Towards person-centredness in aged care – exploring the impact of leadership
Corresponding Author
Annica Backman RN, MSc
PhD Student
Department of Nursing, Umeå University, Umeå, Sweden
Correspondence
Annica Backman
Department of Nursing,
Umeå University,
SE-901 87 Umeå,
Sweden
E-mail: [email protected]
Search for more papers by this authorKarin Sjögren RNT, MSc, PhD
PhD Student
Department of Nursing, Umeå University, Umeå, Sweden
Search for more papers by this authorMarie Lindkvist PhD
Senior Lecturer
Department of Statistics, Umeå School of Business and Economics, Umeå University, Umeå, Sweden
Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
Search for more papers by this authorHugo Lövheim MD, PhD
Associate Professor
Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden
Search for more papers by this authorDavid Edvardsson RN, PhD
PhD Student, Professor/Director of Research
Department of Nursing, Umeå University, Umeå, Sweden
School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia
Search for more papers by this authorCorresponding Author
Annica Backman RN, MSc
PhD Student
Department of Nursing, Umeå University, Umeå, Sweden
Correspondence
Annica Backman
Department of Nursing,
Umeå University,
SE-901 87 Umeå,
Sweden
E-mail: [email protected]
Search for more papers by this authorKarin Sjögren RNT, MSc, PhD
PhD Student
Department of Nursing, Umeå University, Umeå, Sweden
Search for more papers by this authorMarie Lindkvist PhD
Senior Lecturer
Department of Statistics, Umeå School of Business and Economics, Umeå University, Umeå, Sweden
Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
Search for more papers by this authorHugo Lövheim MD, PhD
Associate Professor
Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden
Search for more papers by this authorDavid Edvardsson RN, PhD
PhD Student, Professor/Director of Research
Department of Nursing, Umeå University, Umeå, Sweden
School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia
Search for more papers by this authorAbstract
Aim
To explore the association between leadership behaviours among managers in aged care, and person-centredness of care and the psychosocial climate.
Background
Theory suggests that leadership is important for improving person-centredness in aged care, however, empirical evidence is lacking.
Methods
A cross-sectional design was used to collect data from Swedish aged care staff (n = 3661). Valid and reliable questionnaires assessing leadership behaviours, person-centeredness of care and the psychosocial climate were used. Data were analysed using multiple linear regression including interaction terms.
Results
Leadership behaviours were significantly related to the person-centredness of care and the psychosocial climate. The level of person-centredness of care moderated the impact of leadership on the psychosocial climate.
Conclusions and implications for nursing management
The leadership behaviour of managers significantly impacts person-centred care practice and contributes to the psychosocial climate for both staff and residents in aged care. This study is the first empirically to confirm that middle managers have a central leadership role in developing and supporting person-centred care practice, thereby creating a positive psychosocial climate and high quality care.
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