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Table 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