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How do contextual factors influence quality and safety work in the Norwegian home care and nursing home settings? A qualitative study about managers’ experiences by Ree, Eline; Johannessen, Terese; Wiig, Siri is a Medicine article available to read on EtoBox.

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## Objective Although many contextual factors can facilitate or impede primary care managers’ work with quality and safety, research on how these factors influences the managers’ continuous improvement efforts is scarce. This study explored how primary care managers experience the impact of a variety of contextual factors on their daily quality and safety work. ## Design The study has a qualitative design. Nine semistructured qualitative interviews were conducted at the participants’ workplaces. Systematic text condensation was used for analysis. ## Setting Five nursing homes and three home care services in Norway. ## Participants Female primary care managers at different levels, working in different units and municipalities varying in size and location. ## Results The participants cited the lack of time and money as a significant impediment to quality and safety, and these resources had to be carefully allocated. They emphasised the importance of networks and competence for their quality and safety work. Delegation of responsibility among employees helped create engagement, improved competence and ensured that new knowledge reached all employees. External guidelines and demands he

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Author

Ree, Eline; Johannessen, Terese; Wiig, Siri

Publisher

BMJ; BMJ Publishing Group; London: BMJ Publishing (ISSN 2044-6055)

Published

2019

Language

EN

Field

Medicine (Health Sciences)