff. These shortcomings implied that the responsibilities of everyday activities and making the residents’ existence more bearable were transferred to the next of kin. The dropout rate related to death and not enough energy was considerably high (51%) even though one of the inclusion criteria was to have enough energy to manage a 1‐hr interview. This result supports previous research describing the difficulties in retaining older persons in research and indicated that the dose of the intervention was not sufficient to improve person‐centred care.

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Section: Discussionsupporting

confidence: 55%

Evaluating person‐centredness for frail older persons in nursing homes before and after implementing a palliative care intervention

et al. 2019

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“…A work situation that is too demanding can transform a previously patient‐focused professional into a self‐focused professional, as a survival strategy. Previous research has shown that to work with older patients in a person‐centred way, moral stress decreases (Sjögren, Lindkvist, Sandman, Zingmark, & Edvardsson, ) and job satisfaction increases (Ericson‐Lidman & Strandberg, ). However, working in a person‐centred manner presupposes a power shift from the professional to the patient, which is in line with our results where patient participation should be seen as an ongoing process, in a reciprocal collaboration, covering all encounters.…”

Section: Discussionmentioning

confidence: 99%

Patient participation in municipal elderly care from the perspective of nurses and occupational therapists

Lidström-Holmqvist

James

2019

Nursing Open

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Aim The aim of this study was to describe how nurses and occupational therapists in municipal care of older people define and implement patient participation in their daily work. Design This study had a cross‐sectional design. Data were collected using an online questionnaire. Methods The questionnaire had both closed and open‐ended questions. One‐hundred and fourteen nurses and occupational therapists responded. Data were analysed with descriptive statistics and thematic analysis. Results Two main themes were identified as follows: “The professionals’ perspective at the centre – Patient participation to enhance compliance” and “The patients’ perspective at the centre – Patient participation as an ongoing process.” The themes covered a continuum. On one extreme, patient participation was equated with making the patient comply with what the professionals wanted to do. On the other extreme, all power was transferred to the patient. The first theme was restricted to the decision‐making process. The second theme covered the entire care or, rehabilitation, process.

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“…Backman et al, ). Previous national and international nursing home studies (Edvardsson, Petersson, Sjogren, Lindkvist, & Sandman, ; Martínez, Suárez‐Álvarez, Yanguas, & Muñiz, ; Rokstad, Engedal, Edvardsson, & Selbæk, ; Sjögren, Lindkvist, Sandman, Zingmark, & Edvardsson, ) that have used P‐CAT have shown person‐centred mean score between 45–49. Compared to these previous international PCC estimations, a mean score of 56 in this study's sample of nursing homes was considered as high.…”

Section: Methodsmentioning

confidence: 98%

Embodying person‐centred being and doing: Leading towards person‐centred care in nursing homes as narrated by managers

Backman

Ahnlund

Sjögren

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To explore how managers describe leading towards person‐centred care in Swedish nursing homes. Background Although a growing body of research knowledge exists highlighting the importance of leadership to promote person‐centred care, studies focused on nursing home managers' own descriptions of leading their staff towards providing person‐centred care is lacking. Design Descriptive interview study. COREQ guidelines have been applied. Methods The study consisted of semi‐structured interviews with 12 nursing home managers within 11 highly person‐centred nursing homes purposively selected from a nationwide survey of nursing homes in Sweden. Data collection was performed in April 2017, and the data were analysed using content analysis. Results Leading towards person‐centred care involved a main category; embodying person‐centred being and doing, with four related categories: operationalising person‐centred objectives; promoting a person‐centred atmosphere; maximising person‐centred team potential; and optimising person‐centred support structures. Conclusions The findings revealed that leading towards person‐centred care was described as having a personal understanding of the PCC concept and how to translate it into practice, and maximising the potential of and providing support to care staff, within a trustful and innovative work place. The findings also describe how managers co‐ordinate several aspects of care simultaneously, such as facilitating, evaluating and refining the translation of person‐centred philosophy into synchronised care actions. Relevance to clinical practice The findings can be used to inspire nursing home leaders' practices and may serve as a framework for implementing person‐centred care within facilities. A reasonable implication of these findings is that if organisations are committed to person‐centred care provision, care may need to be organised in a way that enables managers to be present on the units, to enact these strategies and lead person‐centred care.

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To what extent is the work environment of staff related to person‐centred care? A cross‐sectional study of residential aged care

Abstract: Promoting a positive and supportive psychosocial climate and a work environment where staff experience balance between demands and control in their work, to enable person-centred care practice, seems to be important implications for managers and leaders in residential aged care.

Cited by 80 publications

References 32 publications

Evaluating person‐centredness for frail older persons in nursing homes before and after implementing a palliative care intervention

Evaluating person‐centredness for frail older persons in nursing homes before and after implementing a palliative care intervention

Patient participation in municipal elderly care from the perspective of nurses and occupational therapists

Embodying person‐centred being and doing: Leading towards person‐centred care in nursing homes as narrated by managers

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