Elderly Care in Transition - Perspectives of the Elderly and the Staff
Elderly Care in Transition - The Elderlys' and the Staffs' Perspective on Person-centered Care, Environment, Health and Well-being
1 other identifier
observational
600
0 countries
N/A
Brief Summary
Elderly care in Sweden faces several significant challenges. The number of older people is increasing at the same time as there are fewer of working age. Elderly care staff, such as nurses, care assistants and nurses, have on average more sick days than many other professional groups and often experience high work-related stress. In some municipalities, there are also problems with high staff turnover and a lack of formal competence. At the same time, research shows that many employees experience work in elderly care as meaningful and valuable. Taking advantage of and strengthening these positive aspects is central to creating good conditions for the health and well-being of staff and for the quality of care and care for older people. An important area of development in elderly care is person-centred care, which means that care is based on the individual person's needs, wishes, life history and resources. Person-centred practice emphasises the relationship between the older person, the staff and, if the person so wishes, relatives. Although person-centered care is often seen as an obvious part of good care, research shows that it is not fully implemented in practice and that the introduction of person-centered working methods can be complex and demanding. This study is being carried out in collaboration between municipalities and the University of Gävle and is linked to the establishment of nursing homes for the elderly that will function as academic nursing homes. In these nursing homes, person-centered care will be a pronounced focus area. Through recurring measurements, the activities will be monitored and developed in close collaboration between practice and research. The overall aim of the study is to investigate older people's experience of academic nursing homes with a focus on person-centered care and nursing, outdoor environment, health and well-being, and to investigate the staff's experience of person-centered working methods, learning, structural conditions and work-related well-being. The study also aims to analyze the relationship between older people's experiences of person-centered care, outdoor environment, health and well-being, both among older people living in academic nursing homes and among older people living in their own homes. The study has a longitudinal design and data will be collected at several points in time using questionnaires and interviews, which enables both statistical analyses and an in-depth understanding of the participants' experiences over time. By highlighting the perspectives of both older people and staff, the study can contribute new knowledge about how person-centered care can be developed and maintained in practice. In the long term, the results can contribute to a more health-promoting, sustainable and attractive elderly care for both older people and staff.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2026
Typical duration for all trials
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 24, 2026
CompletedStudy Start
First participant enrolled
April 1, 2026
CompletedFirst Posted
Study publicly available on registry
April 2, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2028
April 2, 2026
March 1, 2026
2.8 years
March 24, 2026
March 30, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Older peoples' rating of Person-centered care
Older peoples' experiences of person-centred care measured with the Person-Centred Practice Inventory - Care (PCPI-C), covering domains such as participation, shared decision-making and respect for individual needs. Score range: Min: 1, Max: 5. Interpretation: Higher scores = more person-centred care.
Baseline, 6 months, 12 months, 24 months
Person-Centred Care Practice (PCPI-S)
Staff perceptions of person-centred care practices measured using the Person-Centred Practice Inventory - Staff (PCPI-S). The instrument assesses values, care processes, and organisational prerequisites for person-centred care. Score Range: Min: 1-Max: 5. Higher scores indicate stronger alignment with person-centred principles.
Baseline, 12 months, 24 months.
Secondary Outcomes (12)
Well-being
Baseline, 6 months, 12 months, 24 months.
Symptoms of Depression and Anxiety
Baseline, 6 months, 12 months, 24 months
Health - EQ-5D-5L Index Score
Baseline, 6 months, 12 months, 24 months
Health - EQ-5D-5L Visual Analogue Scale (VAS)
Baseline, 6 months, 12 months, 24 months.
Frailty
Baseline, 6 months, 12 months, 24 months.
- +7 more secondary outcomes
Study Arms (4)
Older people living in academic nursing homes - intervention group
Older people receiving municipal elder care and residing at academic nursing homes in two swedish municipalities. Participants are exposed to an academic care model integrating evidence-based practice, systematic competence development, and collaboration with higher education institutions. Total expected cohort size: 85-90 participants (Municipality A 60-65; Municipality B \~25).
Older people living in regular nursing homes - comparison group
Older people living in standard municipal nursing homes (non-academic) in the same municipalities. These units represent conventional forms of residential elder care without the academic model. Comparison units are selected to match the size of the intervention cohort.
Staff working in academic nursing homes - intervention group
All staff employed at the academic nursing homes in the two municipalities, including nursing assistants, registered nurses, occupational therapists, physiotherapists, and other nursing staff. Workforce exposed to the academic model's organizational and educational framework. Expected cohort size: 126-130 participants.
Staff working in regular nursing homes - comparison group
Staff at one or more regular nursing home in each municipality, matched in size to the intervention sites. Represents the conventional care organization. Comparison units are selected to match the size of the intervention cohort.
Interventions
This study is conducted in collaboration between two municipalities and the University of Gävle and is linked to the establishment of a new nursing home for older adults that will operate as academic nursing homes. In one municipality, a newly built nursing hom will open as an academic nursing home, while in the other municipality an existing nursing home will be transformed into an academic unit. Within these Academic settings, person-centred care and support will constitute a central focus, alongside the development and use of structured supervision and learning models. All decisions regarding changes to care practices, organisational processes, or the implementation of person-centred approaches are made solely by the municipal services themselves. The research group does not participate in operational decision-making and does not influence the practical design or delivery of care within the units.
Eligibility Criteria
1)Older people in two municipalities who lives in nursing homes (either academic or regular) 2) staff working in nursing homes (either academic or regular) in these two municipalities
You may qualify if:
- Living in nursing homes - academic or standard
- Able to complete a questionnaire independently or with reading assistance
- Employed at an Academic nursing home or a regular nursing home (comparison unit)
- Belonging to care, nursing, or rehabilitation staff, including registered nurses, occupational therapists, and physiotherapists
- Able to complete a questionnaire
You may not qualify if:
- Individuals receiving only safety alarm services and/or meal delivery (no ongoing care contact)
- Individuals unable to provide informed consent
- Individuals unable to complete a questionnaire, even with reading assistance
- Individuals with acute medical conditions that make participation inappropriate (as judged by care staff)
- Individuals with severe cognitive impairment preventing meaningful participation in surveys.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Officials
- STUDY DIRECTOR
Maria Engström, PhD
University of Gävle
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 24, 2026
First Posted
April 2, 2026
Study Start
April 1, 2026
Primary Completion (Estimated)
December 31, 2028
Study Completion (Estimated)
December 31, 2028
Last Updated
April 2, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share
The project involves sensitive health-related information from older adults and care staff collected within municipal elder-care settings. Due to the risk of participant re-identification, the research team will not share raw participant-level data outside the project. Only aggregated and anonymized results will be reported.