{"title":"管理实践促进了瑞典市政护理老年人质量登记高级警报的持续实施。","authors":"Summer Meranius, Josefsson Karin","doi":"10.2174/1874434601812010215","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Senior Alert is a national quality register aimed at supporting a standardized, structured, and systematic preventive care process for adults aged 65 and over in the areas malnutrition, pressure ulcers, falls, problems with oral health and bladder dysfunction. Therefore, the quality register is particularly suitable for older adults with multimorbidity.</p><p><strong>Aim: </strong>The aim was to describe management practices that contributed to the sustained implementation of the quality register Senior Alert in municipal elderly care in Sweden.</p><p><strong>Methods: </strong>The design of this pilot study was descriptive and inductive. The sample of <i>n</i> = 12 included managers (<i>n</i> = 7) and care staff (<i>n</i> = 5) at seven municipal care homes for older adults in Sweden. The study was performed between April 2014 and June 2014 using two methods: Individual interviews and nonparticipant unstructured observations. Data were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>The analysis led to the following generic categories: leading teamwork, leading a preventive care process and leading a supportive organizational structure, and to one main category: management promoting learning and quality improvement.</p><p><strong>Conclusion: </strong>To be sustainable, Senior Alert implementations in municipal elderly care need management. Management, by leading teamwork, a preventive care process and a supportive organizational structure, is essential for achieving learning and quality improvement.</p>","PeriodicalId":38868,"journal":{"name":"Open Nursing Journal","volume":"12 ","pages":"215-224"},"PeriodicalIF":0.0000,"publicationDate":"2018-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6210526/pdf/","citationCount":"4","resultStr":"{\"title\":\"Management Practices Promoting Sustained Implementation of the Quality Register Senior Alert for Older Adults in Municipal Care in Sweden.\",\"authors\":\"Summer Meranius, Josefsson Karin\",\"doi\":\"10.2174/1874434601812010215\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Senior Alert is a national quality register aimed at supporting a standardized, structured, and systematic preventive care process for adults aged 65 and over in the areas malnutrition, pressure ulcers, falls, problems with oral health and bladder dysfunction. Therefore, the quality register is particularly suitable for older adults with multimorbidity.</p><p><strong>Aim: </strong>The aim was to describe management practices that contributed to the sustained implementation of the quality register Senior Alert in municipal elderly care in Sweden.</p><p><strong>Methods: </strong>The design of this pilot study was descriptive and inductive. The sample of <i>n</i> = 12 included managers (<i>n</i> = 7) and care staff (<i>n</i> = 5) at seven municipal care homes for older adults in Sweden. The study was performed between April 2014 and June 2014 using two methods: Individual interviews and nonparticipant unstructured observations. Data were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>The analysis led to the following generic categories: leading teamwork, leading a preventive care process and leading a supportive organizational structure, and to one main category: management promoting learning and quality improvement.</p><p><strong>Conclusion: </strong>To be sustainable, Senior Alert implementations in municipal elderly care need management. Management, by leading teamwork, a preventive care process and a supportive organizational structure, is essential for achieving learning and quality improvement.</p>\",\"PeriodicalId\":38868,\"journal\":{\"name\":\"Open Nursing Journal\",\"volume\":\"12 \",\"pages\":\"215-224\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-10-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6210526/pdf/\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Open Nursing Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/1874434601812010215\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2018/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Nursing Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/1874434601812010215","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
Management Practices Promoting Sustained Implementation of the Quality Register Senior Alert for Older Adults in Municipal Care in Sweden.
Background: Senior Alert is a national quality register aimed at supporting a standardized, structured, and systematic preventive care process for adults aged 65 and over in the areas malnutrition, pressure ulcers, falls, problems with oral health and bladder dysfunction. Therefore, the quality register is particularly suitable for older adults with multimorbidity.
Aim: The aim was to describe management practices that contributed to the sustained implementation of the quality register Senior Alert in municipal elderly care in Sweden.
Methods: The design of this pilot study was descriptive and inductive. The sample of n = 12 included managers (n = 7) and care staff (n = 5) at seven municipal care homes for older adults in Sweden. The study was performed between April 2014 and June 2014 using two methods: Individual interviews and nonparticipant unstructured observations. Data were analyzed using qualitative content analysis.
Results: The analysis led to the following generic categories: leading teamwork, leading a preventive care process and leading a supportive organizational structure, and to one main category: management promoting learning and quality improvement.
Conclusion: To be sustainable, Senior Alert implementations in municipal elderly care need management. Management, by leading teamwork, a preventive care process and a supportive organizational structure, is essential for achieving learning and quality improvement.
期刊介绍：
The Open Nursing Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, letters and guest edited thematic issues in all areas of nursing. The Open Nursing Journal, a peer-reviewed journal, is an important and reliable source of current information on developments in the field. The emphasis will be on publishing quality papers rapidly and freely available to researchers worldwide. We welcome papers related to nursing and midwifery, with specific relevance to health care practice, policy and research. We publish under the following themes: -Nursing and Midwifery practice -Education -Research methodology -Evidence based practice -New role in practice -Systematic reviews -Case studies -Ethical and professional issues -Management in health care -Sustainability in health and health care provision All authors should make clear how the implications of their paper for nursing, midwifery and health care practice. They should also clearly identify the ‘take home message’ from their paper.
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