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dc.contributor.authorHavig, Anders Kvale
dc.contributor.authorSkogstad, Anders
dc.contributor.authorKjekshus, Lars Erik
dc.contributor.authorRomøren, Tor Inge
dc.date.accessioned2019-10-09T12:28:30Z
dc.date.available2019-10-09T12:28:30Z
dc.date.created2011-12-06T08:43:46Z
dc.date.issued2011
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/11250/2621189
dc.description.abstractBackground Leadership and staffing are recognised as important factors for quality of care. This study examines the effects of ward leaders' task- and relationship-oriented leadership styles, staffing levels, ratio of registered nurses and ratio of unlicensed staff on three independent measures of quality of care. Methods A cross-sectional survey of forty nursing home wards throughout Norway was used to collect the data. Five sources of data were utilised: self-report questionnaires to 444 employees, interviews with and questionnaires to 13 nursing home directors and 40 ward managers, telephone interviews with 378 relatives and 900 hours of field observations. Separate multi-level analyses were conducted for quality of care assessed by relatives, staff and field observations respectively. Results Task-oriented leadership style had a significant positive relationship with two of the three quality of care indexes. In contrast, relationship-oriented leadership style was not significantly related to any of the indexes. The lack of significant effect for relationship-oriented leadership style was due to a strong correlation between the two leadership styles (r = 0.78). Staffing levels and ratio of registered nurses were not significantly related to any of the quality of care indexes. The ratio of unlicensed staff, however, showed a significant negative relationship to quality as assessed by relatives and field observations, but not to quality assessed by staff. Conclusions Leaders in nursing homes should focus on active leadership and particularly task-oriented behaviour like structure, coordination, clarifying of staff roles and monitoring of operations to increase quality of care. Furthermore, nursing homes should minimize use of unlicensed staff and address factors related to high ratios of unlicensed staff, like low staff stability. The study indicates, however, that the relationship between staffing levels, ratio of registered nurses and quality of care is complex. Increasing staffing levels or the ratio of registered nurses alone is not likely sufficient for increasing quality of care.nb_NO
dc.language.isoengnb_NO
dc.publisherBMC (part of Springer Nature)nb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleLeadership, staffing and quality of care in nursing homesnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.subject.nsiVDP::Organisasjonspsykologi: 268nb_NO
dc.subject.nsiVDP::Organisational psychology: 268nb_NO
dc.source.volume11nb_NO
dc.source.journalBMC Health Services Researchnb_NO
dc.source.issue327nb_NO
dc.identifier.doi10.1186/1472-6963-11-327
dc.identifier.cristin864496
dc.description.localcode© 2011 Havig et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.nb_NO
cristin.unitcode194,65,70,20
cristin.unitnameSenter for omsorgsforskning
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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