Factors Influencing Nurses' Person-Centred Care Practices in Dementia Care: A Scoping Review Based on the Donabedian...

This study aimed to identify the structural, process and outcome factors influencing nurses' implementation of person-centred care (PCC) for people with dementia, guided by Donabedian's structure-process-outcome (SPO) model.

A scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) guidelines. A scoping review was conducted. The final search was conducted on January 28, 2025, were from the following major international and Korean databases: MEDLINE, EMBASE, Cochrane Library, PubMed, CINAHL, PsycINFO, Web of Science, KCI and NDSL. Studies addressing factors related to nurses' PCC practices in dementia care were systematically analysed and categorized using the SPO model.

Fourteen studies were included in this scoping review. The structural factors included nurses' personal characteristics (e.g., demographics and knowledge), organizational conditions and educational factors; some factors were positively associated with PCC practices (e.g., salary satisfaction), whereas others demonstrated inconsistent findings across studies (e.g., age and clinical experience). Process factors encompassed attitudes, emotional responses, behavioural management and practice strategies, which were identified as facilitators or barriers to PCC practices. The outcome factors indicated that PCC practices were associated with improvements in nurses' knowledge, attitudes, satisfaction, care efficacy and care provision capacity, while being associated with reduced care burden.

This review provided a systematic analysis of the factors influencing nurses' PCC practices in dementia care. Effective promotion of person-centred care requires multifaceted strategies at both the individual nurses and organizational levels.