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Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare
Open accessAbstract
Background: 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.
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“The linkage between quality home care and continuity of care in the literature [44], and broadly speaking, relational continuity in health care has led to more effective and efficient diagnosis and management of health problems and a means of building patient trust [45].”
From The hospital-to-home care transition experience of home care clients: an exploratory study using patient journey mapping (2023) · cites this paper as [44]
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Saragosa, M., Nizzer, S., McKay, S., & Kuluski, K. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09899-2 · Cited by 37
“The linkage between quality home care and continuity of care in the literature [44], and broadly speaking, relational continuity in health care has led to more effective and efficient diagnosis and management of health problems and a means of building patient trust [45].”
Background
Metadata
- Authors
- Aase, I., Ree, E., Johannessen, T., Strømme, T., Ullebust, B., Holen-Rabbersvik, E., Thomsen, L. H., Schibevaag, L., van de Bovenkamp, H., & Wiig, S.
- Affiliations
- University of Stavanger (NO)
- University of Agder (NO)
- Stavanger Kommune (NO)
- Corresponding author
- Aase, Ingunn
- ORCID
- Venue
- BMC Health Services Research
- Published
- 2021-01-30
- Volume
- 21
- Issue
- 1
- Pages
- 104-104
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC7847031
- OpenAlex
- W3127708761
- Cited by
- 47
- References
- 39
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 12 · 2023: 12 · 2022: 7 · 2021: 6
- FWCI
- 10.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Norges Forskningsråd (256681/H10)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- quality of care, nursing homes, home care, quality concept, healthcare professionals' perceptions, professional pride, competence, patient-centered care, human dignity, continuity of care, interprofessional collaboration, long-term care
- MeSH terms
- Cross-Sectional Studies, Home Care Services, Humans, Netherlands, Norway, Nursing Homes
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