The Influence of Supportive Supervisory Practices and Health Care Aides' Self-Determination on the Provision of Person-Centered Care in Long-Term Care Facilities. (November 2019)

• Record Type: Journal Article
• Authors: Caspar, Sienna; Le, Anne; McGilton, Katherine S.
• Other Names: Stone Robyn guest-editor.
• Is Part Of: Journal of applied gerontology. Volume 38:Number 11(2019)
• Page Start: 1564
• Page End: 1582
• Publication Date: 2019-11
• Subjects: caregiving-formal -- dementia -- institutional care/residential care -- quality of care -- workforce issues; Gerontology -- Periodicals; 362.6
• DOI: 10.1177/0733464817750275
• Languages: English
• ISSNs: 0733-4648

Abstract

Person-centred care (PCC) is recognized as best practice in long-term care (LTC). Using a cross-sectional design, we examined the relationship between supportive supervisory practices and health care aides' (HCAs) self-determination on HCAs' perceived ability to provide PCC. A total of 131 HCAs from four LTC facilities participated in the study. There were strong, positive associations between HCAs' self-determination and their perceived ability to provide PCC, r = .59, p < .0001, and how supportive their supervisors were, r = .50, p < .0001. Mediation analysis using structural equation modeling found the direct effect of self-determination on PCC was 73% of its total effect on PCC; its indirect effect mediated through supervisory support was 27% of its total effect on PCC. Improving supportive supervisory relationships that encourage and enable HCAs' self-determination in LTC settings may be an important and effective means by which to increase the provision of PCC.