[How nurse experts in Swiss nursing homes shape their role development: A qualitative secondary analysis].

How nurse experts in Swiss nursing homes shape their role development: A qualitative secondary analysis In Swiss nursing homes, often registered nurses in expanded roles are responsible for developing and maintaining quality of care. These are qualified nurses with a heterogeneous educational background and extensive professional experience. However, little is known of how they develop their roles in nursing homes. The aim of this study is to show how nurses in expanded roles in nursing homes create the development of their professional roles. Using a constructivist approach, we conducted a qualitative secondary data analysis of 14 semi-structured interviews with nurses in expanded roles from nursing homes in German-speaking Switzerland. The data were analyzed inductively using reflexive thematic analysis. We found the constituent theme "vision as motivation" and a three-phase cycle of role development in the reports of the fourteen nurses in expanded roles. The vision of high-quality care of residents motivates nurses in expanded roles to shape and further develop their role in three phases: 1) Shaping their roles successively; 2) Developing their roles continuously; and 3) Realign their roles. Nursing professionals continuously adapt their roles to the shifting context to improve the quality of nursing care. To succeed, they and their supervisors need a shared vision for quality of care.