Department of Nursing, Umeå University, Umeå, Sweden.
Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
J Clin Nurs. 2022 May;31(9-10):1377-1388. doi: 10.1111/jocn.15999. Epub 2021 Aug 17.
The aim was to explore changes in nursing home managers' leadership, person-centred care and psychosocial climate comparing matched units in a five-year follow-up and to explore the significance of managers' educational qualifications and the ownership of nursing homes for perceived leadership, person-centred care and psychosocial climate in the follow-up data.
Leadership has been described as crucial for person-centred care and psychosocial climate even though longitudinal data are lacking. The significance of managerial leadership, its characteristics, managerial qualifications and ownership of nursing homes for perceived leadership, person-centred care and psychosocial climate also needs further exploration.
Repeated cross-sectional study.
This study used valid and reliable measures of leadership, person-centred care, psychosocial climate and demographic variables collected from managers and staff n = 3605 in 2014 and n = 2985 in 2019. Descriptive and regression analyses were used. The STROBE checklist was used in reporting this study.
Leadership was still positively significantly associated to person-centred care in a five-year follow-up, but no changes in strength were seen. Leadership was still positively significantly associated with psychosocial climate, with stronger associations at follow-up. Six leadership characteristics increased over time. It was also shown that a targeted education for nursing home managers was positively associated with person-centred care.
Leadership is still pivotal for person-centred care and psychosocial climate. Knowledge of nursing home managers' leadership, characteristics and educational qualifications of significance for person-centred delivery provides important insights when striving to improve such services.
The findings can be used for management and clinical practice development initiatives because it was shown that nursing home managers' leadership is vital to person-centred care practices and improves the climate for both staff and residents in these environments.
本研究旨在探讨经过五年的随访，养老院管理人员的领导力、以患者为中心的护理和心理社会氛围的变化，并探讨管理人员的教育背景和养老院所有权对随访数据中感知领导力、以患者为中心的护理和心理社会氛围的意义。
领导力被描述为以患者为中心的护理和心理社会氛围的关键，尽管缺乏纵向数据。管理人员领导力的意义、其特征、管理资格和养老院所有权对感知领导力、以患者为中心的护理和心理社会氛围也需要进一步探讨。
重复横断面研究。
本研究使用了经过验证和可靠的领导力、以患者为中心的护理、心理社会氛围和人口统计学变量的测量方法，这些方法是从管理人员和员工中收集的，在 2014 年收集了 3605 名，在 2019 年收集了 2985 名。使用描述性和回归分析。本研究采用 STROBE 清单进行报告。
领导力在五年的随访中仍然与以患者为中心的护理呈正显著相关，但强度没有变化。领导力仍然与心理社会氛围呈正显著相关，随访时相关性更强。六项领导力特征随时间增加。还表明，针对养老院管理人员的有针对性教育与以患者为中心的护理呈正相关。
领导力仍然是以人为本的护理和心理社会氛围的关键。了解养老院管理人员的领导力、特征和教育背景对提供以人为本的服务具有重要意义，为改善此类服务提供了重要的见解。
这些发现可用于管理和临床实践发展计划，因为研究表明，养老院管理人员的领导力对以人为本的护理实践至关重要，并改善了这些环境中员工和居民的氛围。
