National fundamental values in elderly care – the perspectives of older people living in residential living facilities and staff members

INTERVENTION: The 20 residential living facilities/units will be randomized into either an intervention or a control group. The intervention includes seminars concerning the national fundamental values in elderly care, working methods and support in work for improvements. The intervention will be carried out through eight group meetings during a four‐month period. The group meetings have three different themes: the content of the national fundamental values; person‐centered care; working methods used in the residential living facility. Self‐reflection and dialogue concerning the national fundamental values constitute the core of the group meetings. Through self‐reflection and dialogue, staff will identify improvements that can be made in their present methods. Improvements will then be implemented by the staff at the residential living facility. The group meetings will take place one week and then the next week the researcher will visit the residential living facility to support the staff in implementing these improvements. All staff in the intervention group will receive the same intervention. After the intervention (four months), the researcher will continue to visit the residential living facility for two months to offer further support. Data collection will be performed on two occasions (in both groups): baseline assessment and post‐intervention. Data collection for the residents includes; the person‐centered climate (The Person‐ centered Climate Questionnaire ?patient version, PCQ‐P), empowerment (The patient empowerment scale) and Life satisfaction (The Life Satisfaction Questionnaire, LSQ) as well as semi‐structured interviews concerning the older peoples experiences of the care and social services provided, of their own well‐being and dignity pre‐ and post‐intervention. Nursing documentation of the residents will also be followed. Data collection for the staff includes: the person‐centered climate and care (The Person‐ centered Climate Questionnaire ?staff version, PC CONDITION: Elderly care / Residential living facilities ; Not Applicable SECONDARY OUTCOME: Staff; 1. Job satisfaction measured using the Satisfaction with Work Questionnaires (SWQ); 2. Thriving at work measured using 10‐item thriving scale; 3. Stress symptoms measured using the Satisfaction with Work Questionnaires (SWQ); 4. Stress of conscience measured using Stress of Conscience Questionnaire (SCQ) INCLUSION CRITERIA: Older people: 1. Having lived permanently in the residential living facility for two weeks or more 2. Assessed by the manager at the residential living facility as being able ? by themselves or with help from a research assistant who reads the questions and fills in the answer given by the person ? to reply to a survey and for some also to participate in an interview. Staff: Staff (registered nurses, licensed practical nurses and nurse?s aides) working at the residential living facility. PRIMARY OUTCOME: Residents: ; 1. Person‐centered climate, empowerment and life satisfaction ; 1.1. Person‐centered climate will be measured with the Person‐centered Climate Questionnaire ? patient version (PCQ‐P) 1.2. Empowerment will be measured with the patient empowerment scale; 1.3. Life satisfaction will be measured with the Life Satisfaction Questionnaire (LSQ) ; ; Staff: ; 1. Person‐centered climate, person‐centered care, structural empowerment, psychological empowerment (total scales and included factors); 1.1. Person centered climate will be measured with the Person‐centered Climate Questionnaire ? staff version (PCQ‐S) ; 1.2. Person centered care will be measures with the Person‐centered Care Assessment Tool (P‐CAT) ; 1.3. Structural empowerment will be measured with the Conditions of Work Effectiveness Questionnaire (CWEQII) ; 1.4. Psychological empowerment will be measured with Spreitzer's empowerment scale