title: [Central and decentralized aspects of the development and implementation of a concept of quality].
abstract: This article presents component parts of quality concepts of the nursing administration in the Swiss Paraplegic Centre Nottwil. These concepts are based on centralised and decentralised methods of quality assurance and improvement. Both methods were modified so as to compensate for their disadvantages. Thereby the demand for systematic scientific control, which is set out in the Swiss health insurance laws, can be achieved. For this purpose a general framework of quality requirements specific to the institution for rehabilitative nursing was developed along with nursing quality standards for specific topics. By both methods, the emphasis is on the inclusion of staff in the development as well as in scrutiny of quality criteria/requirements. In this way a high level of acceptance of quality criteria will be reached among the staff. The quality concept presented here reflects the vision that quality should not be seen as a heavy burden but as an every-day necessity.
authors.affiliation: Schweizer Paraplegiker-Zentrum, Nottwil.
authors.forename: P C
authors.initials: PC
authors.lastname: Baartmans
authors.forename: V
authors.initials: V
authors.lastname: Geng
mesh_terms: D006801:Humans; D016294:Models, Nursing; D017146:Models, Organizational; D015401:Nursing Administration Research; D009738:Nursing Service, Hospital; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D019145:Rehabilitation Nursing / Q000592:standards*; D012586:Science; D013557:Switzerland; D017749:Total Quality Management / Q000458:organization & administration*