title: Quality by selection and purchasing of urinary incontinence aids-- perceptions of nurses and administrators.
abstract: In a qualitative-quantitative study, differences in the perceptions of nurses and administrators (admin's) dealing with the purchasing of urinary incontinence (UI) aids were studied by means of interviews with a cognitive and emotional approach. Various aspects of purchasing were concentrated on: cooperation, strategy, competence, costs, measures, and decisions, as well as quality in the selection of aids in order to improve quality of care and achieve better economy. The findings show a continued need for centrally coordinated purchasing (CCP), not least related to the European Community, and also problems of integration. Due to the decentralization process, the nurses perceived a need for more education in overall business strategies in order to underline more constructively their caring and patient-oriented opinions. The admin's experienced uncertainty in their purchasing activities caused by the absence of purchasing policies and lack of knowledge of new demands and routines.
authors.forename: A
authors.initials: A
authors.lastname: Månsson-Lindström
authors.forename: O
authors.initials: O
authors.lastname: Dehlin
authors.forename: A
authors.initials: A
authors.lastname: Isacsson
mesh_terms: D000288:Administrative Personnel / Q000523:psychology; D001291:Attitude of Health Personnel; D006801:Humans; D016496:Incontinence Pads / Q000592:standards / Q000600:supply & distribution; D009740:Nursing Staff / Q000523:psychology; D011682:Purchasing, Hospital; D012656:Self-Help Devices / Q000592:standards / Q000600:supply & distribution; D014549:Urinary Incontinence / Q000451:nursing*