J Nurs Manag. 2021 May 30. doi: 10.1111/jonm.13386. Online ahead of print.
ABSTRACT
AIM: This study aims to explore the relationship between work environment, job characteristics and person-centered care for people with dementia in nursing homes.
BACKGROUND: Person-centered 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-centered 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 in an online questionnaire about work environment characteristics and person-centered 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-centered care.
CONCLUSION(S): In a complex nursing home environment, person-centered care is influenced by organizational 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-centered care. Therefore, a transformational leadership style, educational programs and coaching for leaders are recommended.
PMID:34053141 | DOI:10.1111/jonm.13386
