ArticleBMC health services research2021
Quality of care is what we make of it: a qualitative study of managers' perspectives on quality of care in high-performing nursing homes.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Nurse Managers' Awareness of and Competence in Palliative Care in Municipal Care Settings: A Systematic Mixed Studies Review.Nursing & health sciences · 2026Pooled it
- Swiss nursing home residents' perspectives on person-centered care: comparing data from 2013 and 2019.BMC nursing · 2026Article
- The Influence of Competent Managers on Employee Retention, Job Satisfaction and Well-Being in the Healthcare Industry - A Scoping Review.Journal of healthcare leadership · 2026Review
- Nurses' experiences of an outreach interprofessional mental health service for nursing homes: a qualitative descriptive study.Journal of psychiatric and mental health nursing · 2022Article
- Analysis of the Effectiveness of Nursing Interventions in Critically Ill Patients in Respiratory Medicine.Journal of healthcare engineering · 2022Article
- Long-Term Care Managers' Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study.Global qualitative nursing researchArticle
- Care staff perspectives of clinically meaningful outcomes for dementia residents.Alzheimer's & dementia (New York, N. Y.)Article
- Managers' Perspectives of Quality of Care in Service Housing and Home Care Services: A Qualitative Study.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeadership 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.
methodWe 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.
resultsQuality 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.
conclusionsThis 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.
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Registered trials
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