Poster can be found in location 135.

Background

The literature on quality and practice development shows that person-centred processes are possible to a very limited extent if the person-centred workplace culture is poorly developed. The result of this is a reduction in the perceived quality of care and support. Furthermore, there is a correlation between a low level of person-centred workplace culture and implicit rationing of the necessary nursing care (missed nursing care). In this situation, nurses are unable to care for patients and their relatives in accordance with their professional attitude. This results in negative outcomes. In particular, (moral) stress is described in the literature as an outcome of missed nursing care and a lack of personcentredness at the staff level. There is evidence that the implementation of a person-centred workplace culture has a protective effect against moral distress among caregivers. But explicit theoretical underpinning and a practicable standardized assessment tool that can relate and measure person-centeredness, missed nursing care and outcomes (such as moral distress and intention to leave the nursing profession) are lacking.

Aim

1) To develop a theoretical model to explain the relationships between the three concepts. 2) To develop and test an instrument for monitoring a person-centred workplace culture, work processes and outcomes (e.g. job satisfaction and intention to leave the job) for the strategic leadership of nurse managers.

Methods

I) Conceptual synthesis according to Walker & Avant. II) Questionnaire development based on the synthesis and adaptation of existing validated surveys according to the theoretical framework. III) Instrument testing by a) content validity testing by experts and b) psychometric testing in a cross-sectional study. IV) Focus groups with care managers to discuss the practicability and predictive value of the tool.

Current state

The project is currently starting. The presentation will therefore focus on the theoretical framework and the instrument development.