Associations between person‐centred climate and perceived quality of care in nursing homes: A cross‐sectional study of relatives’ experiences

• Published in: Journal of advanced nursing Vol. 75; no. 11; pp. 2526 - 2534
• Main Authors: Lood, Qarin, Kirkevold, Marit, Sjögren, Karin, Bergland, Ådel, Sandman, Per‐Olof, Edvardsson, David
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.11.2019
• Subjects: care home; caring environment; Cross-sectional studies; family members; Holistic nursing; Home health care; Medicin och hälsovetenskap; Nursing; Nursing homes; Older people; Omvårdnad; Patient-centered care; person-centered care; person-centred care; Personal safety; Quality of care; Quality of service; Questionnaires; residential aged care; family members; care home; caring environment; nursing; older people; person-centered care; person-centred care; residential aged care
• ISSN: 0309-2402; 1365-2648; 1365-2648
• DOI: 10.1111/jan.14011

Aims To explore the extent to which a more person‐centred climate could explain the variation in quality of care, as rated by relatives to nursing home residents in three countries. Design A cross‐sectional, correlational, anonymous questionnaire study. Methods Questionnaires were administered to 346 relatives to residents in six nursing homes in Australia, Norway and Sweden between April–June 2016. Relatives (N = 178) agreed to participate. Data were analysed using descriptive statistics and hierarchical multiple regression. Results The results showed that the relatives’ experiences of a more person‐centred climate were associated with higher ratings of the quality of care. A person‐centred climate of safety had the strongest unique association with the quality of care, explaining 14% of the variance in quality of care. In addition, the results indicated that the relatives in general were satisfied with the quality of care and that children to the residents rated the quality of care higher than partners or other relatives. Conclusion This study advances the understanding of the relationship between person‐centredness in nursing homes and quality of care, showing that person‐centred climate aspects of safety and hospitality have a significant role in the quality of care as perceived by relatives. Impact Person‐centredness in nursing homes is often mentioned as a quality of care indicator, but the empirical evidence for this suggestion is limited. This study expanded the evidence‐base for person‐centredness as a significant aspect of relatives’ experiences of the quality of care in nursing homes. 目的 在于探讨患者为大氛围在多大程度上可以阐述护理质量的变化,这是由三个国家养老院居民的亲属评定的。 设计 横断面、相关性和不记名问卷研究。 方法 在2016年4月至6月期间,对澳大利亚、挪威和瑞典六家养老院的346名居民亲属进行了问卷调查。(有17名)亲属同意参加。使用了描述统计学和分层多元回归法来分析数据。 结果 结果表明,亲属的患者为大氛围体验与更高护理质量评价相关。安全的患者为大氛围与护理质量有着最强的独特关联性,阐释了护理质量差异的14%。此外,调查结果表明,亲属总体上对护理质量感到满意,居民子女对护理质量的评价高于伴侣或其他亲属。 结论 这项研究提高了对养老院中患者为大与护理质量之间关系的认识,表明安全和优待的患者为大氛围因素对亲属认为的护理质量有着重要作用。 影响 虽然疗养院中的患者为大主义经常被称为护理质量的指标,但这一建议的实验性证据还非常有限。这项研究扩展了患者为大的证据基础,将其作为亲属体验养老院护理质量的一个重要方面。