Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
BMC Health Serv Res. 2021 Oct 13;21(1):1090. doi: 10.1186/s12913-021-07113-9.
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.
领导力对于养老院的护理质量至关重要。然而，很少有研究探讨高层管理人员如何确保居民得到高质量的护理。因此，本研究旨在探讨顶级养老院的管理人员如何定义、发展和维持高质量的护理。
我们使用解释性描述，这是一种归纳性的定性方法。我们的研究包括对 19 名管理人员进行的 13 次半结构化访谈。我们使用反思性主题分析对他们的意见进行分析，这是一种迭代方法。
质量的发展和维持是一个循环过程。表现出色的养老院的管理人员高度致力于以患者为中心的护理质量，创造适当的工作条件，并与员工一起不断共同创造愿景和实现护理质量。
本研究证实，在表现出色的养老院中，以患者为中心的方法——即居民和员工都处于中心位置——对于质量的发展和维持至关重要。最有效的管理人员体现了“以患者为中心”：他们以身作则，倡导注重质量的工作条件。这些策略激励员工提供以患者为中心的护理。由于这意味着关注患者的需求，因此会带来高质量的护理。
