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Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5550941/ https://www.ncbi.nlm.nih.gov/pubmed/28808426 http://dx.doi.org/10.1186/s12912-017-0240-4 |
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author | Sjögren, Karin Lindkvist, Marie Sandman, Per-Olof Zingmark, Karin Edvardsson, David |
author_facet | Sjögren, Karin Lindkvist, Marie Sandman, Per-Olof Zingmark, Karin Edvardsson, David |
author_sort | Sjögren, Karin |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5550941 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-55509412017-08-14 Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study Sjögren, Karin Lindkvist, Marie Sandman, Per-Olof Zingmark, Karin Edvardsson, David BMC Nurs Research Article 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. BioMed Central 2017-08-10 /pmc/articles/PMC5550941/ /pubmed/28808426 http://dx.doi.org/10.1186/s12912-017-0240-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Sjögren, Karin Lindkvist, Marie Sandman, Per-Olof Zingmark, Karin Edvardsson, David Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study |
title | Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study |
title_full | Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study |
title_fullStr | Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study |
title_full_unstemmed | Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study |
title_short | Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study |
title_sort | organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5550941/ https://www.ncbi.nlm.nih.gov/pubmed/28808426 http://dx.doi.org/10.1186/s12912-017-0240-4 |
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