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The significance of...
The significance of nursing home managers' leadership : longitudinal changes, characteristics and qualifications for perceived leadership, person-centredness and climate
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- Backman, Annica C., 1972- (författare)
- Umeå universitet,Institutionen för omvårdnad
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- Lövheim, Hugo, 1981- (författare)
- Umeå universitet,Institutionen för samhällsmedicin och rehabilitering
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- Lindkvist, Marie (författare)
- Umeå universitet,Institutionen för epidemiologi och global hälsa
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- Sjögren, Karin (författare)
- Umeå universitet,Institutionen för omvårdnad
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- Edvardsson, David (författare)
- Umeå universitet,Institutionen för omvårdnad,School of Nursing and Midwifery, La Trobe University, VIC, Melbourne, Australia
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(creator_code:org_t)
- 2021-08-17
- 2022
- Engelska.
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Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 31:9-10, s. 1377-1388
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Abstract
Ämnesord
Stäng
- Aims and objectives: 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.Background: 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.Design: Repeated cross-sectional study.Methods: 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.Results: 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.Conclusions: 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.Relevance to clinical practice: 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- education
- leadership
- management
- person-centred care
- psychosocial climate
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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