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Vassbø, T. K., Kirkevold, M., Edvardsson, D., Sjögren, K., Lood, Q., Sandman, P.-O. & Bergland, Å. (2019). Associations between job satisfaction, person-centredness, and ethically difficult situations in nursing homes: A cross-sectional study. Journal of Advanced Nursing, 75(5), 979-988
Öppna denna publikation i ny flik eller fönster >>Associations between job satisfaction, person-centredness, and ethically difficult situations in nursing homes: A cross-sectional study
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2019 (Engelska)Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, nr 5, s. 979-988Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIM: To explore the associations between job satisfaction and perceived person-centredness and ethically difficult situations among staff in nursing homes (NHs).

BACKGROUND: Previous studies have indicated that person-centredness and few ethically difficult situations can contribute positively to NH staff's job satisfaction. However, empirical evidence of these associations is lacking.

DESIGN: Cross-sectional survey design.

METHOD: Nursing home staff (N = 341) in six NHs in Australia, Norway, and Sweden completed the questionnaire measuring job satisfaction, person-centredness, and ethically difficult situations. Data were collected between April - June 2016. Univariate analysis was used to describe the sample, one-way analysis of variance examined differences between variables. Bivariate correlation tested the relationships between variables and hierarchical multiple regression explored the extent to which person-centredness and ethically difficult situations could explain job satisfaction among staff.

RESULTS: After controlling for socio-demographic variables in a regression model, three variables of person-centredness and "ethically difficult situations" were significantly associated with job satisfaction. A "climate of community" contributed the most, followed by the "amount of organizational and environmental support," "a climate of everydayness," and few "ethically difficult situations."

CONCLUSION: The results support the theoretical foundation and previous findings suggesting that establishing NHs organizations based on person-centredness will increase staff job satisfaction. However, this is a cross-sectional study and the causality may go in both directions and should be further explored.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell, 2019
Nyckelord
cross-sectional study, ethical difficult situations, nursing home staff, person-centred care, person-centred climate
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-158317 (URN)10.1111/jan.13890 (DOI)000465107000007 ()30375019 (PubMedID)
Tillgänglig från: 2019-04-23 Skapad: 2019-04-23 Senast uppdaterad: 2019-09-05Bibliografiskt granskad
Lood, Q., Kirkevold, M., Sjögren, K., Bergland, Å., Sandman, P.-O. & Edvardsson, D. (2019). Associations between person-centred climate and perceived quality of care in nursing homes: a cross-sectional study of relatives' experiences. Journal of Advanced Nursing
Öppna denna publikation i ny flik eller fönster >>Associations between person-centred climate and perceived quality of care in nursing homes: a cross-sectional study of relatives' experiences
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2019 (Engelska)Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

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.

Nyckelord
care home, caring environment, family members, nursing, older people, person-centered care, person-centred care, residential aged care
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-158653 (URN)10.1111/jan.14011 (DOI)30937934 (PubMedID)
Tillgänglig från: 2019-05-06 Skapad: 2019-05-06 Senast uppdaterad: 2019-05-07
Pascoe, L., Rahman, M. A., Edvardsson, K., Jokwiro, Y., McDonald, E., Lood, Q., . . . Li, X. (2018). Psychometric evaluation of the English version 14-item resilience scale (RS) in an Australian outpatient population of men with prostate cancer. European Journal of Oncology Nursing, 35, 73-78
Öppna denna publikation i ny flik eller fönster >>Psychometric evaluation of the English version 14-item resilience scale (RS) in an Australian outpatient population of men with prostate cancer
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2018 (Engelska)Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 35, s. 73-78Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: Human resilience refers to the processes of positive adaptation and development in the context of perceived significant threats to an individual's life or function. This paper analyses the psychometric properties and performance of the English version 14-item Resilience Scale (RS) in an Australian outpatient sample of men (n = 209) with advanced prostate cancer receiving androgen deprivation therapy.

Methods: A cross-sectional design was used to collect data from a purposive sample of men. The instrument's psychometric properties were rated against established criteria for reliability (internal consistency), construct validity (instrument dimensionality) and variability (floor and ceiling effect). Exploratory and confirmatory factor-analyses were performed.

Results: The English version 14-item RS demonstrated satisfactory internal consistency reliability (Cronbach's alpha = 0.91). A greater than 15% ceiling effect suggested limited data variability. Confirmatory factor analysis showed that items in the instrument measured primarily as a single factor with a good model of fit (RMSEA = 0.059; TLI = 0. 950, CFI = 0.962).

Conclusion: The English version 14-item RS had satisfactory psychometric properties to capture the concept of resilience in an Australian outpatient sample of men with advanced prostate cancer, with some questions regarding detection of variability for ceiling effect. Further psychometric evaluation of the instrument in other adult clinical settings is recommended.

Ort, förlag, år, upplaga, sidor
Elsevier, 2018
Nyckelord
Resilience, Psychometrics, Adult, Prostate cancer, Hormone suppression therapy
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-151404 (URN)10.1016/j.ejon.2018.06.001 (DOI)000441490600011 ()30057087 (PubMedID)
Tillgänglig från: 2018-09-05 Skapad: 2018-09-05 Senast uppdaterad: 2018-09-05Bibliografiskt granskad
Edvardsson, D., Sjögren, K., Lood, Q., Bergland, A., Kirkevold, M. & Sandman, P.-O. (2017). A person-centred and thriving-promoting intervention in nursing homes - study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial. BMC Geriatrics, 17, Article ID 22.
Öppna denna publikation i ny flik eller fönster >>A person-centred and thriving-promoting intervention in nursing homes - study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial
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2017 (Engelska)Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 17, artikel-id 22Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: The literature suggests that person-centred care can contribute to quality of life and wellbeing of nursing home residents, relatives and staff. However, there is sparse research evidence on how person-centred care can be operationalised and implemented in practice, and the extent to which it may promote wellbeing and satisfaction. Therefore, the U-Age nursing home study was initiated to deepen the understanding of how to integrate person-centred care into daily practice and to explore the effects and meanings of this.

