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J Am Med Dir Assoc. 2007 Jan;8(1):46-54.

A person-centered workplace: the foundation for person-centered caregiving in long-term care.

Author information

1
My InnerView: Management Intelligence for Healthcare, Wausau, WI, USA. vtn1@aol.com

Abstract

OBJECTIVE:

This study seeks to understand what role managers and the work setting they create play in a nursing facility that seeks to make a transition to person-centered care.

DESIGN:

The study uses a human-relations framework to test 3 propositions: Managers play a critical role in the satisfaction, loyalty and commitment (ie, the engagement) of their staff; managers construct a person-centered workplace that deepens staff engagement; and engaged staff promote the well-being of the residents.

SETTING AND PARTICIPANTS:

The study draws on responses of Certified Nurse Assistants (CNAs) and families of residents collected in 2 satisfaction surveys conducted in 156 nursing facilities. It also uses state inspection survey data from the same facilities.

MEASUREMENTS:

The analysis uses measures of satisfaction, loyalty, and commitment as well as 6 scales of quality; 3 as they pertain to staff and 3 as they pertain to families. Data reduction, correlational, and risk analyses assess how managers and the work environment affect CNA engagement and the quality of caregiving.

RESULTS:

Management approach and the work environment are powerful predictors of CNA satisfaction, loyalty, and commitment. The work environment also correlates with how families and state surveyors evaluate quality in a nursing facility.

CONCLUSION:

The managers and the work setting they create hold primacy in the work life of the CNAs. Caring managers fashion a person-centered workplace conducive to turn workers into devoted caregivers. When the workplace adds quality to the life of caregivers, the caregivers add quality to the life of the resident.

PMID:
17210502
DOI:
10.1016/j.jamda.2006.09.009
[Indexed for MEDLINE]

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