Atención centrada en la persona en residencias para demencia: influencia de variables organizacionales y del staff. Una revisión narrativa
DOI:
https://doi.org/10.5944/ap.18.2.28775Palabras clave:
atención centrada en la persona, personal de atención directa, residencias de larga estadía, demencia.Resumen
La presente revisión tiene como objetivo principal estudiar cuáles son las variables, tanto personales como organizacionales, que influyen en la perspectiva del personal de cuidados sobre el abordaje ACP de residencias de larga estadía para demencia. Se realizó una revisión narrativa basada en ocho artículos relevantes identificados a través de PubMed y NICE publicados entre el 2000 y el 2020 usando las palabras clave “Atención centrada en la persona”, “demencia”, “residencias para personas con demencia de larga estadía”, “adultos mayores con demencia institucionalizados”, “personal de atención directa” “variables del personal de atención directa” y “variables institucionales”. Los hallazgos de la revisión actual muestran que existe influencia tanto de ciertas variables personales (nivel de escolaridad e índice de burnout) como de variables institucionales (clima laboral, ambiente físico, trabajo grupal y apoyo de los líderes) siendo estas últimas las que ejercen la mayor influencia. La importancia de dicha influencia revela hacia dónde deberían estar dirigidos los esfuerzos institucionales a la hora de aplicar el paradigma de atención centrada en la persona.
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Adriaenssens, J., De Gucht, V. y Maes, S. (2015). Determinants and prevalence of burnout in emergency nurses: A systematic Review of 25 years of research. International Journal of Nursing Studies, 52(2), 649–661.
Barbosa, A., Sousa, L., Nolan, M. y Figueiredo, D. (2014). Effects of Person-Centered Care Approaches to Dementia Care on Staff. American Journal of Alzheimer’s Disease & Other Dementias, 30(8), 713–722. https://doi.org/10.1177/1533317513520213
Brooker, D. (2003). What is person-centred care in dementia? Reviews in Clinical Gerontology, 13(3), 215–222. https://doi.org/10.1017/s095925980400108x
Brownie, S. y Nancarrow, S. (2013). Effects of person-centered care on residents and staff in aged-care facilities: a systematic review. Clinical Interventions in Aging, 3(8), 1–10. https://doi.org/10.2147/cia.s38589
Maslach, C. y Jackson, S. E. (1986). Maslach burnout inventory: MBI. Consulting Psychologists Press.
Caspar, S. y O’Rourke, N. (2008). The Influence of Care Provider Access to Structural Empowerment on Individualized Care in Long-Term-Care Facilities. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(4), 255–265. https://doi.org/10.1093/geronb/63.4.s255
Chaudhury, H., Cooke, H. A., Cowie, H. y Razaghi, L. (2017). The Influence of the Physical Environment on Residents with Dementia in Long-Term Care Settings: A Review of the Empirical Literature. The Gerontologist, 58(5), 325–337. https://doi.org/10.1093/geront/gnw259
Chenoweth, L., King, M. T., Jeon, Y.-H., Brodaty, H., Stein-Parbury, J., Norman, R., Haas, M. y Luscombe, G. (2009). Caring for Aged Dementia Care Resident Study (CADRES) of Person-Centred care, Dementia-care Mapping, and Usual Care in Dementia: A Cluster-Randomised Trial. The Lancet Neurology, 8(4), 317–325. https://doi.org/10.1016/s1474-4422(09)70045-6
Chou, S.-C. (2002). Measuring job satisfaction in residential aged care. International Journal for Quality in Health Care, 14(1), 49–54. https://doi.org/10.1093/intqhc/14.1.49
Dallner, M. (2000). Validation of the General Nordic Questionnaire (QPSNordic) for Psychological and Social Factors at Work. Nordic Council of Ministers Nordiska Ministerrådet.
