title: Is the influence of nurse care practices and nursing home organization understood? A qualitative study.
abstract: OBJECTIVE
  To describe residents' experience of nursing home organization and nursing care practices in a region of Spain.
  
  
  BACKGROUND
  Nursing home organization, nursing practices and rules within the institution may all influence residents' daily living and their perception on the quality of care provided.
  
  
  METHODS
  A qualitative approach was conducted, using purposeful and theoretical sampling. Data were collected from nursing home residents, following unstructured and semi-structured interviews, researcher field notes and residents' personal diaries and letters. Giorgi analysis was conducted.
  
  
  RESULTS
  Two main themes emerged. (1) 'Following nursing home rules'. Norms may be seen as boundaries, especially for those residents who were independent before admission. (2) 'Prioritizing nursing care in residents'. Prioritizing the nursing care may limit the autonomy of residents because it does not meet their preferences and needs.
  
  
  CONCLUSIONS
  Understanding the meaning of nursing home organization and nursing care practices with nursing home residents might provide deeper insight into their expectations.
  
  
  CONCLUSIONS
  Nursing staff should have greater involvement in the nursing home organization, as well as in prioritizing the care provision based on resident's needs and preferences.
authors: Professor, Department of Nursing, Obstetrics, Gynecology, Pediatrics, and Psychiatry, Universidad Rey Juan CarlosStaff Nurse, Madrid Health ServicesProfessor, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.
authors: Domingo
authors: D
authors: Palacios-Ceña
authors: José Miguel
authors: JM
authors: Cachón-Pérez
authors: Daniel
authors: D
authors: Gómez-Pérez
authors: Cristina
authors: C
authors: Gómez-Calero
authors: Miguel
authors: M
authors: Brea-Rivero
authors: César
authors: C
authors: Fernández-DE-Las-Peñas
mesh_terms: D006801:Humans; D008134:Long-Term Care; D015401:Nursing Administration Research; D009732:Nursing Care; D009735:Nursing Homes / Q000458:organization & administration; D036301:Qualitative Research; D013030:Spain
keywords: long-term care; nursing homes; organization and administration; qualitative research