title: The influence of individual and organizational factors on person-centred dementia care.
abstract: Although some individual and organizational contributors to person-centred care or quality of care have been studied, they have rarely been examined together. Our goal was to investigate the association of personal and organizational-environmental characteristics with self-reported person-centred behaviours in long-term residential care settings.
  
  
  
  We asked 109 long-term care staff from two Canadian long-term care homes to complete scales assessing self-reported person-centred care, organizational support for person-centred care, beliefs about personhood in dementia, and burnout. Independent variables included four employee background characteristics (age, gender, occupation, and years of education), beliefs about personhood in dementia, burnout, and three aspects of organizational support for person-centred care (the physical environment of residents, collaboration on care, and support from management). Dependent variables included five aspects of person-centred care: autonomy, personhood, knowing the person, comfort care, and support for relationships .We used multiple linear regression analysis and changes in R(2) to test variable associations.
  
  
  
  Including organizational variables in regression models resulted in statistically significant (p < .05) changes in R(2) for each of the five dependent variables. Including personal variables resulted in statistically significant changes in R(2) for some dependent variables, but not others. In particular, including employee background characteristics resulted in a statistically significant change in R(2) for comfort care, and including beliefs about personhood and burnout resulted in statistically significant changes in R(2) for personhood but not for other dependent variables.
  
  
  
  Organizational characteristics are associated with several aspects of person-centred dementia care. Individual characteristics, including gender, beliefs about personhood, and burnout, appear to be more important to some aspects of person-centred dementia care (e.g., respect for personhood and comfort care) than others.
authors.affiliation: a Department of Psychology, St. Thomas More College , University of Saskatchewan , Saskatoon , Canada.
authors.forename: Paulette V
authors.initials: PV
authors.lastname: Hunter
authors.affiliation: b Department of Psychology and Centre on Aging and Health , University of Regina , Regina , Canada.
authors.forename: Thomas
authors.initials: T
authors.lastname: Hadjistavropoulos
authors.affiliation: c Department of Psychiatry & Department of Community Health & Epidemiology , University of Saskatchewan , Saskatoon , Canada.
authors.forename: Lilian
authors.initials: L
authors.lastname: Thorpe
authors.affiliation: e Department of Community Health Services, College of Medicine , University of Manitoba , Winnipeg , Canada.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Lix
authors.affiliation: d Faculty of Kinesiology and Health Studies , University of Regina , Regina , Canada.
authors.forename: David C
authors.initials: DC
authors.lastname: Malloy
mesh_terms: D001291:Attitude of Health Personnel; D003704:Dementia / Q000523:psychology* / Q000628:therapy; D005260:Female; D005851:Geriatric Nursing / Q000379:methods*; D006282:Health Personnel / Q000523:psychology; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D018802:Patient-Centered Care / Q000379:methods*; D028723:Personhood; D011787:Quality of Health Care; D012944:Social Support
keywords: burnout; dementia; environment; nursing homes; organization; person-centred care; personhood