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Person-centred care in nursing homes during the COVID-19 pandemic: a cross sectional study based on nursing staff and first-line managers' self-reported outcomes
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-5567-9431
Örebro University, School of Health Sciences. (Older People's Health and Living Condition)ORCID iD: 0000-0002-2873-4247
Örebro University, School of Health Sciences. Department of Home Care, Halmstad Municipality, Halmstad, Sweden. (Older People's Health and Living Condition)ORCID iD: 0000-0002-1174-2523
2023 (English)In: BMC Nursing, E-ISSN 1472-6955, Vol. 22, no 1, article id 276Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: COVID-19 has presented many difficulties in providing person-centred care (PCC) in nursing homes (NH). Factors such as organisational support, work condition and leadership may play a crucial role in supporting the performance of PCC during COVID restrictions. The study aim was to evaluate nursing staff and manager perceptions of the opportunities to perform person-centred care during the COVID-19 pandemic.

METHODS: Nursing staff (NS) (n = 463) and First Line Managers (FLM) (n = 8) within all NHs in one community filled in the SVENIS questionnaire which consists of five areas: perceived organizational support, work climate, person-centred care, work conditions and leadership. A Kruskal-Wallis test was used to perform inter-group comparisons and standard multiple regression was used to investigate which factor contributed most to perform PCC.

RESULTS: The comparison analyses indicate that staff from nursing homes for persons with dementia had the highest opportunities to perform PCC during the pandemic. The day shift staff had more opportunities to perform PCC than night shift staff. The results from the standard multiple regression show that a NA's current nursing home was the most significant variable affecting the opportunities to perform PCC. The analyses of both the comparison analyses and the regression suggest that day shift staff from nursing homes for persons with dementia had the highest opportunities to perform PCC during the pandemic. The same group also rated the importance of leadership as high for performing PCC.

CONCLUSION: Despite the COVID-19 restrictions and all the criticism directed against the care of older people; the day staff felt that they conducted PCC. Staff in nursing homes for dementia had the highest opportunities for PCC and this may be because they are better prepared to provide care for the individual in NH. The importance of leadership was also evident, which means that investment in FLMs is seen as necessary.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023. Vol. 22, no 1, article id 276
Keywords [en]
COVID-19, Leadership, Nursing homes, Person-centred care, Self-reported outcomes
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-107827DOI: 10.1186/s12912-023-01437-zISI: 001052840700003PubMedID: 37605177Scopus ID: 2-s2.0-85168486717OAI: oai:DiVA.org:oru-107827DiVA, id: diva2:1791053
Available from: 2023-08-24 Created: 2023-08-24 Last updated: 2024-07-04Bibliographically approved

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Lindner, Helen YKihlgren, AnnicaNorell Pejner, Margaretha

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