title: Towards person-centredness in aged care - exploring the impact of leadership.
abstract: OBJECTIVE
  To explore the association between leadership behaviours among managers in aged care, and person-centredness of care and the psychosocial climate.
  
  
  BACKGROUND
  Theory suggests that leadership is important for improving person-centredness in aged care, however, empirical evidence is lacking.
  
  
  METHODS
  A cross-sectional design was used to collect data from Swedish aged care staff (n = 3661). Valid and reliable questionnaires assessing leadership behaviours, person-centeredness of care and the psychosocial climate were used. Data were analysed using multiple linear regression including interaction terms.
  
  
  RESULTS
  Leadership behaviours were significantly related to the person-centredness of care and the psychosocial climate. The level of person-centredness of care moderated the impact of leadership on the psychosocial climate.
  
  
  CONCLUSIONS
  The leadership behaviour of managers significantly impacts person-centred care practice and contributes to the psychosocial climate for both staff and residents in aged care. This study is the first empirically to confirm that middle managers have a central leadership role in developing and supporting person-centred care practice, thereby creating a positive psychosocial climate and high quality care.
authors.affiliation: Department of Nursing, Umeå University, Umeå, Sweden.
authors.forename: Annica
authors.initials: A
authors.lastname: Backman
authors.affiliation: Department of Nursing, Umeå University, Umeå, Sweden.
authors.forename: Karin
authors.initials: K
authors.lastname: Sjögren
authors.affiliation: Department of Statistics, Umeå School of Business and Economics, Umeå University, Umeå, Sweden.|Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
authors.forename: Marie
authors.initials: M
authors.lastname: Lindkvist
authors.affiliation: Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
authors.forename: Hugo
authors.initials: H
authors.lastname: Lövheim
authors.affiliation: Department of Nursing, Umeå University, Umeå, Sweden.|School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Edvardsson
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators / Q000592:standards; D009726:Nurses / Q000523:psychology*; D009735:Nursing Homes / Q000592:standards*; D015279:Organizational Culture; D018802:Patient-Centered Care / Q000379:methods / Q000592:standards*; D011795:Surveys and Questionnaires; D013548:Sweden; D000078329:Workforce
keywords: leadership behaviour; management; nursing homes; person-centred care; psychosocial climate