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J Clin Nurs. 2019 Oct 15. doi: 10.1111/jocn.15075. [Epub ahead of print]

Embodying person-centred being and doing: Leading towards person-centred care in nursing homes as narrated by managers.

Author information

1
Department of Nursing, Umeå University, Umeå, Sweden.
2
Department of Social Work, Umeå University, Umeå, Sweden.
3
Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
4
Toronto Rehabilitation Institute University Health Network & University of Toronto, Toronto, ON, Canada.
5
School of Nursing and Midwifery, La Trobe University, Melbourne, Vic., Australia.

Abstract

AIMS AND OBJECTIVES:

To explore how managers describe leading towards person-centred care in Swedish nursing homes.

BACKGROUND:

Although a growing body of research knowledge exists highlighting the importance of leadership to promote person-centred care, studies focused on nursing home managers' own descriptions of leading their staff towards providing person-centred care is lacking.

DESIGN:

Descriptive interview study. COREQ guidelines have been applied.

METHODS:

The study consisted of semi-structured interviews with 12 nursing home managers within 11 highly person-centred nursing homes purposively selected from a nationwide survey of nursing homes in Sweden. Data collection was performed in April 2017, and the data were analysed using content analysis.

RESULTS:

Leading towards person-centred care involved a main category; embodying person-centred being and doing, with four related categories: operationalising person-centred objectives; promoting a person-centred atmosphere; maximising person-centred team potential; and optimising person-centred support structures.

CONCLUSIONS:

The findings revealed that leading towards person-centred care was described as having a personal understanding of the PCC concept and how to translate it into practice, and maximising the potential of and providing support to care staff, within a trustful and innovative work place. The findings also describe how managers co-ordinate several aspects of care simultaneously, such as facilitating, evaluating and refining the translation of person-centred philosophy into synchronised care actions.

RELEVANCE TO CLINICAL PRACTICE:

The findings can be used to inspire nursing home leaders' practices and may serve as a framework for implementing person-centred care within facilities. A reasonable implication of these findings is that if organisations are committed to person-centred care provision, care may need to be organised in a way that enables managers to be present on the units, to enact these strategies and lead person-centred care.

KEYWORDS:

aged care; elder care; leadership; long-term care; management; nursing research; person-centred; qualitative descriptive

PMID:
31612556
DOI:
10.1111/jocn.15075

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