title: The impact of work culture on quality of care in nursing homes--a review study.
abstract: OBJECTIVE
  The main aim of this review study was to identify which factors that characterise the relationship between work culture and quality of care in nursing homes.
  
  
  METHODS
  This review study was structured through systematic search methods to identify articles that describe the relationship between work culture and quality of care in nursing homes. The database search yielded 14510 hits. Closer examination showed that 10401 of these hits were duplicates. Of the remaining 4109 articles, only 10 were related to our aim for the study. A qualitative method were used to explain and understand phenomena of work culture and quality if care in nursing homes.
  
  
  RESULTS
  Nine out of 10 articles in this review study emphasise the importance of leadership style and supportive management to increase quality of care in nursing homes. Increased empowerment, participation and influence were important factors for improving quality of care. Significant associations between work culture and quality of care and between empowerment and quality of care were reported.
  
  
  CONCLUSIONS
  Nursing management and leaders must take in consideration that work culture is crucial for improving quality of care in nursing homes, and this study can be used to increase the focus on the work culture among healthcare personnel in nursing homes. Changes are necessary to increase healthcare personnel's job satisfaction, empowerment, autonomy and influence in nursing homes. Giving empowerment to the healthcare personnel working in nursing homes is both an organisational and an interpersonal issue. Being given empowerment and influence over their own work situation, the healthcare workers can be more committed and involved in the goal of obtaining best possible care to the residents.
authors.affiliation: Faculty of Nursing, Sør-Trøndelag University College, Trondheim, Norway; Research Centre for Health Promotion and Resource, Sør-Trøndelag University College (HiST) and Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
authors.forename: Beate
authors.initials: B
authors.lastname: André
authors.forename: Endre
authors.initials: E
authors.lastname: Sjøvold
authors.forename: Toril
authors.initials: T
authors.lastname: Rannestad
authors.forename: Gerd I
authors.initials: GI
authors.lastname: Ringdal
mesh_terms: D006801:Humans; D009735:Nursing Homes / Q000458:organization & administration* / Q000592:standards; D015279:Organizational Culture; D011787:Quality of Health Care; D017132:Workplace
keywords: nursing homes and quality of care; work climate; work culture