Haave Randi Olsson, Skinner Marianne Sundlisæter, Melby Line
Centre for Care Research, NTNU - Norwegian University of Science and Technology, Gjøvik, Norway.
Department of Health Research, SINTEF Digital, Trondheim, Norway.
Glob Qual Nurs Res. 2025 Apr 28;12:23333936251336093. doi: 10.1177/23333936251336093. eCollection 2025 Jan-Dec.
Long-term care managers are essential in creating high-quality services. Previous research has a limited focus on managers' practices and approaches to quality improvement work. This study aims to explore how Norwegian long-term care managers approach systematic and ad hoc quality improvement work in the context of service planning and provision. In-depth interviews were conducted with twelve long-term care managers from three municipalities and analysed using inductive thematic analysis. Three themes were identified: , and . The results indicate that using key nurses' expertise and resources were crucial approaches in the long-term care managers' quality improvement work. Quality indicators, delegation of responsibility to other care staff and collaboration within and across municipalities were used to varying degrees. Increased collaboration with other managers, involvement of care staff and awareness and use of quality indicators are approaches that may strengthen long-term care managers' quality improvement work.
长期护理管理者对于提供高质量服务至关重要。以往的研究对管理者在质量改进工作中的实践和方法关注有限。本研究旨在探讨挪威长期护理管理者在服务规划和提供背景下如何开展系统性和临时性质量改进工作。对来自三个市镇的12位长期护理管理者进行了深入访谈，并采用归纳主题分析法进行分析。确定了三个主题： 、 和 。结果表明，利用关键护士的专业知识和资源是长期护理管理者质量改进工作的关键方法。质量指标、将责任委托给其他护理人员以及市镇内部和跨市镇的协作在不同程度上得到了应用。加强与其他管理者的协作、护理人员的参与以及对质量指标的认识和使用是可能加强长期护理管理者质量改进工作的方法。
