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Table 3 CMOC 1: Positive regard and empathy for residents—leadership promotion of person-centred care

From: Giving permission to care for people with dementia in residential homes: learning from a realist synthesis of hearing-related communication

Programme theory component

Context(s) and interventional strategies suggested by the included papers

Mechanism(s) and outcome(s)

References for data sources

CMOC 1: Positive regard and empathy for residents—leadership promotion of person-centred care

Person-centred care and positive regard to PLWDHL* is seen by care staff to be provided by leadership and management [context]. Care staff are valued [context] and given levels of permission to work autonomously [context].

These contexts are likely to occur when leadership and management model person-centred care and positive regard show they value their staff by enhancing working conditions and providing training opportunities and allow them to work autonomously.

Staff would recognise their professional efficacy and value [mechanism] and feel supported and equipped [mechanism], and believe they have permission to provide person-centred care for PLWDHL [outcome] that is empathetic to their hearing-related communication needs [outcome].

[26, 38,39,40,41,42,43,44,45,46,47,48,49, 55]

  1. *PLWDHL person living with dementia and hearing loss