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Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study.
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing. Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Sweden; Department of Health Sciences, Luleå University of Technology, Sweden.
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2017 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, 44Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Few studies have empirically investigated factors that define residential aged care units that are perceived as being highly person-centred. The purpose of this study was to explore factors characterising residential aged care units perceived as being highly person-centred, with a focus on organisational and environmental variables, as well as residents' and staff' characteristics.

METHODS: A cross-sectional design was used. Residents (n = 1460) and staff (n = 1213) data from 151 residential care units were collected, as well as data relating to characteristics of the organisation and environment, and data measuring degree of person-centred care. Participating staff provided self-reported data and conducted proxy ratings on residents. Descriptive and comparative statistics, independent samples t-test, Chi(2) test, Eta Squared and Phi coefficient were used to analyse data.

RESULTS: Highly person-centred residential aged care units were characterized by having a shared philosophy of care, a satisfactory leadership, interdisciplinary collaboration and social support from colleagues and leaders, a dementia-friendly physical environment, staff having time to spend with residents, and a smaller unit size. Residential aged care units with higher levels of person-centred care had a higher proportion of staff with continuing education in dementia care, and a higher proportion of staff receiving regular supervision, compared to units with lower levels of person-centred care.

CONCLUSIONS: It is important to target organisational and environmental factors, such as a shared philosophy of care, staff use of time, the physical environment, interdisciplinary support, and support from leaders and colleagues, to improve person-centred care in residential care units. Managers and leaders seeking to facilitate person-centred care in daily practice need to consider their own role in supporting, encouraging, and supervising staff.

Place, publisher, year, edition, pages
2017. Vol. 16, 44
Keyword [en]
Care philosophy, Facilitators, Leadership, Person-Centred Care, Physical environment, Residential care facilities, Social support
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-138754DOI: 10.1186/s12912-017-0240-4PubMedID: 28808426OAI: oai:DiVA.org:umu-138754DiVA: diva2:1136982
Available from: 2017-08-29 Created: 2017-08-29 Last updated: 2017-08-29

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Sjögren, KarinLindkvist, MarieSandman, Per-OlofEdvardsson, David
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CiteExportLink to record
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Citation style
  • apa
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