Enablers and barriers to implementing care quality improvement program in nursing homes in China
Abstract Objective To explore the perspectives of key stakeholders on necessary factors to implement care quality improvement program. Methods We conducted qualitative descriptive research in eight nursing homes in four major prefecture-level cities of Changsha, Xiangtan, Zhuzhou, and Yueyang. Data...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-021-02488-0 |
| _version_ | 1818367276074663936 |
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| author | Yinan Zhao Lulu Liao Hui Feng Huijing Chen Hongting Ning |
| author_facet | Yinan Zhao Lulu Liao Hui Feng Huijing Chen Hongting Ning |
| author_sort | Yinan Zhao |
| collection | DOAJ |
| description | Abstract Objective To explore the perspectives of key stakeholders on necessary factors to implement care quality improvement program. Methods We conducted qualitative descriptive research in eight nursing homes in four major prefecture-level cities of Changsha, Xiangtan, Zhuzhou, and Yueyang. Data of 50 clinical nurses and 64 nurse assistants were included and analyzed. Ethical approval was given by the medical ethics committee of Chinese Clinical Trial Registry (No. ChiCTR-IOC-17013109, https://www.chictr.org.cn/index.aspx ). One-to-one interviews were used with the nursing managers, and separate focus group discussions were used with the clinical nurses and nurse assistants. All of the interviews were audio recorded and later transcribed verbatim. In addition, the first author documented the responses of every participant in the field notes during the interviews and focus groups. Results The participants’ perspectives were characterized by two main themes: (1) enablers, with four subthemes of “organizational support”, “the evidence-based practice ability”, “proactivity”, “nursing supervision and feedback;” and (2) barriers, with five sub-themes of “low educational background”, “the limitations of self-role orientation”, “resistance to change”, “lack of job motivation”, and “organizational constraints”. Conclusion These findings recognize factors at the organizational level, staff level and societal level that are necessary to implement effective mentoring. The results of this study can provide reference for nursing home in improving nursing management quality, formulating, implementing and revising training policies. |
| first_indexed | 2024-12-13T22:49:28Z |
| format | Article |
| id | doaj.art-eebbf6e3f5934c19b28c72fc874bda19 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-13T22:49:28Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-eebbf6e3f5934c19b28c72fc874bda192022-12-21T23:28:39ZengBMCBMC Geriatrics1471-23182021-10-0121111010.1186/s12877-021-02488-0Enablers and barriers to implementing care quality improvement program in nursing homes in ChinaYinan Zhao0Lulu Liao1Hui Feng2Huijing Chen3Hongting Ning4Xiangya School of Nursing, Central South UniversityXiangya School of Nursing, Central South UniversityXiangya School of Nursing, Central South UniversityXiangya School of Nursing, Central South UniversityXiangya School of Nursing, Central South UniversityAbstract Objective To explore the perspectives of key stakeholders on necessary factors to implement care quality improvement program. Methods We conducted qualitative descriptive research in eight nursing homes in four major prefecture-level cities of Changsha, Xiangtan, Zhuzhou, and Yueyang. Data of 50 clinical nurses and 64 nurse assistants were included and analyzed. Ethical approval was given by the medical ethics committee of Chinese Clinical Trial Registry (No. ChiCTR-IOC-17013109, https://www.chictr.org.cn/index.aspx ). One-to-one interviews were used with the nursing managers, and separate focus group discussions were used with the clinical nurses and nurse assistants. All of the interviews were audio recorded and later transcribed verbatim. In addition, the first author documented the responses of every participant in the field notes during the interviews and focus groups. Results The participants’ perspectives were characterized by two main themes: (1) enablers, with four subthemes of “organizational support”, “the evidence-based practice ability”, “proactivity”, “nursing supervision and feedback;” and (2) barriers, with five sub-themes of “low educational background”, “the limitations of self-role orientation”, “resistance to change”, “lack of job motivation”, and “organizational constraints”. Conclusion These findings recognize factors at the organizational level, staff level and societal level that are necessary to implement effective mentoring. The results of this study can provide reference for nursing home in improving nursing management quality, formulating, implementing and revising training policies.https://doi.org/10.1186/s12877-021-02488-0MentoringQuality improvementNursing homeQualitative research |
| spellingShingle | Yinan Zhao Lulu Liao Hui Feng Huijing Chen Hongting Ning Enablers and barriers to implementing care quality improvement program in nursing homes in China BMC Geriatrics Mentoring Quality improvement Nursing home Qualitative research |
| title | Enablers and barriers to implementing care quality improvement program in nursing homes in China |
| title_full | Enablers and barriers to implementing care quality improvement program in nursing homes in China |
| title_fullStr | Enablers and barriers to implementing care quality improvement program in nursing homes in China |
| title_full_unstemmed | Enablers and barriers to implementing care quality improvement program in nursing homes in China |
| title_short | Enablers and barriers to implementing care quality improvement program in nursing homes in China |
| title_sort | enablers and barriers to implementing care quality improvement program in nursing homes in china |
| topic | Mentoring Quality improvement Nursing home Qualitative research |
| url | https://doi.org/10.1186/s12877-021-02488-0 |
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