Effectiveness of an educational intervention to increase professional nurses' person‐centred care competence in long‐term care of older people—Quasi‐experimental study

Author:

Pakkonen Mari12ORCID,Stolt Minna13ORCID,Edvardsson David45ORCID,Charalambous Andreas16ORCID,Pasanen Miko1ORCID,Suhonen Riitta17ORCID

Affiliation:

1. Department of Nursing Science University of Turku Turku Finland

2. Satakunta University of Applied Sciences Pori Finland

3. Department of Nursing Science University of Eastern Finland Kuopio Finland

4. School of Nursing and Midwifery La Trobe University Melbourne Australia

5. Sahlgrenska Academy, Institute of Health and Care Sciences University of Gothenburg Gothenburg Sweden

6. Department of Nursing Science Cyprus University of Technology Limassol Cyprus

7. The Well‐Being County of Southwest Finland Turku University Hospital Turku Finland

Abstract

AbstractBackgroundBased on previous evidence person‐centred care (PCC) as a quality indicator is important in long‐term care (LTC) settings for older people. Effective ways to increase nurses' person‐centred care competence are missing.AimTo evaluate the effectiveness of a continuing education (CE) intervention named ‘Person First—Please’ (PFP) for improving nurses' PPC competence and its connection to PPC climate.MethodsQuasi‐experimental cluster design with intervention and control groups was carried out in LTC settings for older people. The intervention group (n = 77) received a 10‐week CE intervention, with control group (n = 123) working as usual. The primary outcome was professional nurses' PCC competence. Secondary outcome was the PCC climate as perceived by nurses and, residents with their next of kin. Measurements were conducted pre−/post‐intervention and after 6 weeks using the validated, Person‐centred Care Competence scale and the Person‐centred Care Climate questionnaire, staff and patient versions. Data was analysed with descriptive and inferential statistics.ResultsPCC competence was significantly increased in the intervention group and remained after 6 weeks of follow‐up. PCC climate increased in the intervention group in total score and also in all sub‐scales, across residents with their next of kin. The control group did not show any significant change. Comparisons of PCC competence and PCC climate in time between intervention and control groups confirmed that changes seen between groups were statistically significant in intervention group.LimitationsMeasurements were self‐assessments, which may have been affected by bias, especially in context of competence assessment.ConclusionThe intervention was effective in increasing professional nurses' PCC competence and on person‐centred care climate in long‐term care settings for older people.

Funder

Sairaanhoitajien koulutussäätiö

Suomen Kulttuurirahasto

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health

Reference37 articles.

1. Unmet care needs of older people: A scoping review

2. Neglecting the care of older people in residential care settings: A national document analysis of complaints reported to the Finnish supervisory authority

3. WynneM.National Guideline for nursing and midwifery quality care‐metrics data measurement in older person services. Office of Nursing and Midwifery Services Director Quality Care‐Metrics Project Group.2018. [Retrieved 2023 March 11] Available from:https://healthservice.hse.ie/filelibrary/onmsd/national‐guideline‐for‐nursing‐and‐midwifery‐quality‐care‐metrics‐data‐measurement‐in‐older‐person‐services‐2018.pdf

4. NICE.Older people with social care needs and multiple long ‐ term conditions.London:National Institute for Health and Care Excellence2015. [Retrieved 2023 March 11] Available from:https://www.nice.org.uk/guidance/ng22/evidence/full‐guideline‐552742669

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