Influence of Organizational and Personal Variables of Direct care Staff on Person-Centered Care in Residences for Dementia. A Narrative Review
DOI:
https://doi.org/10.5944/ap.18.2.28775Keywords:
atención centrada en la persona, personal de atención directa, residencias de larga estadía, demencia.Abstract
Both the characteristics of the direct care staff and those of the institution have a direct influence on the person-centered care model in long-term residences for patients with dementia. But there is controversy over which of these variables are more decisive in the application of this model. For this reason, this review aims to study what are the variables, both personal and organizational, that influence the perspective of caregivers on their approach of person-centered care in long-term residences for dementia. A narrative review was carried out based on relevant articles identified through PubMed and NICE published between 2000 and 2020 using the keywords "Person-centered care", "dementia", "residences for people with long-term dementia", "Institutionalized older adults with dementia", "direct care staff" "variables of direct care staff" and "institutional variables". The findings of the current review show that there is an influence of personal variables (burnout and years of education) as well as institutional variables (physical environment, collaboration on care, support from management and psychosocial climate). From both groups of variables, the results indicate that the opinion of professionals in relation to the care they provide, depend more on an organizational dimension than on personal variables.
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