Version 1
: Received: 8 May 2023 / Approved: 9 May 2023 / Online: 9 May 2023 (13:18:15 CEST)
How to cite:
Aglen, B.; Söderström, S.; Sørø, V.L.; Orvik, A.; Haugan, G. How Do Managers Influence the Caring and Learning Environment in Nursing Homes? A Qualitative Study. Preprints2023, 2023050662. https://doi.org/10.20944/preprints202305.0662.v1
Aglen, B.; Söderström, S.; Sørø, V.L.; Orvik, A.; Haugan, G. How Do Managers Influence the Caring and Learning Environment in Nursing Homes? A Qualitative Study. Preprints 2023, 2023050662. https://doi.org/10.20944/preprints202305.0662.v1
Aglen, B.; Söderström, S.; Sørø, V.L.; Orvik, A.; Haugan, G. How Do Managers Influence the Caring and Learning Environment in Nursing Homes? A Qualitative Study. Preprints2023, 2023050662. https://doi.org/10.20944/preprints202305.0662.v1
APA Style
Aglen, B., Söderström, S., Sørø, V.L., Orvik, A., & Haugan, G. (2023). How Do Managers Influence the Caring and Learning Environment in Nursing Homes? A Qualitative Study. Preprints. https://doi.org/10.20944/preprints202305.0662.v1
Chicago/Turabian Style
Aglen, B., Arne Orvik and Gørill Haugan. 2023 "How Do Managers Influence the Caring and Learning Environment in Nursing Homes? A Qualitative Study" Preprints. https://doi.org/10.20944/preprints202305.0662.v1
Abstract
The nursing home (NH) population becomes increasingly frail, suffering several chronic ill-nesses, high symptom severity, and short remaining lifespan after admission; all this requires skilled, well-organized professional care. Little is known about how NH managers influence the caring and learning environment (CLE) to ensure competencies in meeting NH patients’ needs. The aim of this study is to explore how NH managers influence the CLE to provide basic nursing education for students and apprentices, in order to improve it. This study applies a qualitative design, using multiple methods and focusing on NHs as a context involving complex adaptive systems and on basic nursing as a complex issue. NH managers express a constant struggle to keep workloads manageable, and NHs come across as exhausted organizations with little surplus. Both managers and staff look for ways to execute the work with as little effort as pos-sible and mainly stick to well-established routines. Not participating directly in either daily caring or placement learning, NH managers influence the CLE indirectly through taming and coping strategies, largely using taming strategies that lead to serious unintended outcomes. Coping strategies involve leading collaborative processes in holding environments that are feasible with their workload and roles as managers.
Keywords
nursing homes; complex adaptive systems managers; placement learning; care quality; nursing students; nursing associate apprentice; health care assistants
Subject
Public Health and Healthcare, Nursing
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
