Is the Systemic Agency Capacity of Long-Term Care Organizations Enabling Person-Centered Care during the COVID-19 Pandemic? A Repeated Cross-Sectional Study of Organizational Resilience

被引:1
作者
Pfaff, Holger [1 ,2 ]
Pfoertner, Timo-Kolja [3 ]
Banaszak-Holl, Jane [4 ]
Hu, Yinhuan [5 ]
Hower, Kira [1 ,2 ]
机构
[1] Univ Cologne, Inst Med Sociol Hlth Serv Res & Rehabil Sci, Fac Human Sci, D-50933 Cologne, Germany
[2] Univ Cologne, Fac Med, D-50933 Cologne, Germany
[3] Univ Cologne, Fac Human Sci, Res Methods Div, D-50931 Cologne, Germany
[4] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic 3004, Australia
[5] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Med & Hlth Management, Wuhan 430030, Peoples R China
关键词
person-centered care; AGIL; organizational resilience; agency capacity; COVID-19; long-term care; collective agency; systemic agency; HOSPITAL MANAGEMENT BOARDS; EUROPEAN HOSPITALS; CULTURE-CHANGE; ONLINE SURVEY; NURSING-CARE; SUPPORT; CHALLENGES; RESIDENT;
D O I
10.3390/ijerph19095045
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The COVID-19 pandemic has strained long-term care organization staff and placed new demands on them. This study examines the role of the general ability and power of a long-term care organization to act and react collectively as a social system, which is called systemic agency capacity, in safeguarding the provision of person-centered care during a crisis. The question of how the systemic agency capacity of long-term care organizations helps to ensure person-centered care during the pandemic is an open research question. We conducted a pooled cross-sectional study on long-term care organizations in Germany during the first and second waves of the pandemic (April 2020 and December 2020-January 2021). The sample consisted of 503 (first wave) and 294 leaders (second wave) of long-term care organizations. The top managers of these facilities were asked to report their perceptions of their facility's agency capacity, measured by the AGIL scale, and the extent to which the facility provides person-centered care. We found a significant positive association between the leaders' perceptions of systemic agency capacity and their perceptions of delivered person-centered care, which did not change over time. The results tentatively support the idea that fostering the systemic agency capacity of long-term care organizations facilitates their ability to provide quality routine care despite environmental shocks such as the COVID-19 pandemic.
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