title: Staff's person-centredness in dementia care in relation to job characteristics and job-related well-being: a cross-sectional survey in nursing homes.
abstract: OBJECTIVE
  To explore the role of nursing staff's person-centredness caring for people with dementia in relation to their work environment and job-related well-being.
  
  
  BACKGROUND
  Given the development towards person-centred care and labour force issues, research has recently focused on the effect of person-centredness on nursing staff's well-being. Findings from occupational stress research suggest that employees' personal characteristics, such as person-centredness, can moderate the impact particular job characteristics have on their job-related well-being.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  A national survey was conducted among healthcare staff (n = 1147) in 136 living arrangements for people with dementia in the Netherlands (2008-2009). Hierarchical regression analyses were used.
  
  
  RESULTS
  Person-centredness moderates the relationship between coworker support and three outcomes of job-related well-being and between supervisor support and two of these outcomes. For highly person-centred nursing staff, coworker support was found to have a weaker impact and supervisor support to have a stronger impact on their job-related well-being. In addition, direct effects showed that person-centredness was weakly associated with more job satisfaction, more emotional exhaustion and more strongly with more personal accomplishment.
  
  
  CONCLUSIONS
  Nursing staff's person-centredness does play a modest role in relation to job characteristics and job-related well-being. Findings indicate that person-centredness is not only beneficial to residents with dementia as found earlier, but also for nursing staff themselves; specifically, in case nursing staff members feel supported by their supervisor. Since a more person-centred workforce feels more competent, further implementation of person-centred care might have a positive impact on the attractiveness of the profession.
authors.affiliation: Netherlands Institute of Mental Health and Addiction, Program on Aging, Utrecht, The Netherlands; Department of Clinical Psychology, VU University, Amsterdam, The Netherlands.
authors.forename: Bernadette M
authors.initials: BM
authors.lastname: Willemse
authors.forename: Jan
authors.initials: J
authors.lastname: De Jonge
authors.forename: Dieneke
authors.initials: D
authors.lastname: Smit
authors.forename: Quirijn
authors.initials: Q
authors.lastname: Visser
authors.forename: Marja F I A
authors.initials: MF
authors.lastname: Depla
authors.forename: Anne Margriet
authors.initials: AM
authors.lastname: Pot
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000209:etiology; D003430:Cross-Sectional Studies; D003704:Dementia / Q000451:nursing*; D005260:Female; D006282:Health Personnel / Q000523:psychology; D006707:Homes for the Aged; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009735:Nursing Homes; D018802:Patient-Centered Care / Q000379:methods*; D012944:Social Support; D055815:Young Adult
keywords: burnout; coworker support; decision-authority; dementia; healthcare staff; job demands; job satisfaction; nursing; person-centred care; supervisor support