We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Delivering person-centred palliative care in long-term care settings: is humanism a quality of health-care employees or their organisations?
- Authors
Hunter, Paulette V.; McCleary, Lynn; Qiao, Thomas; Sussman, Tamara; Venturato, Lorraine; Thompson, Genevieve; Wickson-Griffiths, Abigail; Kaasalainen, Sharon
- Abstract
Reflecting on sustained calls for patient-centredness and culture change in long-term care, we evaluated the relative importance of personal and organisational predictors of palliative care, hypothesising the former as weaker predictors than the latter. Health-care employees (N = 184) from four Canadian long-term care homes completed a survey of person-centred care, self-efficacy, employee wellbeing and occupational characteristics. Using backward stepwise regression models, we examined the relative contributions of these variables to person-centred palliative care. Specifically, blocks of variables representing personal, organisational and occupational characteristics; palliative care self-efficacy; and employee wellbeing were simultaneously regressed on variables representing aspects of person-centred care. The change in R 2 associated with the removal of each block was examined to determine each block's overall contribution to the model. We found that occupational characteristics (involvement in care planning), employee wellbeing (compassion satisfaction) and self-efficacy were reliably associated with person-centred palliative care (p < 0.05). Facility size was not associated, and facility profit status was less consistently associated. Demographic characteristics (gender, work experience, education level) and some aspects of employee wellbeing (burnout, secondary trauma) were also not reliably associated. Overall, these results raise the possibility that humanistic care is less related to intrinsic characteristics of employees, and more related to workplace factors, or to personal qualities that can be cultivated in the workplace, including meaningful role engagement, compassion and self-efficacy.
- Subjects
CANADA; HUMANISM; EMPLOYEES; CROSS-sectional method; PALLIATIVE treatment; MEDICAL quality control; SELF-efficacy; RESEARCH funding; MEDICAL care; LONG-term health care; COMPASSION; STATISTICAL sampling; QUESTIONNAIRES; PATIENT-centered care; NURSING care facilities; JOB satisfaction; WELL-being; REGRESSION analysis
- Publication
Ageing & Society, 2024, Vol 44, Issue 4, p898
- ISSN
0144-686X
- Publication type
Article
- DOI
10.1017/S0144686X22000459