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Embodying person-centred being and doing: Leading towards person-centred care in nursing homes as narrated by managers
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.ORCID-id: 0000-0002-3408-2900
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Geriatrik.ORCID-id: 0000-0002-5271-4780
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2020 (Engelska)Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 29, nr 1-2, s. 172-183Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

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.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2020. Vol. 29, nr 1-2, s. 172-183
Nyckelord [en]
aged care, elder care, leadership, long-term care, management, nursing research, person-centred, qualitative descriptive
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Identifikatorer
URN: urn:nbn:se:umu:diva-165634DOI: 10.1111/jocn.15075PubMedID: 31612556Scopus ID: 2-s2.0-85074759005OAI: oai:DiVA.org:umu-165634DiVA, id: diva2:1374666
Tillgänglig från: 2019-12-02 Skapad: 2019-12-02 Senast uppdaterad: 2020-03-23Bibliografiskt granskad

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Backman, Annica C.Ahnlund, PetraSjögren, KarinLövheim, HugoEdvardsson, David

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Backman, Annica C.Ahnlund, PetraSjögren, KarinLövheim, HugoEdvardsson, David
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Institutionen för omvårdnadInstitutionen för socialt arbeteGeriatrik
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