Jacobsen FF, et al. - Here, researchers explore which factors hindered or facilitated staff awareness associated with confidence building initiatives based on person-centered care, as an option to restraint in residents with dementia in nursing homes. Leadership, in interplay with staff culture, turned out to be the most significant factor hindering or promoting staff awareness associated with confidence building initiatives, based on person-centered care. While quantitative data indicated variations across institutions and the extent of this variation, qualitative data offered insight into the local processes involved. A mixed method approach enabled comprehension of dynamic contextual relationships.