Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes
Abstract 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 home...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-021-07113-9 |
| _version_ | 1819109173950939136 |
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| author | Brigitte Lalude Asante Franziska Zúñiga Lauriane Favez |
| author_facet | Brigitte Lalude Asante Franziska Zúñiga Lauriane Favez |
| author_sort | Brigitte Lalude Asante |
| collection | DOAJ |
| description | Abstract 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 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 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 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. |
| first_indexed | 2024-12-22T03:21:37Z |
| format | Article |
| id | doaj.art-e98f2913530948f880f1de25925f16be |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-22T03:21:37Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-e98f2913530948f880f1de25925f16be2022-12-21T18:40:42ZengBMCBMC Health Services Research1472-69632021-10-0121111010.1186/s12913-021-07113-9Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homesBrigitte Lalude Asante0Franziska Zúñiga1Lauriane Favez2Institute of Nursing Science, University of BaselInstitute of Nursing Science, University of BaselInstitute of Nursing Science, University of BaselAbstract 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 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 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 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.https://doi.org/10.1186/s12913-021-07113-9Nursing careLeadershipQuality of Health CareNursing HomesQualitative research |
| spellingShingle | Brigitte Lalude Asante Franziska Zúñiga Lauriane Favez Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes BMC Health Services Research Nursing care Leadership Quality of Health Care Nursing Homes Qualitative research |
| title | Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes |
| title_full | Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes |
| title_fullStr | Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes |
| title_full_unstemmed | Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes |
| title_short | Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes |
| title_sort | quality of care is what we make of it a qualitative study of managers perspectives on quality of care in high performing nursing homes |
| topic | Nursing care Leadership Quality of Health Care Nursing Homes Qualitative research |
| url | https://doi.org/10.1186/s12913-021-07113-9 |
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