Vis enkel innførsel

dc.contributor.authorSandvoll, Anne Marieen_US
dc.contributor.authorKristoffersen, Kjellen_US
dc.contributor.authorHauge, Solveigen_US
dc.date.accessioned2014-01-09T08:40:09Z
dc.date.available2014-01-09T08:40:09Z
dc.date.issued2012-06-07eng
dc.PublishedBMC Nursing 11:7eng
dc.identifier.issn1472-6955
dc.identifier.urihttps://hdl.handle.net/1956/7644
dc.description.abstractBackground: Western governments have initiated reforms to improve the quality of care for nursing home residents. Most of these reforms encompass the use of regulations and national quality indicators. In the Norwegian context, these regulations comprise two pages of text that are easy to read and understand. They focus particularly on residents’ rights to plan their day-to-day life in nursing homes. However, the research literature indicates that the implementation of the new regulations, particularly if they aim to change nursing practice, is extremely challenging. The aim of this study was to further explore and describe nursing practice to gain a deeper understanding of why it is so hard to implement the new regulations. Methods: For this qualitative study, an ethnographic design was chosen to explore and describe nursing practice. Fieldwork was conducted in two nursing homes. In total, 45 nurses and nursing aides were included in participant observation, and 10 were interviewed at the end of the field study. Results: Findings indicate that the staff knew little about the new quality regulations, and that the quality of their work was guided by other factors rooted in their nursing practice. Further analyses revealed that the staff appeared to be committed to daily routines and also that they always seemed to know what to do. Having routines and always knowing what to do mutually strengthen and enhance each other, and together they form a powerful force that makes daily nursing care a taken-for-granted activity. Conclusion: New regulations are challenging to implement because nursing practices are so strongly embedded. Improving practice requires systematic and deeply rooted practical change in everyday action and thinking.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/7645" target="blank">”Vi berre gjer det”. Beskrivingar av skjult pleiepraksis i sjukeheim</a>eng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/eng
dc.subjectQualitative methodseng
dc.subjectNursing homeseng
dc.subjectNursing practiceeng
dc.subjectRegulations and routineseng
dc.titleNew quality regulations versus established nursing home practice: a qualitative studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2012 Sandvoll et al.; licensee BioMed Central Ltd
dc.source.articlenumber7
dc.identifier.doihttps://doi.org/10.1186/1472-6955-11-7
dc.source.journalBMC Nursing
dc.source.4011


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel

Attribution CC BY
Med mindre annet er angitt, så er denne innførselen lisensiert som Attribution CC BY