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Title: Effects of a staff education programme about person-centred care and promotion of thriving on relatives' satisfaction with quality of care in nursing homes: a multi-centre, non-equivalent controlled before-after trial.
Austin Authors: Lood, Qarin;Sjögren, Karin;Bergland, Ådel;Lindkvist, Marie;Kirkevold, Marit;Sandman, Per-Olof;Edvardsson, David 
Affiliation: Institute of Nursing and health promotion, Oslo Metropolitan University, Pilestredet 32, 0130, Oslo, Norway
Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Sahlgrenska Academy, Centre for Ageing and Health - AgeCap, University of Gothenburg, Box 455, 40530, Gothenburg, Sweden
College of Science, Health and Engineering, School of Nursing and Midwifery, La Trobe University, Level 4 Austin Tower, PO Box 5555, Heidelberg, VIC, 3084, Australia
NVS, Department of Nursing, Karolinska Institutet, Stockholm, Sweden
Faculty of Medicine, Institute of Health and Society, Oslo University, Nedre Ullevål 9, 0850, Oslo, Norway
The Medical Faculty, Department of nursing, Umeå University, Vårdvetarhuset, Hus A, plan 5, 90187, Umeå, Sweden
Lovisenberg Diaconal University College, Lovisenberggaten 15b, 0456, Oslo, Norway
Department of Epidemiology and Global Health, Umeå University, Försörjningsvägen 7D, 907 37, Umeå, Sweden
Austin Clinical School of Nursing, La Trobe University
Issue Date: 1-Aug-2020
Date: 2020-08-01
Publication information: BMC Geriatrics 2020; 20(1): 268
Abstract: As part of a nursing home intervention study, the aim of this paper was 1) to evaluate the effects of a staff education programme about person-centred care and promotion of thriving on relatives' satisfaction with quality of care and their perceptions of the person-centredness of the environment, and 2) to outline factors of importance to explain the variance in relatives' satisfaction with quality of care. Relatives are often referred to as vital for the operationalisation of person-centredness in nursing homes, representing an important source of information for care planning and quality of care assessments. However, the evidence for effects of person-centredness in nursing homes on relatives' experiences is sparse and little is known on what could explain their satisfaction with the quality of care. A multi-centre, non-equivalent controlled group before-after design with study sites in Australia, Norway and Sweden. Staff in the intervention group participated in a 14-month education on person-centredness, person-centred care, thriving and caring environment. Staff in the control group received a one-hour lecture before the intervention period. Data were collected at baseline, after the intervention and six months after the end of the intervention, and analysed using descriptive statistics, a generalised linear model and hierarchical multiple regression. In general, relatives from both the intervention and control nursing homes were satisfied with the quality of care, and no statistically significant overall between-group-effects of the intervention were revealed on satisfaction with quality of care or perceptions of the person-centredness of environment. A person-centred environment in terms of safety and hospitality were identified as factors of prominent importance for the relatives' satisfaction with the quality of care. The findings of this paper provide a foundation for future research in terms of intervention design in nursing home contexts. Staff availability, approachability, competence and communication with relatives may be important factors to consider to improve quality of care from the perspective of relatives, but more research both with and for relatives to people living in nursing homes is necessary to identify the keys to success. NCT02714452 . Registered on March 19, 2016.
DOI: 10.1186/s12877-020-01677-7
Journal: BMC Geriatrics
PubMed URL: 32738880
Type: Journal Article
Subjects: Care home
Caring environment
Family members
Older people
Person-centered care
Person-centred care
Residential aged care
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