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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
- Source :
- BMC Geriatrics, BMC Geriatrics, Vol 20, Iss 1, Pp 1-12 (2020)
- Publication Year :
- 2020
-
Abstract
- Background 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. Methods 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. Results 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. Conclusion 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. Trial registration ClinicalTrials.gov-NCT02714452. Registered on March 19, 2016.
- Subjects :
- Person-centered care
medicine.medical_treatment
Care home
Staff education
Personal Satisfaction
Nursing
lcsh:Geriatrics
03 medical and health sciences
0302 clinical medicine
Residential aged care
Family members
Hospitality
Patient-Centered Care
medicine
Humans
030212 general & internal medicine
Quality of care
Competence (human resources)
Quality of Health Care
Sweden
Rehabilitation
030504 nursing
Descriptive statistics
business.industry
Norway
Omvårdnad
Multilevel model
Australia
Person-centred care
Nursing Homes
lcsh:RC952-954.6
Thriving
Caring environment
Geriatrics and Gerontology
Older people
0305 other medical science
business
Research Article
Subjects
Details
- ISSN :
- 14712318
- Volume :
- 20
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC geriatrics
- Accession number :
- edsair.doi.dedup.....54bd49a13bb929557ede635a71766dc2