A Focus Group Study of Perceptions of Quality of Care Among Nurses in Nursing Homes
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A research team conducted a focus group study of central Texas nurses over a period of several weeks during September and October of 2009, at four different long-term care facilities. The total number of respondents was 15. We sought insight into the experience of nurses in quality of care, the nurses' perceptions of management competence, and we sought the nurses' perceptions of their roles as contrasted with the roles of certified nursing assistants (CNAs). Basing our set of questions on those from a 2001 study of CNAs, we found that nurses view quality in a holistic manner - - meeting the physical, emotional and spiritual needs of the resident to the greatest degree possible. We found that nurses in one of the four facilities had made progress in cultural change. Nurses and families saw management competence as the effectiveness and speed in which managers responded to questions or complaints. The study found nurses to be motivated by the job itself, seeing it as a ministry to the elderly. Several managerial implications are included in the study, including management's role in quality, motivation, and cultural change.