% IMPORTANT: The following is UTF-8 encoded.  This means that in the presence
% of non-ASCII characters, it will not work with BibTeX 0.99 or older.
% Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or
% “biber”.

@ARTICLE{HoffmannHoffrichter:280791,
      author       = {Hoffmann-Hoffrichter, Anna Louisa and Hohmann, Andreas and
                      Holle, Bernhard and Palm, Rebecca and Roes, Martina},
      title        = {{P}erson-centred care of people living with dementia and
                      its regulation in {G}erman-speaking nursing homes: {A}
                      qualitative focus group study.},
      journal      = {International journal of nursing studies advances},
      volume       = {9},
      issn         = {2666-142X},
      address      = {Amsterdam},
      publisher    = {Elsevier},
      reportid     = {DZNE-2025-00975},
      pages        = {100400},
      year         = {2025},
      abstract     = {Although nursing homes are aware of the relevance of
                      person-centred care, the translation of this approach into
                      practice remains difficult. This study aims to explore the
                      meaning of person-centred dementia care and the role of
                      internal regulations in German-speaking nursing homes in
                      translating this concept into practice.This study (a
                      qualitative exploratory design) is part of an overall study
                      of internal regulations about person-centred dementia care
                      in nursing homes. In this substudy, we conducted nine
                      virtual focus group discussions with experts from theory,
                      practice, and regulatory authorities from Germany, Austria
                      and Switzerland about person-centred dementia care. We
                      analysed the data via qualitative content analysis using a
                      deductive-inductive approach.For experts, the leadership
                      function is crucial for the concept of person-centred
                      dementia care in nursing homes. Leadership is inextricably
                      linked to other elements, such as setting priorities,
                      mindset, structural requirements, internal regulations and
                      outcomes. Leadership therefore has a hinge function: it
                      enables a limited and controlled rotation of connected
                      elements to illustrate the dimensions of the individual
                      elements from person-centred to non-person-centred. In
                      addition to setting priorities and outcomes, mindset
                      development and structural requirements are particularly
                      relevant for the implementation of person-centred dementia
                      care in nursing homes. The experts described differences
                      between traditional internal regulations and regulations
                      about person-centred dementia care in nursing homes. The
                      development of internal regulations for person-centred
                      dementia care and the content of these regulations are
                      consequences of a circular, dialogical collective
                      understanding process. It leads processually in a bottom-up
                      manner to a common understanding of person-centred dementia
                      care, which is then written down. Experts recommend
                      formulating these regulations as concepts and options
                      analogous to mindset development, which employees can use in
                      the care of the resident while maintaining autonomy.The
                      study provides 1) insight into how person-centred dementia
                      care and the role of internal regulation are understood in
                      German-speaking nursing homes and 2) a precise description
                      of the development of a mindset and regulations for
                      person-centred dementia care in nursing homes that requires
                      both top-down and bottom-up processes.},
      keywords     = {Dementia (Other) / Focus groups (Other) / Internal
                      regulations (Other) / Long-term care (Other) / Mindset
                      development (Other) / Nursing home (Other) / Person-centred
                      care (Other)},
      cin          = {AG Roes / AG Holle / AG Teupen},
      ddc          = {610},
      cid          = {I:(DE-2719)1610003 / I:(DE-2719)1610002 /
                      I:(DE-2719)5000076},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:40842507},
      pmc          = {pmc:PMC12365120},
      doi          = {10.1016/j.ijnsa.2025.100400},
      url          = {https://pub.dzne.de/record/280791},
}