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TableĀ 1 Summary of themes and contextual factors identified by managers (step 1)

From: How to deal with context? A context-mapping tool for quality and safety in nursing homes and homecare (SAFE-LEAD Context)

Themes Contextual factors
Geographical location, municipality size Size of municipality
Geographical distance to hospital/within the municipality
Access to proper competence and networks in the municipality
Number of departments/organizational size/employees
Access to resources and proper competence Financial situation/time pressure
Access to doctors and nurses (recruitment)
Existing resource groups/persons/professional development positions
Competence in the organization
Organizing of services, distribution of responsibility Organizing of quality and safety
Managerial levels
Type of services and user/patient groups
Treatment level
Team organizing
Communication with decision makers in the municipality
Systems and tools for QI Type of incident reporting system (paper-based/digital)
Use of checklists
Use of register or monitoring system for patient indicators
Network within and outside the municipality to support managers Committees (quality, patient safety, user)
Research and development unit
Contact with development centers in the region
Employed doctor at the nursing home
Resource groups at the municipal/regional/national level
External demands and guidelines Key national policy documents and regulation
Demands for documentation
Participation in national programmes
Care coordination demands and safety in transitional care
Communication, culture, and meeting points as part of the managerial work Meeting arenas between managers and healthcare professionals
Meeting arenas for managers
Functionality of IT-systems as communication tool
User involvement in user-panels, user surveys User panel
Elderly user panel/next-of-kin panel/next-of-kin representation in user panel
Use of user surveys
Current change processes within the municipality Ongoing/recent organizational change processes
Resistance to change
Current implementation of improvement measures