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领导力在使用痴呆症护理图谱实施以人为本的护理中的作用:一项针对三家养老院的研究。

The role of leadership in the implementation of person-centred care using Dementia Care Mapping: a study in three nursing homes.

作者信息

Rokstad Anne Marie Mork, Vatne Solfrid, Engedal Knut, Selbæk Geir

机构信息

Ageing and Health, Norwegian Centre for Dementia Research, Education and Service Development, Oslo University Hospital, Oslo, Norway.

出版信息

J Nurs Manag. 2015 Jan;23(1):15-26. doi: 10.1111/jonm.12072. Epub 2013 May 16.

Abstract

AIM

The aim of this study was to investigate the role of leadership in the implementation of person-centred care (PCC) in nursing homes using Dementia Care Mapping (DCM).

BACKGROUND

Leadership is important for the implementation of nursing practice. However, the empirical knowledge of positive leadership in processes enhancing person-centred culture of care in nursing homes is limited.

METHOD

The study has a qualitative descriptive design. The DCM method was used in three nursing homes. Eighteen staff members and seven leaders participated in focus-group interviews centring on the role of leadership in facilitating the development process.

RESULTS

The different roles of leadership in the three nursing homes, characterized as 'highly professional', 'market orientated' or 'traditional', seemed to influence to what extent the DCM process led to successful implementation of PCC.

CONCLUSION AND IMPLICATIONS FOR NURSING MANAGEMENT

This study provided useful information about the influence of leadership in the implementation of person-centred care in nursing homes. Leaders should be active role models, expound a clear vision and include and empower all staff in the professional development process.

摘要

目的

本研究旨在探讨领导力在养老院运用痴呆症护理图谱(DCM)实施以人为本的护理(PCC)中的作用。

背景

领导力对于护理实践的实施至关重要。然而,在增强养老院以人为本的护理文化的过程中,关于积极领导力的实证知识有限。

方法

本研究采用定性描述性设计。在三家养老院运用了DCM方法。18名工作人员和7名领导者参与了以领导力在促进发展过程中的作用为中心的焦点小组访谈。

结果

在这三家分别被描述为“高度专业型”、“市场导向型”或“传统型”的养老院中,领导力的不同作用似乎影响了DCM过程在多大程度上导致PCC的成功实施。

结论及对护理管理的启示

本研究提供了关于领导力在养老院实施以人为本的护理中的影响的有用信息。领导者应成为积极的榜样,阐明明确的愿景,并让所有员工参与到专业发展过程中并赋予他们权力。

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