Anker-Hansen Camilla, Olsen Liv Berit, Grøndahl Vigdis Abrahamsen, Leonardsen Ann-Chatrin Linqvist, Helgesen Ann Karin, Bååth Carina, Halvorsrud Liv, Restad Gea, McCormack Brendan, Femdal Ingrid
Department of Nursing, Health and Bioengineering, Faculty of Health, Welfare and Organization, Østfold University College, Halden, Norway.
Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden.
Front Health Serv. 2025 Jul 14;5:1535414. doi: 10.3389/frhs.2025.1535414. eCollection 2025.
Implementing a person-centered approach in nursing homes can significantly improve patient satisfaction and care quality while also enhancing job satisfaction among healthcare staff. Leaders play a pivotal role in establishing and nurturing a culture that supports person-centered practices. While there is some empirical evidence, a more comprehensive understanding of how leaders effectively foster and sustain person-centered practices in nursing homes is needed.
To investigate the role of leaders in fostering person-centeredness within nursing homes.
The study is based on the PRISMA reporting guidelines. Comprehensive searches were performed in CINAHL and PubMed, with article screening and selection facilitated by Rayyan software. A convergent integrated approach from the Joanna Briggs Institute (JBI) was used to synthesize findings from both qualitative and quantitative studies.
The review included ten studies, comprising six qualitative and four quantitative studies. The results indicate that leadership in nursing homes that fosters person-centeredness involves creating and communicating a shared vision, empowering staff, and ensuring systematic and consistent approaches. Additionally, leaders must embody person-centered values through role modeling.
This systematic review highlights the critical role of leadership in fostering and sustaining person-centered practices in nursing homes. Leaders carry a substantial burden of responsibility. The results suggest that a shift towards a more integrated leadership approach, incorporating both distributed and person-centered leadership models, could promote a more sustainable and supportive environment for both leaders and staff, ultimately enhancing the quality of care. These insights provide valuable guidance for nursing home leaders and policymakers aiming to strengthen person-centered practice.
在养老院实施以人为本的方法可以显著提高患者满意度和护理质量，同时也能提升医护人员的工作满意度。领导者在建立和培育支持以人为本实践的文化方面发挥着关键作用。虽然有一些实证证据，但仍需要更全面地了解领导者如何在养老院有效地促进和维持以人为本的实践。
探讨领导者在养老院促进以人为本方面的作用。
本研究基于PRISMA报告指南。在CINAHL和PubMed中进行了全面检索，由Rayyan软件协助进行文章筛选和选择。采用乔安娜·布里格斯研究所（JBI）的收敛性综合方法来综合定性和定量研究的结果。
该综述纳入了10项研究，包括6项定性研究和4项定量研究。结果表明，养老院中促进以人为本的领导工作包括创造并传达共同愿景、赋予员工权力以及确保系统一致的方法。此外，领导者必须通过以身作则体现以人为本的价值观。
本系统综述强调了领导在养老院促进和维持以人为本实践中的关键作用。领导者肩负着重大责任。结果表明，转向更综合的领导方法，融合分布式领导和以人为本的领导模式，可为领导者和员工营造更可持续、更具支持性的环境，最终提高护理质量。这些见解为旨在加强以人为本实践的养老院领导者和政策制定者提供了宝贵指导。
