A1 Refereed original research article in a scientific journal
Person-centred care competence and person-centred care climate described by nurses in older people's long-term care-A cross-sectional survey
Authors: Pakkonen Mari, Stolt Minna, Edvardsson David, Pasanen Miko, Suhonen Riitta
Publisher: WILEY
Publication year: 2023
Journal: International Journal of Older People Nursing
Journal name in source: INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING
Journal acronym: INT J OLDER PEOPLE N
Article number: e12532
Volume: 18
Issue: 3
Number of pages: 11
ISSN: 1748-3735
eISSN: 1748-3743
DOI: https://doi.org/10.1111/opn.12532
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/179244520
Background
Person-centred care requires that nurses are competent in this approach to care. There may be an association between person-centred care competence and person-centred care climate, but it has not been demonstrated in the literature. This is the justification for the survey study to gain staff's perceptions of such a relationship.
Objectives
The aim of this study was to analyse the levels and associations between person-centred care competence and the person-centred care climate as assessed by professional nurses in long-term care settings for older people.
Methods
A descriptive cross-sectional survey design with cluster sampling was used to recruit professional nurses of different levels from six long-term care institutions for older people. Data were collected using the Patient-centred Care Competency scale (PCC) and the Person-centred Climate Questionnaire staff version (PCQ-S) in September 2021 and analysed with descriptive and inferential statistics.
Results
The mean score on the PCC was rated at a good level of 3.80 (SD 0.45), and the PCQ-S was rated at a good level of 3.87 (SD 0.53). The correlation between PCC and PCQ-S total scores (r = .37, p < .001) indicated that person-centred care competence and person-centred care climate were associated. No associations were detected between nurses’ educational levels and PCC (p = .19) or PCQ-S (p = .13) or in terms of age or work experience.
Conclusions
The results provide insights into competence and climate levels of person-centred care and preliminary evidence of an association between nurses’ assessed competence in person-centred care and the perceived person-centred care climate in long-term care. Nurses’ individual characteristics did not appear to affect the level of person-centred care competence or climate. In the future professional nurses of different levels could benefit from effective continuing education in person-centred care. This study design serving for the future intervention study registered to the ClinicalTrials.goc NCT04833153
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