Methods: The study aims to evaluate effects and meanings of a person-centred and thriving-promoting intervention in nursing homes through a multi-centre, non-equivalent controlled group before-after trial design. Three nursing homes across three international sites have been allocated to a person-centred and thriving-promoting intervention group, and three nursing homes have been allocated to an inert control group. Staff at intervention sites will participate in a 12-month interactive educational programme that operationalises thriving-promoting and person-centred care three dimensions: 1) Doing a little extra, 2) Developing a caring environment, and 3) Assessing and meeting highly prioritised psychosocial needs. A pedagogical framework will guide the intervention. The primary study endpoints are; residents’ thriving, relatives’ satisfaction with care and staff job satisfaction. Secondary endpoints are; resident, relative and staff experiences of the caring environment, relatives’ experience of visiting their relative and the nursing home, as well as staff stress of conscience and perceived person-centredness of care. Data on study endpoints will be collected pre-intervention, post-intervention, and at a six-month follow up. Interviews will be conducted with relatives and staff to explore experiences and meanings of the intervention.

Discussion: The study is expected to provide evidence that can inform further research, policy and practice development on if and how person-centred care may improve wellbeing, thriving and satisfaction for people who reside in, visit or work in nursing homes. The combination of quantitative and qualitative data will illuminate the operationalisation, effects and meaning of person-centred and thriving-promoting care.

Nyckelord
Person-centred care, Thriving, Residential aged care, Long-term care, Residents, Relatives, Staff, Job tisfaction, Satisfaction with care, Intervention studies
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-132026 (URN)10.1186/s12877-016-0404-1 (DOI)000392024300001 ()
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2014-4016
Tillgänglig från: 2017-03-29 Skapad: 2017-03-29 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
Lood, Q., Björk, S., Sköldunger, A., Backman, A., Sjögren, K. & Edvardsson, D. (2017). The relative impact of symptoms, resident characteristics and features of nursing homes on residents’ participation in social occupations: cross-sectional findings from U-Age Swenis. Journal of Occupational Science, 24(3), 327-337
Öppna denna publikation i ny flik eller fönster >>The relative impact of symptoms, resident characteristics and features of nursing homes on residents’ participation in social occupations: cross-sectional findings from U-Age Swenis
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2017 (Engelska)Ingår i: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 24, nr 3, s. 327-337Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Social occupations have been described as meaningful occupations, and a determinant of health in old age. With ageing populations, and increased need for nursing home care, it is therefore important to support participation in social occupations in nursing homes. However, the limited evidence on factors that may have an impact on nursing home residents’ participation in social occupations makes it difficult to know how and when to support their participation and who to target. Therefore, the aim of this study was to explore the impact of symptoms, resident characteristics and features of nursing homes on residents’ participation in social occupations. In a sample of 4,451 nursing home residents, the average number of social occupations participated in during the week preceding data collection was 5.8. Additionally, participation in social occupations was positively influenced by fewer symptoms of cognitive impairment, female sex, shorter length of stay, and living in a dementia specific care unit. The study thereby contributes with knowledge on populations at risk for occupational deprivation, and implications for understanding who to target with interventions to promote social occupations and when. However, very little is known about how to design interventions to support nursing home residents’ occupational opportunities, and what occupations they desire and need. Further research is therefore needed to identify nursing home residents’ occupational opportunities, wishes and needs in relation to environmental barriers, individual characteristics, and individual choice.

Ort, förlag, år, upplaga, sidor
Taylor & Francis, 2017
Nyckelord
Residential aged care, elderly, meaningful occupation, cognitive impairment, gender
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-133301 (URN)10.1080/14427591.2017.1306721 (DOI)000414755000007 ()
Tillgänglig från: 2017-04-03 Skapad: 2017-04-03 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
diva2:941128
Öppna denna publikation i ny flik eller fönster >>The Umeå Ageing and health research programme (U-age): exploring person-centred care and health promoting living conditions for an ageing population
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2016 (Engelska)Ingår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, nr 3, s. 168-174Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aim of this article is to describe the Umeå ageing and health research programme that explores person-centred care and health-promoting living conditions for an ageing population in Sweden, and to place this research programme in a national and international context of available research evidence and trends in aged care policy and practice. Contemporary trends in aged care policy includes facilitating ageing in place and providing person-centred care across home and aged care settings, despite limited evidence on how person-centred care can be operationalised in home care services and sheltered housing accommodation for older people. The Umeå ageing and health research programme consists of four research projects employing controlled, cross-sectional and longitudinal designs across ageing in place, sheltered housing, and nursing homes. The research programme is expected to provide translational knowledge on the structure, content and outcomes of person-centred care and health-promoting living conditions in home care, sheltered housing models, and nursing homes for older people and people with dementia.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2016
Nyckelord
health, home care services, housing for the elderly, nursing homes, residential facilities, sheltered housing
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:umu:diva-122764 (URN)10.1177/2057158516645705 (DOI)
Tillgänglig från: 2016-06-22 Skapad: 2016-06-22 Senast uppdaterad: 2018-06-07Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-6187-0929

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