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To what extent is the work environment of staff related to person‐centred care? A cross‐sectional study of residential aged care

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  • Karin Sjögren
  • Marie Lindkvist
  • Per‐Olof Sandman
  • Karin Zingmark
  • David Edvardsson

Abstract

Aims and objectives To explore the relationship between staff characteristics, perceived work environment and person‐centred care in residential aged care units. Background Person‐centred care is often described as the model of choice in residential aged care and in the care of persons with dementia. Few empirical studies have reported on the relationship between how staff experience different aspects of their work and person‐centred care. Design The study had a cross‐sectional quantitative design. Methods Staff in 151 residential aged care units in Sweden (n = 1169) completed surveys which included questions about staff characteristics, valid and reliable measures of person‐centred care, satisfaction with work and care, job strain, stress of conscience and psychosocial unit climate. Statistical analyses of correlations, group differences and multiple linear regression analysis estimated with generalised estimating equation were conducted. Results Higher levels of staff satisfaction, lower levels of job strain, lower levels of stress of conscience, higher levels of a supportive psychosocial unit climate and a higher proportion of staff with continuing education in dementia care were associated with higher levels of person‐centred care. Job strain and a supportive psychosocial climate, explained most of the variation in person‐centred care. Conclusions This study shows that the work environment as perceived by staff is associated with the extent to which staff perceive the care as being person‐centred in residential aged care. These empirical findings support the theoretical postulation that the work environment is an important aspect of person‐centred care. Relevance to clinical practice Promoting a positive and supportive psychosocial climate and a work environment where staff experience balance between demands and control in their work, to enable person‐centred care practice, seems to be important implications for managers and leaders in residential aged care.

Suggested Citation

  • Karin Sjögren & Marie Lindkvist & Per‐Olof Sandman & Karin Zingmark & David Edvardsson, 2015. "To what extent is the work environment of staff related to person‐centred care? A cross‐sectional study of residential aged care," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(9-10), pages 1310-1319, May.
  • Handle: RePEc:wly:jocnur:v:24:y:2015:i:9-10:p:1310-1319
    DOI: 10.1111/jocn.12734
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    Cited by:

    1. Cicilia Nagel & Albert Westergren & Sophie Schön Persson & Petra Nilsson Lindström & Åsa Bringsén & Kerstin Nilsson, 2022. "Nurses’ Work Environment during the COVID-19 Pandemic in a Person-Centred Practice—A Systematic Review," Sustainability, MDPI, vol. 14(10), pages 1-36, May.
    2. Annica Backman & Petra Ahnlund & Karin Sjögren & Hugo Lövheim & Katherine S. McGilton & David Edvardsson, 2020. "Embodying person‐centred being and doing: Leading towards person‐centred care in nursing homes as narrated by managers," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 172-183, January.
    3. Lilas Ali & Andreas Fors & Inger Ekman, 2018. "Need of support in people with chronic obstructive pulmonary disease," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1089-1096, March.
    4. Ching‐Yuan Huang & Rhay‐Hung Weng & Tsung‐Chin Wu & Ching‐Tai Hsu & Chiu‐Hsia Hung & Yu‐Chen Tsai, 2020. "The impact of person‐centred care on job productivity, job satisfaction and organisational commitment among employees in long‐term care facilities," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 2967-2978, August.

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