Resident and staff perspectives of person-centered climate in nursing homes: a cross-sectional study

Abstract

BackgroundPerson-centered care is widely recognized as a gold standard and is based on a supportive psychosocial climate for both residents and staff in nursing homes. Residents and staff may have different perspectives as to whether the climate in which they interact is person-centered, perhaps due to their different expectations of the nursing home environment and the provision of care services. The aim of this study was to explore and compare resident and staff perspectives of person-centered climate in aged care nursing homes.MethodsThis is a descriptive cross-sectional study using a cluster random sampling method. The study collected data in 2016 from residents (n = 251) and nursing staff (n = 249) in 23 nursing homes using a Person-centered Climate Questionnaire-Patient version and Person-centered Climate-Staff version. T-tests for independent-samples were used to compare scores ranked by nursing staff and residents.ResultsThe mean scores of ‘A climate of safety’ subscale and ‘A climate of everydayness’ subscale rated by residents were significantly lower than those rated by nursing staff. The mean scores of ‘A climate of hospitality’ rated by residents were very low among the three subscales, an indicator of the need to improve a more home-like environment for residents. Residents in larger size nursing homes showed a higher score of person-centered climate compared with their counterparts in small size nursing homes.ConclusionsThis study reveals that the perspectives and perceptions of person-centered climate differ between residents and nursing staff. Therefore, both resident and staff perspectives should be taken into account in attempting to improve person-centered climate for better care outcomes.

Patient safety culture and obstacles to adverse event reporting in nursing homes

“…A similar situation was found in other countries, such as the USA (Smith et al, 2018), Belgium (Desmedt et al, 2018) and Norway (Ree & Wiig, 2019). The majority of staff are reported to be under-educated, lack experience and are only temporarily employed, which was confirmed in a similar study (Yang et al, 2019).…”

“…Most of the nurses express a temptation to take a shortcut or to ignore work procedures in order to complete tasks, which could inevitably lead to serious risks in the work quality of the clinical front line and the safety of patients (Dai, Milkman, Hofmann, & Staats, 2015). This may potentially explain the differences in perceived patient safety culture between different facility scales and different facility ownership because small‐scale facilities and privately owned facilities are more likely to lack resources and staff than larger and state‐owned facilities (Yang et al., 2019). This is also the reason why integrated care institutions are highly valued by the government in providing professional medical treatment and patient‐centred pension care to meet the safety needs of the elderly population in China (Wang et al., 2018).…”

Qualitative Study of the Implementation and Potential of a Social Intervention at Nursing Homes in Denmark

“…Furthermore, in line with Lung and Li, a cross-sectional study by Yang et al points to the importance of a supportive psychosocial climate when creating good and person-centered interactions between residents and staff at nursing homes. Yang et al also finds, like in this study, that it is important to include the perspectives of both residents and employees since these might differ substantially [48].…”

Nurse-patient interaction and self-transcendence: assets for a meaningful life in nursing home residents?

“…If older adults' in NHs feel understood, acknowledged, confirmed, and valued by their nurses, self-transcendence, and meaning will increase; consequently, gratefulness and wellbeing redoubles. However, the accomplishment of such a health-promoting nurse-patient interaction requires caregivers who are willing to and competent in engaging with their residents in different ways, such as learning about the person through life histories [115][116][117][118], listening to their life experiences, wisdom, dreams and frightens. Professional nursing care is determined by the way nurses use their knowledge, attitudes, behaviour, and communication skills to appreciate the uniqueness of the person being cared for [118][119][120].…”