Organizational Culture and Change

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Work environment and person-centered dementia care in nursing homes – a cross-sectional study
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Rutten JER, Backhaus R, Tan F, Prins M, van der Roest H, Heijkants C, et al.
J Nurs Manag 2021 May 30.
AIM: This study aims to explore the relationship between work environment, job characteristics and person-centered care for people with dementia in nursing homes. BACKGROUND: Person-centered care approaches have become a dominant indicator for good quality of care in nursing homes. Little is known about the relationship between work environment, job characteristics and person-centered care in nursing homes. METHOD(S): Cross-sectional data from the LAD-study were used. Direct care staff (n = 552) of nursing homes (n = 49) filled in an online questionnaire about work environment characteristics and person-centered care. To examine relationships, multilevel linear regression analyses were conducted. RESULTS: Associations were found between a higher transformational leadership style, less social support from a leader, a higher unity in philosophy of care, higher levels of work satisfaction, more development opportunities, better experienced teamwork and staff-reported person-centered care. CONCLUSION(S): In a complex nursing home environment, person-centered care is influenced by organizational and work characteristics, shared values and interpersonal relationships. IMPLICATIONS FOR NURSING: Leaders may consider facilitating collaboration and creating unity between care staff, clients and family members in order to provide person-centered care. Therefore, a transformational leadership style, educational programs and coaching for leaders are recommended.