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. 2021 Oct;29(7):2314-2322.
doi: 10.1111/jonm.13386. Epub 2021 Jun 27.

Work environment and person-centred dementia care in nursing homes-A cross-sectional study

Johanna E R Rutten  1   2 , Ramona Backhaus  1   2 , Frans Tan  3 , Marleen Prins  4 , Henriette van der Roest  4 , Ceciel Heijkants  4 , Jan P H Hamers  1   2 , Hilde Verbeek  1   2
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Work environment and person-centred dementia care in nursing homes-A cross-sectional study

Johanna E R Rutten et al. J Nurs Manag. 2021 Oct.

Abstract

Aim: This study aims to explore the relationship between work environment, job characteristics and person-centred care for people with dementia in nursing homes.

Background: Person-centred care approaches have become a dominant indicator for good quality of care in nursing homes. Little is known about the relationship between work environment, job characteristics and person-centred care in nursing homes.

Method(s): Cross-sectional data from the LAD study were used. Direct care staff (n = 552) of nursing homes (n = 49) filled an online questionnaire about work environment characteristics and person-centred care. To examine relationships, multilevel linear regression analyses were conducted.

Results: Associations were found between a higher transformational leadership style, less social support from a leader, a higher unity in philosophy of care, higher levels of work satisfaction, more development opportunities, better experienced teamwork and staff-reported person-centred care.

Conclusion(s): In a complex nursing home environment, person-centred care is influenced by organisational and work characteristics, shared values and interpersonal relationships.

Implications for nursing: Leaders may consider facilitating collaboration and creating unity between care staff, clients and family members in order to provide person-centred care. Therefore, a transformational leadership style, educational programmes and coaching for leaders are recommended.

Keywords: job characteristics; nursing homes; person-centred care; transformational leadership; work environment.

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Conflict of interest statement

None to declare.

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