OBJECTIVE: To explore the first-line leaders' role in quality work in long-term care in Norway, in order to determine how that work is related to such success characteristics as leadership, staff, patients, performance, information and information technology. DESIGN: Cross-sectional telephone survey. The text was analysed using content analysis. SETTING: Thirty-two Norwegian municipalities stratified according to region and population size. PARTICIPANTS: Sixty-four first-line leaders in nursing homes and home-based care. Main outcome measure The clinical microsystem approach is used as a framework by defining and designing measureable variables. RESULTS: Thirty-six leaders described how they initiated and motivated employees to be active in quality work; the remaining leaders indicated that they played a passive role. The first-line leaders played a key role in implementing national quality policies and regulations. The quantity of other success characteristics was low. CONCLUSIONS: The municipalities delegated the responsibility of implanting national policies to the first-line leaders. Missing were key quality success criteria such as macro- and meso-perspectives for the municipality as a whole and co-operation with other leaders in the organization and fostering of relevant learning. Quality work was fragmented rather than comprehensive and systematic.
OBJECTIVE: To explore the first-line leaders' role in quality work in long-term care in Norway, in order to determine how that work is related to such success characteristics as leadership, staff, patients, performance, information and information technology. DESIGN: Cross-sectional telephone survey. The text was analysed using content analysis. SETTING: Thirty-two Norwegian municipalities stratified according to region and population size. PARTICIPANTS: Sixty-four first-line leaders in nursing homes and home-based care. Main outcome measure The clinical microsystem approach is used as a framework by defining and designing measureable variables. RESULTS: Thirty-six leaders described how they initiated and motivated employees to be active in quality work; the remaining leaders indicated that they played a passive role. The first-line leaders played a key role in implementing national quality policies and regulations. The quantity of other success characteristics was low. CONCLUSIONS: The municipalities delegated the responsibility of implanting national policies to the first-line leaders. Missing were key quality success criteria such as macro- and meso-perspectives for the municipality as a whole and co-operation with other leaders in the organization and fostering of relevant learning. Quality work was fragmented rather than comprehensive and systematic.
Authors: Carole A Estabrooks; Debra G Morgan; Janet E Squires; Anne-Marie Boström; Susan E Slaughter; Greta G Cummings; Peter G Norton Journal: BMC Med Res Methodol Date: 2011-04-14 Impact factor: 4.615
Authors: Matthias Hoben; Peter G Norton; Liane R Ginsburg; Ruth A Anderson; Greta G Cummings; Holly J Lanham; Janet E Squires; Deanne Taylor; Adrian S Wagg; Carole A Estabrooks Journal: Trials Date: 2017-01-10 Impact factor: 2.279