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dc.contributor.authorAase, Ingunn
dc.contributor.authorRee, Eline
dc.contributor.authorJohannessen, Terese
dc.contributor.authorStrømme, Torunn
dc.contributor.authorUllebust, Berit
dc.contributor.authorHolen-Rabbersvik, Elisabeth
dc.contributor.authorHurup-Thomsen, Line
dc.contributor.authorSchibevaag, Lene
dc.contributor.authorvan de Bovenkamp, Hester
dc.contributor.authorWiig, Siri
dc.identifier.citationAase, I., Ree, E., Johannessen, T. et al. (2021) Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare. BMC Health Services Research 21, 104en_US
dc.description.abstractBackground 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.en_US
dc.publisherBioMed Centralen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleTalking about quality: how ‘quality’ is conceptualized in nursing homes and homecareen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holder© The Author(s). 2021en_US
dc.subject.nsiVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.source.journalBMC Health Services Researchen_US
dc.relation.projectNorges forskningsråd: 256681en_US
dc.relation.projectSHARE - Centre for Resilience in Healthcare: 5091en_US

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