title: The role of leadership in the implementation of person-centred care using Dementia Care Mapping: a study in three nursing homes.
abstract: OBJECTIVE
  The aim of this study was to investigate the role of leadership in the implementation of person-centred care (PCC) in nursing homes using Dementia Care Mapping (DCM).
  
  
  BACKGROUND
  Leadership is important for the implementation of nursing practice. However, the empirical knowledge of positive leadership in processes enhancing person-centred culture of care in nursing homes is limited.
  
  
  METHODS
  The study has a qualitative descriptive design. The DCM method was used in three nursing homes. Eighteen staff members and seven leaders participated in focus-group interviews centring on the role of leadership in facilitating the development process.
  
  
  RESULTS
  The different roles of leadership in the three nursing homes, characterized as 'highly professional', 'market orientated' or 'traditional', seemed to influence to what extent the DCM process led to successful implementation of PCC.
  
  
  CONCLUSIONS
  This study provided useful information about the influence of leadership in the implementation of person-centred care in nursing homes. Leaders should be active role models, expound a clear vision and include and empower all staff in the professional development process.
authors.affiliation: Ageing and Health, Norwegian Centre for Dementia Research, Education and Service Development, Oslo University Hospital, Oslo, Norway.
authors.forename: Anne Marie Mork
authors.initials: AM
authors.lastname: Rokstad
authors.forename: Solfrid
authors.initials: S
authors.lastname: Vatne
authors.forename: Knut
authors.initials: K
authors.lastname: Engedal
authors.forename: Geir
authors.initials: G
authors.lastname: Selbæk
mesh_terms: D001291:Attitude of Health Personnel; D003704:Dementia / Q000451:nursing* / Q000628:therapy*; D017144:Focus Groups; D006801:Humans; D007857:Leadership; D009735:Nursing Homes / Q000458:organization & administration; D009740:Nursing Staff / Q000523:psychology / Q000592:standards; D018802:Patient-Centered Care / Q000379:methods* / Q000592:standards; D036301:Qualitative Research
keywords: Dementia Care Mapping; dementia; focus-group interviews; leadership; nursing homes; person-centred care