Long-Term Care Managers’ Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study

Long-term care managers are essential in creating high-quality services. Previous research has a limited focus on managers’ practices and approaches to quality improvement work. This study aims to explore how Norwegian long-term care managers approach systematic and ad hoc quality improvement work i...

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Main Authors: Randi Olsson Haave, Marianne Sundlisæter Skinner, Line Melby
Format: Article
Language:English
Published: SAGE Publishing 2025-04-01
Series:Global Qualitative Nursing Research
Online Access:https://doi.org/10.1177/23333936251336093
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author Randi Olsson Haave
Marianne Sundlisæter Skinner
Line Melby
author_facet Randi Olsson Haave
Marianne Sundlisæter Skinner
Line Melby
author_sort Randi Olsson Haave
collection DOAJ
description Long-term care managers are essential in creating high-quality services. Previous research has a limited focus on managers’ practices and approaches to quality improvement work. This study aims to explore how Norwegian long-term care managers approach systematic and ad hoc quality improvement work in the context of service planning and provision. In-depth interviews were conducted with twelve long-term care managers from three municipalities and analysed using inductive thematic analysis. Three themes were identified: delegating responsibility to ensure care quality , the creation of comparable services is a goal and using quality indicators in quality improvement work . The results indicate that using key nurses’ expertise and resources were crucial approaches in the long-term care managers’ quality improvement work. Quality indicators, delegation of responsibility to other care staff and collaboration within and across municipalities were used to varying degrees. Increased collaboration with other managers, involvement of care staff and awareness and use of quality indicators are approaches that may strengthen long-term care managers’ quality improvement work.
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spelling doaj-art-d7160edccbe84e2791878047dfbbab4d2025-08-20T03:19:15ZengSAGE PublishingGlobal Qualitative Nursing Research2333-39362025-04-011210.1177/23333936251336093Long-Term Care Managers’ Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview StudyRandi Olsson Haave0Marianne Sundlisæter Skinner1Line Melby2Centre for Care Research, NTNU – Norwegian University of Science and Technology, Gjøvik, NorwayCentre for Care Research, NTNU – Norwegian University of Science and Technology, Gjøvik, NorwayDepartment of Health Research, SINTEF Digital, Trondheim, NorwayLong-term care managers are essential in creating high-quality services. Previous research has a limited focus on managers’ practices and approaches to quality improvement work. This study aims to explore how Norwegian long-term care managers approach systematic and ad hoc quality improvement work in the context of service planning and provision. In-depth interviews were conducted with twelve long-term care managers from three municipalities and analysed using inductive thematic analysis. Three themes were identified: delegating responsibility to ensure care quality , the creation of comparable services is a goal and using quality indicators in quality improvement work . The results indicate that using key nurses’ expertise and resources were crucial approaches in the long-term care managers’ quality improvement work. Quality indicators, delegation of responsibility to other care staff and collaboration within and across municipalities were used to varying degrees. Increased collaboration with other managers, involvement of care staff and awareness and use of quality indicators are approaches that may strengthen long-term care managers’ quality improvement work.https://doi.org/10.1177/23333936251336093
spellingShingle Randi Olsson Haave
Marianne Sundlisæter Skinner
Line Melby
Long-Term Care Managers’ Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study
Global Qualitative Nursing Research
title Long-Term Care Managers’ Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study
title_full Long-Term Care Managers’ Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study
title_fullStr Long-Term Care Managers’ Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study
title_full_unstemmed Long-Term Care Managers’ Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study
title_short Long-Term Care Managers’ Approaches to Quality Improvement Work in Service Planning and Provision: A Qualitative Interview Study
title_sort long term care managers approaches to quality improvement work in service planning and provision a qualitative interview study
url https://doi.org/10.1177/23333936251336093
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AT linemelby longtermcaremanagersapproachestoqualityimprovementworkinserviceplanningandprovisionaqualitativeinterviewstudy