What is the role of transformational leadership, work environment and patient safety culture for person‐centred care? A cross‐sectional study in Norwegian nursing homes and home care services

AIM: To examine how transformational leadership, job demands, job resources and patient safety culture contribute in explaining person‐centred care in nursing homes and home care services. DESIGN: Cross‐sectional study. METHODS: Healthcare professionals in four Norwegian nursing homes (N = 165) and four home care services (N = 139) participated in 2018. Multiple regression analyses were used to examine to what degree transformational leadership, job demands, job resources and patient safety culture dimensions predicted person‐centred care. RESULTS: Transformational leadership, job demands and job resources explained 41% of the variance in person‐centred care, with work pace as the strongest predictor (β = 0.39 p < .001). The patient safety culture dimensions explained 57.5% of the variance in person‐centred care, with staffing being the strongest predictor (β = 0.31 p < .001). There were small differences between nursing homes and home care. In total, transformational leadership, pace of work, staffing and factors related to communication were the strongest predictors for person‐centred care.