Dewing, J. (2004). Concerns relating to the application of frameworks to promote person-centredness in nursing with older people. Journal of Clinical Nursing, 13(1), 39–44. https://doi.org/10.1111/j.1365-2702.2004.00925.x
Díaz-Veiga, P., Sancho, M., García, Á., Rivas, E., Abad, E., Suárez, N., Mondragón, G., Buiza, C., Orbegozo, A. y Yanguas, J. (2014). Efectos del Modelo de Atención Centrado en la Persona en la calidad de vida de personas con deterioro cognitivo de centros gerontológicos [Effects from the Person Centered-Care Model on quality of life of cognitive impaired persons from gerontological centers]. Revista Española de Geriatría y Gerontología, 49(6), 266–271. https://doi.org/10.1016/j.regg.2014.06.003
Diepen, C. van, Fors, A., Ekman, I. y Hensing, G. (2020). Association between Person-Centred Care and Healthcare Providers’ Job Satisfaction and Work-Related Health: A Scoping Review. BMJ Open, 10(12), Artículo e042658. https://doi.org/10.1136/bmjopen-2020-042658
*Edvardsson, D., Fetherstonhaugh, D., McAuliffe, L., Nay, R. y Chenco, C. (2011). Job Satisfaction amongst Aged Care Staff: Exploring the Influence of person-Centered Care Provision. International Psychogeriatrics, 23(8), 1205–1212. https://doi.org/10.1017/s1041610211000159
Edvardsson, D., Fetherstonhaugh, D., Nay, R. y Gibson, S. (2009). Development and initial testing of the Person-centered Care Assessment Tool (P-CAT). International Psychogeriatrics, 22(1), 101–108. https://doi.org/10.1017/s1041610209990688
*Edvardsson, D., Sandman, P. O. y Borell, L. (2014). Implementing National Guidelines for Person-Centered Care of People with Dementia in Residential Aged Care: Effects on Perceived Person-Centeredness, Staff Strain, and Stress of Conscience. International Psychogeriatrics, 26(7), 1171–1179. https://doi.org/10.1017/s1041610214000258
Edvardsson, D., Sandman, P. O., y Rasmussen, B. (2009). Construction and Psychometric Evaluation of the Swedish Language Person-centred Climate Questionnaire - Staff Version. Journal of Nursing Management, 17(7), 790–795. https://doi.org/10.1111/j.1365-2834.2009.01005.x
Edvardsson, D., Winblad, B., y Sandman, P. (2008). Person-centred care of People with Severe Alzheimer’s Disease: Current Status and Ways Forward. The Lancet Neurology, 7(4), 362–367. https://doi.org//10.1016/s1474-4422(08)70063-2
Glasberg, A.-L., Eriksson, S., Dahlqvist, V., Lindahl, E., Strandberg, G., Söderberg, A., Sørlie, V. y Norberg, A. (2006). Development and Initial Validation of the Stress of Conscience Questionnaire. Nursing Ethics, 13(6), 633–648. https://doi.org/10.1177/0969733006069698
Hallberg, I. R., Hansson, U. W. y Axelsson, K. (1993). Satisfaction with Nursing Care and Work during a Year of Clinical Supervision and Individualized care. Comparison between two Wards for the Care of Severely Demented Patients. Journal of Nursing Management, 1(6), 297–307. https://doi.org/10.1111/j.1365-2834.1993.tb00231.x
*Hunter, P. V., Hadjistavropoulos, T., Thorpe, L., Lix, L. M. y Malloy, D. C. (2015). The Influence of Individual and Organizational Factors on Person-centred Dementia Care. Aging & Mental Health, 20(7), 700–708. https://doi.org/10.1080/13607863.2015.1056771
*Kada, S., Nygaard, H. A., Mukesh, B. N. y Geitung, J. T. (2009). Staff Attitudes towards Institutionalised Dementia Residents. Journal of Clinical Nursing, 18(16), 2383–2392. https://doi.org/10.1111/j.1365-2702.2009.02791.x
Karasek, R. y Töres T. (2010). Healthy Work: Stress, Productivity, and the Reconstruction of Working Life. Basic Books.
Kitwood, T. (1993). Person and Process in Dementia. International Journal of Geriatric Psychiatry, 8(7), 541–545. https://doi.org/10.1002/gps.930080702
Kitwood, T. (1997). The Experience of Dementia. Aging & Mental Health, 1(1), 13–22.
Li, J. y Porock, D. (2014). Resident Outcomes of Person-Centered Care in Long-Term Care: A Narrative Review of Interventional Research. International Journal of Nursing Studies, 51(10), 1395–1415. https://doi.org/10.1016/j.ijnurstu.2014.04.003
Lintern, T. (2010). Improving Quality in Dementia Care: Relationships between Care Staff Attitudes, Behaviour and Resident Quality of Life. VDM.
Lintern, T., Woods, B. y Phair, L. (2000). Before and after training: A case study of intervention. Journal of Dement Care, 85(1), 15–17.
Martínez, T. (2015). La atención centrada en la persona en los servicios gerontológicos: modelos de atención e instrumentos de evaluación [Person-centered care in gerontological services: care models and evaluation instruments]. (Tesis doctoral, Universidad de Oviedo).
Martinez, T. (2017). Evaluación de los servicios gerontológicos: un nuevo modelo basado en la Atención Centrada en la Persona [Gerontology Services Assessment: a new model based on Person Centered Care Approach]. Revista Argentina de Gerontología y Geriatría, 31(3), 83–89.
Martínez, T., Suárez-Álvarez, J., Yanguas, J. y Muñiz, J. (2016). The Person Centered approach in Gerontology: New validity evidence of the Staff Assessment Person-directed Care Questionnaire. International Journal of Clinical and Health Psychology, 16(2), 175–185. https://doi.org/10.1016/j.ijchp.2015.12.001
Maslach, C. y Jackson, S. E. (1981). Maslach Burnout Inventory. Consulting Psychologists Press.
