Atención centrada en la persona en residencias para demencia: influencia de variables organizacionales y del staff: una revisión narrativa

• ROMINA TIRIGAY ^[1] ; FLORENCIA COSSINI ^[2] ; MARCELA ANTENORE ^[1] ; WANDA RUBINSTEIN ^[3]
  1. [1] Universidad de Palermo, Argentina
  2. [2] Uniersidad de Buenos Aires, Argentina
  3. [3] CONICET -Universidad de Buenos Aires, Argentina

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• Localización: Acción psicológica, ISSN 1578-908X, Vol. 18, Nº. 2, 2021, págs. 11-28
• Idioma: español
• Títulos paralelos:
  • Influence of organizational and personal variables of direct care staff on person-centered care in residences for dementia: A narrative review
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• Resumen
  • español

    La presente revisión tiene como objetivo principal estudiar cuáles son las variables, tanto personales como organizacionales, que influyen en la perspectiva del personal de cuidados sobre el abordaje ACP de residencias de larga estadía para demencia. Se realizó una revisión narrativa basada en ocho artículos relevantes identificados a través de PubMed y NICE publicados entre el 2000 y el 2020 usando las palabras clave “Atención centrada en la persona”, “demencia”, “residencias para personas con demencia de larga estadía”, “adultos mayores con demencia institucionalizados”, “personal de atención directa” “variables del personal de atención directa” y “variables institucionales”. Los hallazgos de la revisión actual muestran que existe influencia tanto de ciertas variables personales (nivel de escolaridad e índice de burnout) como de variables institucionales (clima laboral, ambiente físico, trabajo grupal y apoyo de los líderes) siendo estas últimas las que ejercen la mayor influencia. La importancia de dicha influencia revela hacia dónde deberían estar dirigidos los esfuerzos institucionales a la hora de aplicar el paradigma de atención centrada en la persona.

  • English

    Both the characteristics of the direct care staff and those of the institution have a direct influence on the person-centered care model in long-term residences for patients with dementia. But there is controversy over which of these variables are more decisive in the application of this model. For this reason, this review aims to study what are the variables, both personal and organizational, that influ-ence the perspective of caregivers on their approach of person-centered care in long-term residences for demen-tia.A narrative review was carried out based on relevant articles identified through PubMed and NICE published between 2000 and 2020 using the keywords "Person-cen-tered care", "dementia", "residences for people with long-term dementia", "Institutionalized older adults with de-mentia", "direct care staff" "variables of direct care staff" and "institutional variables".The findings of the current review show that there is an influence of personal varia-bles (burnout and years of education) as well as institu-tional variables (physical environment, collaboration on care, support from management and psychosocial cli-mate). From both groups of variables, theresults indicate that the opinion of professionals in relation to the care they provide, depend more on an organizational dimension than on personal variables.

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