ArticleBMJ open quality2021
Exploring managers' response to a quality and safety leadership intervention: findings from a multiple case study in Norwegian nursing homes and homecare services.
Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Influence of Care Home Managers' Leadership on the Delivery of Person-Centred Care for People Living with Dementia: A Systematic Review.Journal of nursing management · 2023Pooled it
- Strengthening Resilience and Mental Well-Being Through the Support4Resilience Toolbox for Leaders in Older Adult Care: Protocol for a Cross-Country Mixed Methods Study (Support4Resilience).JMIR research protocols · 2026Article
- Employees in the municipal healthcare service experiences with participation in quality improvement collaboratives and the use of the Quality Improvement Model: a qualitative study.BMC health services research · 2026Article
- Moving from change agents to improvement architects through the Four Cs model: rethinking healthcare's complexity, cultures, contexts and connections.Frontiers in health services · 2026Review
- Exploring homecare leaders' risk perception and the link to resilience and adaptive capacity: a multiple case study.BMC health services research · 2024Article
- Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities-a case study.Frontiers in health services · 2024Article
- Leading Quality and Safety on the Frontline - A Case Study of Department Leaders in Nursing Homes.Journal of healthcare leadership · 2024Article
- The role of ambidextrous leadership and employee ambidexterity in enhancing service quality of care and creativity - a study of health professionals.BMC health services research · 2023Article
- Making tacit knowledge explicit through objects: a qualitative study of the translation of resilience into practice.Frontiers in public health · 2023Observational
- Managers' strategies in handling the COVID-19 pandemic in Norwegian nursing homes and homecare services.Leadership in health services (Bradford, England) · 2022Article
- A competence improvement programme for the systematic observation of frail older patients in homecare: qualitative outcome analysis.BMC health services research · 2022Article
- Long-Term Care Managers' Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study.Global qualitative nursing researchArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImprovement interventions would be easier to treat if they were stable and uninfluenced by their environment, but in practice, contextual factors may create difficulties in implementing and sustaining changes. Managers of healthcare organisations play an important role in quality and safety improvement. We need more research in the nursing home and homecare settings to support managers in their quality and safety improvement work. The aim of this study was to explore managers' response to a leadership intervention on quality and safety improvement.
methodsThis study reports findings from the SAFE-LEAD intervention undertaken from April 2018 to March 2019. The research design was a multiple case study of two nursing homes and two homecare services in four municipalities in Norway. We used a combination of qualitative methods including interviews, workshops, observations, site visits and document analysis in our data collection that took place over a 1-year period.
resultsManagement continuity was key for the implementation process of the quality and safety leadership intervention. In the units where stable management teams were in place, the intervention was more rooted in the units, and changes in quality and safety practice occurred. The intervention served as an arena for managers to work with quality and safety improvement. We found that the workshops and use of the leadership guide contributed to a common understanding and commitment to quality and safety improvement among the managers.
conclusionsThis is a longitudinal study of managers' response to a leadership intervention targeted to improve quality and safety work in nursing home and homecare settings. Our research demonstrates how the mechanisms of stable management and established structures are crucial for quality and safety improvement activities. Management continuity is key for participating in interventions and for using the leadership guide in quality and safety work.
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