Silén Marit, Skytt Bernice, Engström Maria
Faculty of Health and Occupational Studies, University of Gävle, Gävle SE-801 76, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Box 564, Uppsala SE-751 22, Sweden.
Faculty of Health and Occupational Studies, University of Gävle, Gävle SE-801 76, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Box 564, Uppsala SE-751 22, Sweden; Nursing Department, Medicine and Health College, Lishui University, China.
Geriatr Nurs. 2019 Jan-Feb;40(1):67-71. doi: 10.1016/j.gerinurse.2018.06.016. Epub 2018 Aug 16.
Person-centred care has been shown to have positive outcomes for patients and for staff. However, the complexity of the link between structural conditions, work in a person-centred manner and outcomes for staff is insufficiently described. We tested the relationship between structural empowerment and psychological empowerment, as mediated by nursing home staff members' self-ratings of working in a person-centred manner, the person-centred climate and thriving. Questionnaires were distributed to staff working in 12 nursing homes in Sweden. A serial mediation model was tested. The results showed that higher access to structural empowerment was related to higher psychological empowerment mediated by staff working in a more person-centred manner, improved person-centred climate, and improved staff ratings of thriving. These results point to the importance of strengthening the preconditions for staff to work in a person-centred manner and nursing home managers play an important role in this.
以患者为中心的护理已被证明对患者和工作人员都有积极的效果。然而，结构条件、以患者为中心的工作方式与工作人员的工作成果之间联系的复杂性尚未得到充分描述。我们测试了结构赋权与心理赋权之间的关系，这种关系由养老院工作人员对以患者为中心的工作方式、以患者为中心的氛围和蓬勃发展的自我评估所介导。我们向瑞典12家养老院的工作人员发放了问卷。测试了一个串行中介模型。结果表明，更多地获得结构赋权与更高的心理赋权相关，这种相关性由工作人员以更以患者为中心的方式工作、改善以患者为中心的氛围以及工作人员对蓬勃发展的更高评价所介导。这些结果表明加强工作人员以患者为中心工作的前提条件的重要性，而养老院管理人员在这方面发挥着重要作用。
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