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The meaning of working in a person-centred way in nursing homes: a phenomenological-hermeneutical study
Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.ORCID iD: 0000-0001-8787-2327
Umeå University, Faculty of Medicine, Department of Nursing.
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2019 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 18, no 1, article id 45Article in journal (Refereed) Published
Abstract [en]

Background: The present study aims to illuminate the meaning of working in a person-centred way as experienced by staff in nursing homes. Insights into what working in a person-centred way mean for nursing home staff may contribute to a more comprehensive understanding of what gives staff satisfaction in their work and support further development of person-centred care approach in nursing homes.

Methods: Interviews with 29 health care personnel who had participated in a one-year intervention focusing on person-centred care and thriving in three nursing homes in Australia, Norway and Sweden were performed, and a phenomenological-hermeneutical method was used to explore staffs’ lived experiences of working in a person-centred way in nursing homes.

Results: For nursing home staff, working in a person-centred way meant that they were able to meet individual resident’s needs and expressed preferences in close family-like relationships, understanding the residents’ rhythms and preferences as the basis of the daily work plans and being able to do ‘the little extra’ for residents. Also, working in a person-centred way meant meeting shared goals by working towards a collective practice in collaborative teams. As a whole, the staffs’ lived experiences of working in a person-centred way in nursing homes was interpreted to mean thriving at work as a psychological state in which individuals experience both a sense of vitality and learning.

Conclusions: Working in a person-centred way means staff thriving at work in nursing homes. The results further indicate that delivering care by only focusing on routines and practical tasks and not on residents’ preferences and well-being would inhibit thriving among nursing staff, leading to the potential for dissatisfaction with work.

Place, publisher, year, edition, pages
2019. Vol. 18, no 1, article id 45
Keywords [en]
Phenomenological-hermeneutical method, Person-centred care, Nursing homes, Thriving, Job tisfaction, Health care workers
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-165673DOI: 10.1186/s12912-019-0372-9ISI: 000489865400001PubMedID: 31632193OAI: oai:DiVA.org:umu-165673DiVA, id: diva2:1375918
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014-4016Available from: 2019-12-06 Created: 2019-12-06 Last updated: 2019-12-06Bibliographically approved

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