Abstract
BackgroundPerson-centered care is widely recognized as a gold standard and is based on a supportive psychosocial climate for both residents and staff in nursing homes. Residents and staff may have different perspectives as to whether the climate in which they interact is person-centered, perhaps due to their different expectations of the nursing home environment and the provision of care services. The aim of this study was to explore and compare resident and staff perspectives of person-centered climate in aged care nursing homes.MethodsThis is a descriptive cross-sectional study using a cluster random sampling method. The study collected data in 2016 from residents (n = 251) and nursing staff (n = 249) in 23 nursing homes using a Person-centered Climate Questionnaire-Patient version and Person-centered Climate-Staff version. T-tests for independent-samples were used to compare scores ranked by nursing staff and residents.ResultsThe mean scores of ‘A climate of safety’ subscale and ‘A climate of everydayness’ subscale rated by residents were significantly lower than those rated by nursing staff. The mean scores of ‘A climate of hospitality’ rated by residents were very low among the three subscales, an indicator of the need to improve a more home-like environment for residents. Residents in larger size nursing homes showed a higher score of person-centered climate compared with their counterparts in small size nursing homes.ConclusionsThis study reveals that the perspectives and perceptions of person-centered climate differ between residents and nursing staff. Therefore, both resident and staff perspectives should be taken into account in attempting to improve person-centered climate for better care outcomes.
Highlights
Person-centered care is widely recognized as a gold standard and is based on a supportive psychosocial climate for both residents and staff in nursing homes
Person-centered care is widely recognized as a gold standard and needs to be embedded into policies, regulations and quality improvement in aged care in a global context [1, 2]
Staff had an average age of 47.8 years old and had an average of a 2.1-year experience in nursing home care
Summary
Person-centered care is widely recognized as a gold standard and is based on a supportive psychosocial climate for both residents and staff in nursing homes. The aim of this study was to explore and compare resident and staff perspectives of person-centered climate in aged care nursing homes. Person-centered care is widely recognized as a gold standard and needs to be embedded into policies, regulations and quality improvement in aged care in a global context [1, 2]. This care approach emphasizes that each person is unique and worthy of respect regardless of disability or illness [3]. It is expected that nursing homes will play a crucial role in the few decades to meet the demand for caring for older people with complex care needs [13]
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