Quality of care is what we make of it: a qualitative study of managers' perspectives on quality of care in high-performing nursing homes.
Leadership
Nursing Homes
Nursing care
Qualitative research
Quality of Health Care
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
13 Oct 2021
13 Oct 2021
Historique:
received:
08
06
2021
accepted:
01
10
2021
entrez:
14
10
2021
pubmed:
15
10
2021
medline:
16
10
2021
Statut:
epublish
Résumé
Leadership has a vital role regarding quality of care in nursing homes. However, few studies have explored upper-level managers' views on how to assure that residents receive high quality of care. Therefore, this study's aim was to examine how managers of top-quality nursing homes define, develop and maintain high-quality of care. We used interpretive description, an inductive, qualitative approach. Our research included 13 semi-structured interviews with 19 managers. We analyzed their input using reflexive thematic analysis, which is an iterative approach. Quality development and maintenance are cyclic processes. Managers in high-performing nursing homes lead with high commitment towards a person-centred quality of care, creating appropriate working conditions and continuously co-creating a vision and the realization of quality of care together with employees. This study confirms that, in high-performing nursing homes, a person-centered approach-one where both residents and employees are at the center-is essential for quality development and maintenance. The most effective managers exemplify "person centeredness": they lead by example and promote quality-focused working conditions. Such strategies motivate employees to provide person-centered care. As this means focusing on residents' needs, it results in high care quality.
Sections du résumé
BACKGROUND
BACKGROUND
Leadership has a vital role regarding quality of care in nursing homes. However, few studies have explored upper-level managers' views on how to assure that residents receive high quality of care. Therefore, this study's aim was to examine how managers of top-quality nursing homes define, develop and maintain high-quality of care.
METHOD
METHODS
We used interpretive description, an inductive, qualitative approach. Our research included 13 semi-structured interviews with 19 managers. We analyzed their input using reflexive thematic analysis, which is an iterative approach.
RESULTS
RESULTS
Quality development and maintenance are cyclic processes. Managers in high-performing nursing homes lead with high commitment towards a person-centred quality of care, creating appropriate working conditions and continuously co-creating a vision and the realization of quality of care together with employees.
CONCLUSIONS
CONCLUSIONS
This study confirms that, in high-performing nursing homes, a person-centered approach-one where both residents and employees are at the center-is essential for quality development and maintenance. The most effective managers exemplify "person centeredness": they lead by example and promote quality-focused working conditions. Such strategies motivate employees to provide person-centered care. As this means focusing on residents' needs, it results in high care quality.
Identifiants
pubmed: 34645441
doi: 10.1186/s12913-021-07113-9
pii: 10.1186/s12913-021-07113-9
pmc: PMC8515763
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1090Informations de copyright
© 2021. The Author(s).
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