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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