ArticleNursing open2023
Expanded role of nurses in Swiss nursing homes and their engagement in quality improvement: A cross-sectional study.
Article in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- The Mobile Hospital delivers outreach acute care to nursing homes: healthcare staff interviews.International journal of emergency medicine · 2026Article
- Exploring the Presence and Impact of Advanced Nursing Roles in Care Homes and Charitable Organisations: An International Systematic Scoping Review.Journal of advanced nursing · 2026Article
- Medication-related infrastructure and medication reviews in nursing homes-a rapid appraisal study.BMC health services research · 2025Article
- Expanded role of nurses in Swiss nursing homes and their engagement in quality improvement: A cross-sectional study.Nursing open · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo report on the engagement of Swiss nursing homes and of nurses in expanded roles in quality improvement.
designA cross-sectional study (2018-2019).
methodsSurvey data from a sample of 115 Swiss nursing homes and 104 nurses in expanded roles. Descriptive statistics were used.
resultsMost participating nursing homes reported carrying several quality improvement activities (median of eight out of 10 activities surveyed) but some were only engaged in five activities or less. Nursing homes working with nurses in expanded roles (n = 83) showed greater engagement in quality improvement than those working with none. Nurses with more advanced qualifications (Bachelor's or Master's degree) engaged more in quality improvement than nurses with standard training. Specifically, higher educated nurses were more involved in data-focused activities. Using nurses in expanded roles can be a way forward for nursing homes seeking to actively carry out quality improvement in their facilities.
conclusionAlthough a large proportion of nurses in expanded roles surveyed were implementing quality activities, their level of engagement depended on their educational level. Our findings support the principle that higher level competencies are a key aspect of data-based quality improvement in nursing homes. However, as Advance Practice Registered Nurses will remain difficult to recruit in nursing homes, using nurses in expanded roles might contribute to quality improvement.
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