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Relationships between structural and psychological empowerment, mediated by person-centred processes and thriving for nursing home staff
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Faculty of Health and Occupational Studies, University of Gävle, Gävle SE-801 76, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Faculty of Health and Occupational Studies, University of Gävle, Gävle SE-801 76, Sweden.ORCID iD: 0000-0002-1495-4943
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Faculty of Health and Occupational Studies, University of Gävle, Gävle SE-801 76, Sweden; Nursing Department, Medicine and Health College, Lishui University, China. (Vårdvetenskap)ORCID iD: 0000-0002-9912-5350
2019 (English)In: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 40, no 1, p. 67-71Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2019. Vol. 40, no 1, p. 67-71
Keywords [en]
Nursing home staff, Outcomes, Person-centred processes, Structural conditions
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-371636DOI: 10.1016/j.gerinurse.2018.06.016ISI: 000459952500010PubMedID: 30120010OAI: oai:DiVA.org:uu-371636DiVA, id: diva2:1273825
Available from: 2018-12-21 Created: 2018-12-21 Last updated: 2019-03-18Bibliographically approved

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Silén, MaritSkytt, BerniceEngström, Maria

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