The Medical Faculty, Department of nursing, Umeå University, Vårdvetarhuset, Hus A, plan 5, 90187, Umeå, Sweden.
Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Sahlgrenska Academy, Centre for Ageing and Health - AgeCap, University of Gothenburg, Box 455, 40530, Gothenburg, Sweden.
BMC Geriatr. 2020 Aug 1;20(1):268. doi: 10.1186/s12877-020-01677-7.
As part of a nursing home intervention study, the aim of this paper was 1) to evaluate the effects of a staff education programme about person-centred care and promotion of thriving on relatives' satisfaction with quality of care and their perceptions of the person-centredness of the environment, and 2) to outline factors of importance to explain the variance in relatives' satisfaction with quality of care. Relatives are often referred to as vital for the operationalisation of person-centredness in nursing homes, representing an important source of information for care planning and quality of care assessments. However, the evidence for effects of person-centredness in nursing homes on relatives' experiences is sparse and little is known on what could explain their satisfaction with the quality of care.
A multi-centre, non-equivalent controlled group before-after design with study sites in Australia, Norway and Sweden. Staff in the intervention group participated in a 14-month education on person-centredness, person-centred care, thriving and caring environment. Staff in the control group received a one-hour lecture before the intervention period. Data were collected at baseline, after the intervention and six months after the end of the intervention, and analysed using descriptive statistics, a generalised linear model and hierarchical multiple regression.
In general, relatives from both the intervention and control nursing homes were satisfied with the quality of care, and no statistically significant overall between-group-effects of the intervention were revealed on satisfaction with quality of care or perceptions of the person-centredness of environment. A person-centred environment in terms of safety and hospitality were identified as factors of prominent importance for the relatives' satisfaction with the quality of care.
The findings of this paper provide a foundation for future research in terms of intervention design in nursing home contexts. Staff availability, approachability, competence and communication with relatives may be important factors to consider to improve quality of care from the perspective of relatives, but more research both with and for relatives to people living in nursing homes is necessary to identify the keys to success.
ClinicalTrials.gov- NCT02714452 . Registered on March 19, 2016.
作为养老院干预研究的一部分，本文的目的是 1）评估员工教育计划关于以人为本的护理和促进茁壮成长对家属对护理质量的满意度和他们对环境以人为本的看法的影响，2）概述对解释家属对护理质量满意度差异有重要意义的因素。家属常被认为对养老院实现以人为本至关重要，是护理计划和护理质量评估的重要信息来源。然而，以人为本在养老院对家属体验的影响的证据很少，并且对什么可以解释他们对护理质量的满意度知之甚少。
采用澳大利亚、挪威和瑞典三个研究点的多中心、非等效对照组前后设计。干预组的员工参加了为期 14 个月的以人为本、以人为本的护理、茁壮成长和关怀环境的教育。对照组的员工在干预前接受了一个小时的讲座。数据在基线、干预后和干预结束后六个月收集，并使用描述性统计、广义线性模型和分层多元回归进行分析。
一般来说，干预和对照组养老院的家属对护理质量都很满意，干预对护理质量满意度或对环境以人为本的看法没有显示出统计学上的总体组间效应。安全和热情的以人为本的环境被确定为家属对护理质量满意度的重要因素。
本文的研究结果为未来在养老院环境中进行干预设计的研究提供了基础。员工的可用性、可接近性、能力和与家属的沟通可能是提高从家属角度来看的护理质量的重要因素，但需要更多的研究，包括与和为居住在养老院的人进行研究，以确定成功的关键。
ClinicalTrials.gov-NCT02714452。于 2016 年 3 月 19 日注册。
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