McCormack, B., Dewing, J., Breslin, L., Coyne-Nevin, A., Kennedy, K., Manning, M., Peelo-Kilroe, L., Tobin, C. y Slater, P. (2010). Developing Person-centred Practice: Nursing Outcomes arising from Changes to the Care Environment in Residential Settings for Older People. International Journal of Older People Nursing, 5(2), 93–107. https://doi.org/10.1111/j.1748-3743.2010.00216.x
McCormack, B., y McCance, T. V. (2006). Development of a Framework for Person-Centred Nursing. Journal of Advanced Nursing, 56(5), 472–479. https://doi.org/10.1111/j.1365-2648.2006.04042.x
Mira, J. (2002). Métodos de Participación del Paciente [Patient Participation Methods]. Revista de Psicología de La Salud/Journal of Health Psychology, 14(1). https://doi.org/1021134/pssa.v14i1133
Rajamohan, S., Porock, D. y Chang, Y.-P. (2019). Understanding the Relationship Between Staff and Job Satisfaction, Stress, Turnover, and Staff Outcomes in the Person-Centered Care Nursing Home Arena. Journal of Nursing Scholarship, 51(5), 560–568. https://doi.org/10.1111/jnu.12488
*Røen, I., Kirkevold, Ø., Testad, I., Selbæk, G., Engedal, K. y Bergh, S. (2018). Person-centered Care in Norwegian Nursing Homes and its Relation to Organizational Factors and Staff Characteristics: A Cross-Sectional Survey. International Psychogeriatrics, 30(9), 1279–1290. https://doi.org/10.1017/s1041610217002708
Rogers, C. R. (1961). The Place of the Person in the New World of the Behavioral Sciences. The Personnel and Guidance Journal, 39(6), 442–451. https://doi.org/10.1002/j.2164-4918.1961.tb01913.x
Sitges, E. (2016). Psicología y Envejecimiento [Psychology and Aging]. Revista de Psicología de la Salud, 19(1), 1–4. https://doi.org/10.21134/pssa.v19i1.960
Sjögren, K., Lindkvist, M., Sandman, P.-O., Zingmark, K. y Edvardsson, D. (2011). Psychometric evaluation of the Swedish version of the Person-Centered Care Assessment Tool (P-CAT). International Psychogeriatrics, 24(3), 406–415. https://doi.org/10.1017/s104161021100202x
*Sjögren, K., Lindkvist, M., Sandman, P.-O., Zingmark, K. y Edvardsson, D. (2014). To what Extent is the Work Environment of Staff Related to Person-Centred Care? A Cross-sectional Study of Residential Aged Care. Journal of Clinical Nursing, 24(9–10), 1310–1319. https://doi.org/10.1111/jocn.12734
Sloane, P. D., Mitchell, C. M., Weisman, G., Zimmerman, S., Foley, K. M. L., Lynn, M., Calkins, M., Lawton, M. P., Teresi, J., Grant, L., Lindeman, D. y Montgomery, R. (2002). The Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH): An Observational Instrument for Assessing the Physical Environment of Institutional Settings for Persons with Dementia. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(2), 69–78. https://doi.org/10.1093/geronb/57.2.s69
Van der Doef, M., y Maes, S. (1999). The Leiden Quality of Work Questionnaire: Its Construction, Factor Structure, and Psychometric Qualities. Psychological Reports, 85(3), 954–962. https://doi.org/10.2466/pr0.1999.85.3.954
Villar, F., Vila-Miravent, J., Celdrán, M. y Fernández, E. (2013). La participación de personas con demencia en las reuniones del plan de atención individualizada: impacto en el bienestar y la calidad del cuidado [The Participation of Patients with Dementia in Individualised Intervention Plan meetings: The impact on their Well-Being and the Quality of Life]. Revista Española de Geriatría y Gerontología, 48(6), 259–264. https://doi.org/10.1016/j.regg.2013.03.001
White, D. L., Newton-Curtis, L. y Lyons, K. S. (2008). Development and Initial Testing of a Measure of Person-Directed Care. The Gerontologist, 48(1), 114–123. https://doi.org/10.1093/geront/48.supplement_1.114
Wilkinson, H., Whittington, R., Perry, L. y Eames, C. (2017). Examining the relationship between burnout and empathy in healthcare professionals: A systematic review. Burnout Research, 6, 18–29. https://doi.org/10.1016/j.burn.2017.06.003
*Willemse, B. M., De Jonge, J., Smit, D., Visser, Q., Depla, M. F. I. A., y Pot, A. M. (2014). Staff’s person-centredness in dementia care in relation to job characteristics and job-related well-being: a cross-sectional survey in nursing homes. Journal of Advanced Nursing, 71(2), 404–416. https://doi.org/doi.org/10.1111/jan.12505
*Zimmerman, S., Williams, C. S., Reed, P. S., Boustani, M., Preisser, J. S., Heck, E. y Sloane, P. D. (2005). Attitudes, Stress, and Satisfaction of Staff Who Care for Residents with Dementia. The Gerontologist, 45(1), 96–105. https://doi.org/10.1093/geront/45.suppl_1.96
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