ArticleBMC nursing2021
The influence of nursing home managers' leadership on person-centred care and stress of conscience: A cross-sectional study.
Article in BMC nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Pooled it
- Frontline Nurse Managers' Views of Person-Centred Management in a Private Hospital: A Qualitative Study.Nursing open · 2026Article
- Burnout severity in residential dementia care: individual demands and institutional-level variation in a Hungarian cross-sectional study.BMC nursing · 2026Article
- Relationship-Centered Care for Older Adults in Long-Term Care Homes: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Enduring the Unbearable-A Phenomenological Hermeneutical Study on Nurses' Lived Experiences of Stress During the COVID-19 Pandemic.Scandinavian journal of caring sciences · 2025Article
- Higher levels of person-centred care are associated with lower levels of stress of conscience in hospital and municipal care: cross-sectional findings from the PCC@Work project.BMC health services research · 2025Article
- Health and Quality of Life in Nursing Homes: A Repeated Cross-Sectional Study on the Impact of Leadership and Person-Centred Care.Nursing open · 2025Article
- The interplay of leadership dynamics and person-centred practice in nursing homes: a mixed methods systematic review.Frontiers in health services · 2025Review
- Ethical challenges in residential care facilities during COVID-19: Leaders' perspective.Nursing ethics · 2024Article
- We have to turn a transatlantic liner-Leaders' perspectives on creating a meaningful life for older persons receiving municipal care.Nursing open · 2023Article
- Meanings of troubled conscience in nursing homes: nurses' lived experience.Nursing ethics · 2023Article
- Psychometric evaluation of the Persian version of the perception of conscience questionnaire in Iranian nurses.Journal of medical ethics and history of medicine · 2023Article
- Factors associated with older persons' perceptions of dignity and well-being over a three-year period. A retrospective national study in residential care facilities.BMC geriatrics · 2022Article
- Long-Term Care Managers' Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study.Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeadership and stress are common concepts in nursing, and this study explores empirically the connection between leadership and stress of conscience in the context of aged care practice. Previous literature has shown that when staff are unable to carry out their ethical liabilities towards the residents, feelings of guilt may occur among staff, which may be an expression of stress of conscience. Although leadership has been described as crucial for staff's work perceptions of stress as well as for person-centred practices, the influence of nursing home managers' leadership on stress of conscience among staff and person-centred practices is still not fully explored. This study attempts to address that knowledge gap by exploring the relationship between leadership, person-centred care, and stress of conscience.
methodsThis study was based on a cross-sectional national survey of 2985 staff and their managers in 190 nursing homes throughout Sweden. Descriptive statistics and regression modelling were used to explore associations.
resultsLeadership was associated with a higher degree of person-centred care and less stress of conscience. A higher degree of person-centred care was also associated with less stress of conscience. The results also showed that leadership as well as person-centred care were individually associated with lower levels of stress of conscience when adjusting for potential confounders.
conclusionNursing home managers' leadership was significantly associated with less staff stress of conscience and more person-centred care. This indicates that a leadership most prominently characterised by coaching and giving feedback, relying on staff and handling conflicts constructively, experimenting with new ideas, and controlling work individually can contribute to less staff stress as well as higher degree of person-centred care provision.
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