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Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare
BACKGROUND: The delivery of high-quality service in nursing homes and homecare requires collaboration and shared understanding among managers, employees, users and policy makers from across the healthcare system. However, conceptualizing healthcare professionals’ perception of quality beyond hospita...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7847031/ https://www.ncbi.nlm.nih.gov/pubmed/33516206 http://dx.doi.org/10.1186/s12913-021-06104-0 |
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author | Aase, Ingunn Ree, Eline Johannessen, Terese Strømme, Torunn Ullebust, Berit Holen-Rabbersvik, Elisabeth Thomsen, Line Hurup Schibevaag, Lene van de Bovenkamp, Hester Wiig, Siri |
author_facet | Aase, Ingunn Ree, Eline Johannessen, Terese Strømme, Torunn Ullebust, Berit Holen-Rabbersvik, Elisabeth Thomsen, Line Hurup Schibevaag, Lene van de Bovenkamp, Hester Wiig, Siri |
author_sort | Aase, Ingunn |
collection | PubMed |
description | BACKGROUND: The delivery of high-quality service in nursing homes and homecare requires collaboration and shared understanding among managers, employees, users and policy makers from across the healthcare system. However, conceptualizing healthcare professionals’ perception of quality beyond hospital settings (e.g., its perspectives, defining attributes, quality dimensions, contextual factors, dilemmas) has rarely been done. This study therefore explores the meaning of “quality” among healthcare managers and staff in nursing homes and homecare. METHODS: The study applies a cross-sectional qualitative design with focus groups and individual interviews, to capture both depth and breadth of conceptualization of quality from healthcare professionals in nursing homes and homecare. We draw our data from 65 managers and staff in nursing homes and homecare services in Norway and the Netherlands. The participants worked as managers (n = 40), registered nurses (RNs) or assistant nurses (n = 25). RESULTS: The analysis identified the two categories and four sub-categories: “Professional issues: more than firefighting” (subcategories “professional pride” and “competence”) and “patient-centered approach: more than covering basic needs” (subcategories “dignity” and “continuity”). Quality in nursing homes and homecare is conceptualized as an ongoing process based on having the “right competence,” good cooperation across professional groups, and patient-centered care, in line with professional pride and dignity for the patients. CONCLUSION: Based on the understanding of quality among the healthcare professionals in our study, quality should encompass the softer dimensions of professional pride and competence, as well as a patient-centered approach to care. These dimensions should be factors in improvement activities and in daily practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06104-0. |
format | Online Article Text |
id | pubmed-7847031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78470312021-02-01 Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare Aase, Ingunn Ree, Eline Johannessen, Terese Strømme, Torunn Ullebust, Berit Holen-Rabbersvik, Elisabeth Thomsen, Line Hurup Schibevaag, Lene van de Bovenkamp, Hester Wiig, Siri BMC Health Serv Res Research Article BACKGROUND: The delivery of high-quality service in nursing homes and homecare requires collaboration and shared understanding among managers, employees, users and policy makers from across the healthcare system. However, conceptualizing healthcare professionals’ perception of quality beyond hospital settings (e.g., its perspectives, defining attributes, quality dimensions, contextual factors, dilemmas) has rarely been done. This study therefore explores the meaning of “quality” among healthcare managers and staff in nursing homes and homecare. METHODS: The study applies a cross-sectional qualitative design with focus groups and individual interviews, to capture both depth and breadth of conceptualization of quality from healthcare professionals in nursing homes and homecare. We draw our data from 65 managers and staff in nursing homes and homecare services in Norway and the Netherlands. The participants worked as managers (n = 40), registered nurses (RNs) or assistant nurses (n = 25). RESULTS: The analysis identified the two categories and four sub-categories: “Professional issues: more than firefighting” (subcategories “professional pride” and “competence”) and “patient-centered approach: more than covering basic needs” (subcategories “dignity” and “continuity”). Quality in nursing homes and homecare is conceptualized as an ongoing process based on having the “right competence,” good cooperation across professional groups, and patient-centered care, in line with professional pride and dignity for the patients. CONCLUSION: Based on the understanding of quality among the healthcare professionals in our study, quality should encompass the softer dimensions of professional pride and competence, as well as a patient-centered approach to care. These dimensions should be factors in improvement activities and in daily practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06104-0. BioMed Central 2021-01-30 /pmc/articles/PMC7847031/ /pubmed/33516206 http://dx.doi.org/10.1186/s12913-021-06104-0 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Aase, Ingunn Ree, Eline Johannessen, Terese Strømme, Torunn Ullebust, Berit Holen-Rabbersvik, Elisabeth Thomsen, Line Hurup Schibevaag, Lene van de Bovenkamp, Hester Wiig, Siri Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare |
title | Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare |
title_full | Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare |
title_fullStr | Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare |
title_full_unstemmed | Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare |
title_short | Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare |
title_sort | talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7847031/ https://www.ncbi.nlm.nih.gov/pubmed/33516206 http://dx.doi.org/10.1186/s12913-021-06104-0 |
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