Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

ACC 2024 Congress

Catch up on all the top stories and latest evidence in cardiology research with our ACC 2024 Congress hub page.
ADVANCED SEARCH
Log in
Top
BMC Geriatrics
Published in: BMC Geriatrics 1/2019

Open Access 01-12-2019 | Care | Research article

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

Authors: Yunxia Yang, Hui Li, Lily Dongxia XIAO, Wenhui Zhang, Menghan Xia, Hui Feng

Published in: BMC Geriatrics | Issue 1/2019

Login to get access

Abstract

Background

Person-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.

Methods

This 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.

Results

The 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.

Conclusions

This 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.
Literature
1.
2.
Chenoweth L, Forbes I, Fleming R, King MT, Stein-Parbury J, Luscombe G, et al. PerCEN: a cluster randomized controlled trial of person-centered residential care and environment for people with dementia. Int Psychogeriatr. 2014;26(7):1147–60.CrossRefPubMed
3.
4.
Chenoweth L, King MT, Jeon YH, Brodaty H, Stein-Parbury J, Norman R, et al. Caring for aged dementia care resident study (CADRES) of person-centred care, dementia-care mapping, and usual care in dementia: a cluster-randomised trial. Lancet Neurol. 2009;8(4):317–25.CrossRefPubMed
5.
Edvardsson D, Watt E, Pearce F. Patient experiences of caring and person-centredness are associated with perceived nursing care quality. J Adv Nurs. 2017;73(1):217–27.CrossRefPubMed
6.
Gilmore-Bykovskyi AL, Roberts TJ, Bowers BJ, Brown RL. Caregiver person-centeredness and behavioral symptoms in nursing home residents with dementia: a timed-event sequential analysis. Gerontologist. 2015;55:S61–S6.CrossRefPubMedPubMedCentral
7.
Yoon JY, Roberts T, Grau B, Edvardsson D. Person-centered climate questionnaire-patient in English: a psychometric evaluation study in long-term care settings. Arch Gerontol Geriatr. 2015;61(1):81–7.CrossRefPubMed
8.
Edvardsson D, Sjögren K, Lindkvist M, Taylor M, Edvardsson K, Sandman PO. Person-centred climate questionnaire (PCQ-S): establishing reliability and cut-off scores in residential aged care. J Nurs Manag. 2015;23(3):315–23.CrossRefPubMed
9.
Bergland Å, Hofoss D, Kirkevold M, Vassbø T, Edvardsson D. Person-centred ward climate as experienced by mentally lucid residents in long-term care facilities. J Clin Nurs. 2015;24:406–14.CrossRefPubMed
10.
Chatterji S, Byles J, Cutler D, Seeman T, Verdes E. Health, functioning, and disability in older adults—present status and future implications. Lancet. 2015;385:563–75.CrossRefPubMed
11.
12.
Sjogren K, Lindkvist M, Sandman PO, Zingmark K, Edvardsson D. To what extent is the work environment of staff related to person-centred care? A cross-sectional study of residential aged care. J Clin Nurs. 2014;24:1310–9.CrossRefPubMed
13.
14.
15.
Shen J, Xiao LD. Factors affecting nursing students’ intention to work with older people in China. Nurs Educ Today. 2012;32(3):219–23.CrossRef
16.
Xiao LD, Shen J, Paterson J. Cross-cultural comparison of attitudes and preferences for Care of the Elderly among Australian and Chinese nursing students. J Transcult Nurs. 2013;24(4):408–16.CrossRefPubMed
17.
Wang J, Xiao LD, He GP, De Bellis A. Family caregiver challenges in dementia care in a country with undeveloped dementia services. J Adv Nurs. 2014;70(6):1369–80.CrossRefPubMed
18.
Xiao LD, Wang J, He GP, De Bellis A, Verbeeck J, Kyriazopoulos H. Family caregiver challenges in dementia care in Australia and China: a critical perspective. BMC Geriatr. 2014;14:6.
19.
20.
Shum MHY, Lou VWQ, He KZJ, Chen CCH, Wang JF. The “leap forward” in nursing home development in urban China: future policy directions. J Am Med Dir Assoc. 2015;16(9):784–9.CrossRefPubMed
21.
Wang J, Wang JQ, Cao YL, Jia SM, Wu B. Older Residents’ perspectives of Long-term care facilities in China. J Gerontol Nurs. 2016;42(8):34–43.CrossRefPubMed
22.
Yang W, He AJ, Fang LJ, Mossialos E. Financing institutional long-term care for the elderly in China: a policy evaluation of new models. Health Policy Plan. 2016;31(10):1391–401.CrossRefPubMed
23.
Chan T-C, Luk JK-H, Chu L-W, Chan FH-W. Low education level of nursing home staff in Chinese nursing homes. J Am Med Dir Assoc. 2013;14(11):849–50.CrossRefPubMed
24.
Brooker D. What is person-centred care in dementia? Rev Clin Gerontol. 2003;13:215–22.CrossRef
25.
Rogers CR. On becoming a person. Houghton Mifflin: New York; 1961.
26.
