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First-Line Nursing Home Managers in Sweden and their Views on Leadership and Palliative Care
Ersta Sköndal University College, Palliative Research Centre, PRC. Department of Neurobiology, Care science and Society, Karolinska Institutet, Stockholm, Sweden.
Ersta Sköndal University College, Palliative Research Centre, PRC. Department of Oncology/Pathology, Karolinska Institutet, Stockholm, Sweden, Stord Haugesund University College, Norway.
Department of Neurobiology, Care science and Society, Karolinska Institutet, Stockholm, Sweden, FOUnu, Stockholm County Council, Stockholm, Sweden.
Ersta Sköndal University College, Palliative Research Centre, PRC. Department of Nursing, Umeå University, Umeå, Sweden.ORCID iD: 0000-0001-5994-4012
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2014 (English)In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 8, 71-78 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate first-line nursing home managers’ views on their leadership and related to that, palliative care. Previous research reveals insufficient palliation, and a number of barriers towards implementation of palliative care in nursing homes. Among those barriers are issues related to leadership quality. First-line managers play a pivotal role, as they influence working conditions and quality of care.

Nine first-line managers, from different nursing homes in Sweden participated in the study. Semi-structured interviewswere conducted and analysed using qualitative descriptive content analysis. In the results, two categories were identified: embracing the role of leader and being a victim of circumstances, illuminating how the first-line managers handle expectations and challenges linked to the leadership role and responsibility for palliative care. The results reveal views corresponding to committed leaders, acting upon demands and expectations, but also to leaders appearing to have resigned from the leadership role, and who express powerlessness with little possibility to influence care. The first line managers reported their own limited knowledge about palliative care to limit their possibilities of taking full leadership responsibility for implementing palliative care principles in their nursing homes.

The study stresses that for the provision of high quality palliative care in nursing homes, first-line managers need to be knowledgeable about palliative care, and they need supportive organizations with clear expectations and goals about palliative care. Future action and learning oriented research projects for the implementation of palliative care principles, in which first line managers actively participate, are suggested.

Place, publisher, year, edition, pages
2014. Vol. 8, 71-78 p.
Keyword [en]
End-of-life, First line managers, Leadership, Older people, Palliative care, Qualitative analysis
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-4902DOI: 10.2174/1874434601408010071OAI: oai:DiVA.org:esh-4902DiVA: diva2:867227
Available from: 2015-11-05 Created: 2015-11-05 Last updated: 2016-12-05Bibliographically approved

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Håkanson, CeciliaSeiger Cronfalk, BeritNorberg, AstridTernestedt, Britt-MarieSandberg, Jonas
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