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Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik. Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden ; Division of Caring Sciences, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.
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2017 (Engelska)Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, artikel-id 44Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
2017. Vol. 16, artikel-id 44
Nyckelord [en]
Care philosophy, Facilitators, Leadership, Person-Centred Care, Physical environment, Residential care facilities, Social support
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URN: urn:nbn:se:umu:diva-138754DOI: 10.1186/s12912-017-0240-4ISI: 000407709500001PubMedID: 28808426OAI: oai:DiVA.org:umu-138754DiVA, id: diva2:1136982
Tillgänglig från: 2017-08-29 Skapad: 2017-08-29 Senast uppdaterad: 2018-06-09Bibliografiskt granskad

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Sjögren, KarinLindkvist, MarieSandman, Per-OlofEdvardsson, David

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