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Published on: January 17, 2025
Relationships between structural and psychological empowerment, mediated by person-centred processes and thriving for
Marit Silén1, Bernice Skytt1, Maria Engström2
1Faculty of Health and Occupational Studies, University of Gävle, Gävle SE-801 76, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Box 564, Uppsala SE-751 22, Sweden.
Abstract:
Person-centred care has been shown to have positive outcomes for patients and for staff. However, the complexity of the link between structural conditions, work in a person-centred manner and outcomes for staff is insufficiently described. We tested the relationship between structural empowerment and psychological empowerment, as mediated by nursing home staff members' self-ratings of working in a person-centred manner, the person-centred climate and thriving. Questionnaires were distributed to staff working in 12 nursing homes in Sweden. A serial mediation model was tested. The results showed that higher access to structural empowerment was related to higher psychological empowerment mediated by staff working in a more person-centred manner, improved person-centred climate, and improved staff ratings of thriving. These results point to the importance of strengthening the preconditions for staff to work in a person-centred manner and nursing home managers play an important role in this.
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