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Long-Term Care Managers' Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative
Randi Olsson Haave1, Marianne Sundlisæter Skinner1, Line Melby1,2
1Centre for Care Research, NTNU - Norwegian University of Science and Technology, Gjøvik, Norway.
Global Qualitative Nursing Research
|April 30, 2025
Summary
Norwegian long-term care managers leverage key nurses
Area of Science:
- Healthcare Management
- Quality Improvement in Long-Term Care
- Service Provision Analysis
Background:
- Limited research exists on long-term care managers' quality improvement (QI) practices.
- Effective QI is crucial for high-quality long-term care services.
- Understanding managers' approaches is vital for service enhancement.
Purpose of the Study:
- To explore how Norwegian long-term care managers approach systematic and ad hoc QI.
- To investigate managers' strategies in service planning and provision.
- To identify factors influencing QI work in long-term care.
Main Methods:
- Conducted in-depth interviews with twelve long-term care managers.
- Utilized inductive thematic analysis for data interpretation.
- Focused on managers from three Norwegian municipalities.
Main Results:
- Identified three key themes: delegating responsibility for care quality, aiming for comparable services, and using quality indicators.
- Key nurses' expertise and resources were crucial for QI.
- Quality indicators, delegation, and collaboration were used variably.
Conclusions:
- Leveraging key nurses' expertise is a vital QI approach for long-term care managers.
- Increased collaboration, staff involvement, and quality indicator use can strengthen QI efforts.
- Systematic and ad hoc approaches to QI require further development in long-term care management.
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