The role of leadership in the implementation of person-centred care using Dementia Care Mapping: a study in three nursing homes

J Nurs Manag. 2015 Jan;23(1):15-26. doi: 10.1111/jonm.12072. Epub 2013 May 16.

Abstract

Aim: 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.

Method: 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.

Conclusion and implications for nursing management: 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.

Keywords: Dementia Care Mapping; dementia; focus-group interviews; leadership; nursing homes; person-centred care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • Dementia / nursing*
  • Dementia / therapy*
  • Focus Groups
  • Humans
  • Leadership*
  • Nursing Homes / organization & administration
  • Nursing Staff / psychology
  • Nursing Staff / standards
  • Patient-Centered Care / methods*
  • Patient-Centered Care / standards
  • Qualitative Research