Edvardsson D, Sandman PO, Rasmussen B. Construction and psychometric evaluation of the Swedish language person-centred climate questionnaire – staff version. J Nurs Manag. 2009;17(7):790–5.CrossRefPubMed
27.
Eve JD. Sustainable practice: how practice development frameworks can influence team work, team culture and philosophy of practice. J Nurs Manag. 2004;12(2):124–30.CrossRefPubMed
28.
Sjögren K, Lindkvist M, Sandman PO, Zingmark K, Edvardsson D. To what extent is the work environment of staff related to person-centred care? A cross-sectional study of residential aged care. J Clin Nurs. 2015;24:1310–9.CrossRefPubMed
29.
Sjögren K, Lindkvist M, Sandman PO, Zingmark K, Edvardsson D. Person-centredness and its association with resident well-being in dementia care units. J Adv Nurs. 2013;69(10):2196–206.CrossRefPubMed
30.
Lehuluante A, Nilsson A, Edvardsson D. The influence of a person-centred psychosocial unit climate on satisfaction with care and work. J Nurs Manag. 2012;20(3):319–25.CrossRefPubMed
31.
Custers AFJ, Westerhof GJ, Kuin Y, Gerritsen DL, Riksen-Walraven JM. Relatedness, autonomy, and competence in the caring relationship: the perspective of nursing home residents. J Aging Stud. 2012;26(3):319–26.CrossRef
32.
Falk H, Wijk H, Persson LO, Falk K. A sense of home in residential care. Scand J Caring Sci. 2013;27(4):999–1009.CrossRefPubMed
33.
Choi J, Flynn L, Aiken LH. Nursing practice environment and registered Nurses’ job satisfaction in nursing homes. Gerontologist. 2012;52(4):484–92.CrossRefPubMed
34.
Wallin AO, Jakobsson U, Edberg A-K. Job satisfaction and associated variables among nurse assistants working in residential care. Int Psychogeriatr. 2012;24(12):1904–18.CrossRefPubMed
35.
Edvardsson D, Sandman PO, Rasmussen B. Swedish language person-centred climate questionnaire - patient version: construction and psychometric evaluation. J Adv Nurs. 2008;63(3):302–9.CrossRefPubMed
36.
37.
Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179.CrossRefPubMed
38.
Deng J, Hu J, Wu W, Dong B, Wu H. Subjective well-being, social support, and age-related functioning among the very old in China. Int J Geriatr Psychiatry. 2009;25(7):697–703.CrossRef
39.
Su P, Ding H, Zhang W, Duan G, Yang Y, Long J, et al. Joint Association of Obesity and Hypertension with disability in the elderly-- a community-based study of residents in Shanghai, China. J Nutr Health Aging. 2017;21(4):362–9.CrossRefPubMed
40.
World Health Organization. International statistical classification of diseases and related health problems (ICD-10). 10th ed. Geneva: WHO; 1992.
41.
Ho SH, Hung WS. The impacts of widowhood, chronic disease, and physical function on mortality among older people. J Nurs Res. 2013;21(2):110–9.CrossRefPubMed
42.
Hao Q, Wu S, Ying L, Luo L, Dong D, Dong B. Current dilemmas of nursing homes in Chengdu: a cross-sectional survey. J Am Med Dir Assoc. 2012;13(4):406.e9–e12.CrossRef
43.
Brownie S, Horstmanshof L, Garbutt R. Factors that impact residents’ transition and psychological adjustment to long-term aged care: a systematic literature review. Int J Nurs Stud. 2014;51(12):1654–66.CrossRefPubMed
Metadata
Title
Resident and staff perspectives of person-centered climate in nursing homes: a cross-sectional study
Authors
Yunxia Yang
Hui Li
Lily Dongxia XIAO
Wenhui Zhang
Menghan Xia
Hui Feng
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Care
Published in
BMC Geriatrics / Issue 1/2019
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-019-1313-x

Other articles of this Issue 1/2019

BMC Geriatrics 1/2019 Go to the issue

Research article

EXamining the knowledge, Attitudes and experiences of Canadian seniors Towards influenza (the EXACT survey)

Research article

Prevalence and persistent use of psychotropic drugs in older adults receiving domiciliary care at baseline

Research article

“Being in good hands”: next of kin’s perceptions of continuity of care in patients with heart failure

Debate

Giant cell arteritis: is the clinical spectrum of the disease changing?

Research article

Scaling-up implementation in community hospitals: a multisite interrupted time series design of the Mobilization of Vulnerable Elders (MOVE) program in Alberta

Research article

“They don’t care about us”: older people’s experiences of primary healthcare in Cape Town, South Africa

ACC 2024 Congress Coverage

Cardiology Video

Highlights from the ACC 2024 Congress

Watch now

Watch official videos from the ACC congress summarizing key highlights from the last year in heart failure, cardiomyopathies, valvular disease, pulmonary vascular disease, and pediatric cardiology.

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits