Abstract
Staff from 175 NH units in Norway (n = 1,161) completed a survey, including measures of PCC and questions about staff characteristics and work-related psychosocial factors. In addition, data about organizational and structural factors and assessment of the physical environment in the units were obtained. The distribution of these factors in regular units (RUs) and special care units (SCUs) is described, and the differences between the two types of units are analyzed. Furthermore, multilevel linear regression analyses explored the extent to which variables were associated with PCC. Higher levels of PCC were associated with a greater job satisfaction, three years or more of health-related education, a lower level of quantitative demands and role conflict, a higher level of perception of mastery, empowering leadership, innovative climate and perception of group work, in addition to the type of unit and the physical environment in the NH unit designed for people with dementia. SCU and staff job satisfaction explained most of the variation in PCC. This study shows an association between PCC and organizational, staff and unit characteristics in NH. These findings indicate that providing PCC in NH care is closely linked to how the staff experiences their job situation in addition to both organizational and structural factors and the physical environment. Attention needs to be given to such factors when planning NH care.
Highlights
Dementia is a syndrome caused by a variety of brain disorders, which leads to cognitive decline and decreased function in the activities of daily living
We found that staff with three years or more of health-related education, a lower level of quantitative demands and role conflict, a higher level of perception of mastery, empowering leadership, innovative climate, and perception of group work, in addition to a physical environment in the nursing homes (NHs) unit designed for people with dementia, were all associated with higher levels of Person-centered care (PCC)
This finding is supported by a previous review article from 2013 (Brownie and Nancarrow, 2013), which reported that facility-specific PCC interventions were found to impact the nurses’ sense of job satisfaction, a Dutch study which analyzed the association between PCC and job satisfaction, and concluded that PCC may contribute to higher job satisfaction, and, a Swedish study, which found that higher levels of staff job satisfaction were associated with higher levels of PCC (Sjogren et al, 2015)
Summary
Dementia is a syndrome caused by a variety of brain disorders, which leads to cognitive decline and decreased function in the activities of daily living. As dementia increases in severity, the need for institutionalization increases, and more than. 80% of Norwegian nursing home (NH) patients have dementia (Selbaek et al, 2007). According to Kitwood (1977), the person with dementia and their psychological needs is the focus of the care and treatment; person-centered care (PCC) (Kitwood, 1997) rather than the person’s disease (Edvardsson and Innes, 2010). PCC is widely accepted as good-quality care for persons with. Person-centered care (PCC) is regarded as good quality care for persons with dementia. This study aimed to explore and understand the association between PCC and organizational, staff and unit characteristics in nursing homes (NHs)
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