Person-centred care acknowledges the person behind the patient and can enhance the quality of life of long term care residents. Relational aspects of health care are foundational to person-centred care; this study examines associations between relational aspects of care and residents’ self-reported mental and physical health. A secondary analysis of British Columbia Residential Care Survey data (N = 2,108) used hierarchical multivariate linear regression to evaluate the extent to which relational aspects of care explain variation in self-reported physical and mental health, relative to other care experiences. Relative improvement in relational aspects of care was associated with greater self-reported physical and mental health. For self-reported physical health, relational aspects accounted for 34.5% of the explained variance (R2 = 0.279), and for self-reported mental health, accounted for 48.3% of the explained variance (R2 = 0.274). Relational aspects of care do positively influence residents’ physical and mental health outcomes.
Internationally Educated Nurses (IENs) are an integral part of Canada’s workforce. In a qualitative study, seven Nurse Managers from long-term care facilities in British Columbia were interviewed about their perceptions and experiences with IENs, and how these influenced their hiring practices. Three themes emerged: Acknowledging the Complexities, Finding the “Right Fit”, and Navigating Differences. Conclusions were that Nurse Managers: 1) Compared IENs to newly graduated nurses, 2) Generally preferred hiring Canadian educated nurses over IENs, 3) Perceived IENs as being ready to practice, but failed to acknowledge their nursing education and experience, 4) Perceived IENs as a homogenous group, 5) Preferred hiring IENs with positive attitudes, clear communication skills, and Canadian nursing experience, 6) Were unware of current licensing guidelines, 7) Used no established hiring guidelines, and 8) Possessed a positive ‘gut feeling” about new hires. Recommendations for nursing education, management, and research are made based on these conclusions.