Literature DB >> 24787347

Person-centred ward climate as experienced by mentally lucid residents in long-term care facilities.

Ådel Bergland1, Dag Hofoss, Marit Kirkevold, Tove Vassbø, David Edvardsson.   

Abstract

AIMS AND
OBJECTIVES: To assess the content validity and reliability of the Person-centred Climate Questionnaire-Patient version in long-term care facilities, to describe residents' perceptions of the extent to which their ward climate was person-centred and to explore whether person-centredness was associated with facility and resident characteristics, such as facility and ward size, having a sensory garden and having a primary caregiver.
BACKGROUND: The importance of the physical environment to persons with dementia has been investigated. However, research is lacking regarding the extent to which mentally lucid residents experience their physical and psycho-social ward climate as person-centred and the factors influencing their experience.
DESIGN: Cross-sectional survey design.
METHODS: The Person-centred Climate Questionnaire-Patient version was translated into Norwegian with forward and backward translation. The content validity index for scales was assessed. The Person-centred Climate Questionnaire -Patient version was completed by 145 mentally lucid residents in 17 Norwegian long-term care facilities. Reliability was assessed by Cronbach's α and item-total correlations. Test-retest reliability was assessed by paired samples t-test and Spearman's correlation. To explore differences based on facility and resident characteristics, independent-samples t-test and one-way anova were used.
RESULTS: The content validity index for scales was satisfactory. The Person-centred Climate Questionnaire-Patient version was internally consistent and had satisfactory test-retest reliability. The climate was experienced as highly person-centred. No significant differences were found, except that residents in larger facilities experienced the climate as more person-centred in relation to everyday activities (subscale 2) than residents in smaller facilities.
CONCLUSION: The Norwegian version of the Person-centred Climate Questionnaire-Patient version can be regarded as reliable in a long-term care facility context. Perceived degree of person-centredness was not associated with facility or resident characteristics, such as the number of residents, having a sensory garden or knowing that one has a primary caregiver. RELEVANCE TO CLINICAL PRACTICE: A person-centred climate can be attained in different kinds of long-term care facilities.
© 2014 John Wiley & Sons Ltd.

Entities:  

Keywords:  atmosphere; long-term care facilities; person-centred care; questionnaire; residents; ward climate

Mesh:

Year:  2014        PMID: 24787347     DOI: 10.1111/jocn.12614

Source DB:  PubMed          Journal:  J Clin Nurs        ISSN: 0962-1067            Impact factor:   3.036


  8 in total

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8.  Resident and staff perspectives of person-centered climate in nursing homes: a cross-sectional study.

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  8 in total

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