State of the science: relationship-oriented management practices in nursing homes.

Journal Article (Review;Journal Article)

Effective staff interdependence is needed to improve care of older adults in nursing homes. We synthesized research about nursing management practices that help nursing home staff members manage their relationships for better care. We searched PubMed for studies of relationship-oriented management in nursing homes, published in English between 2000 and 2010. We evaluated and synthesized findings from the literature. Thirty-three articles met the inclusion criteria. Analyzing these studies, we identified 3 themes: (a) managing relationships between managers and staff, (b) staff participation in decision-making, and (c) work designs that foster staff interactions. Most studies were descriptive and suggested that relationship-oriented management practices will promote better outcomes. Future intervention research that combines relationship-oriented management and evidenced-based clinical practices will help staff to skillfully manage problems in nursing home care, including complex geriatric syndromes.

Full Text

Duke Authors

Cited Authors

  • Toles, M; Anderson, RA

Published Date

  • July 2011

Published In

Volume / Issue

  • 59 / 4

Start / End Page

  • 221 - 227

PubMed ID

  • 21757079

Electronic International Standard Serial Number (EISSN)

  • 1528-3968

International Standard Serial Number (ISSN)

  • 0029-6554

Digital Object Identifier (DOI)

  • 10.1016/j.outlook.2011.05.001


  • eng