Using national quality registries to improve care of older people
Sweden has among the highest volume of employees within elderly care in relation to number of citizen over the age of 80. Elderly care has also among the highest number of people on sick leave in Sweden.
At the same time, increased attention has been brought to quality deficiencies in elderly care. National initiatives of quality assurance and quality improvement based on new national quality registries (QR) aimed for elderly care has recently been launched.
The purpose of this project is to investigate how the new quality registers are used in practice within elderly care and how the work with QRs affects staffs’ work situation and the quality of care. There is a risk that new QR routines will increase the work load of already strained staff within health and social care. The work-situation can also benefit from clarification of roles and role expectations, increased knowledge and influence, improved service quality and less problematic encounters with the old people they service. The project studies staffs’ work situation, staff interaction and learning in relation to QR work at special housing units for older people as well as the quality assurance process and outcomes in terms of objective and subjective measures of quality of care. Analyses are made of Interviews with staff, observations and QR related documents. Potential changes in quality of care are investigated using national indicators of good care of the elderly and subjective experiences of staff. Results can affect staff and eldercare work in several ways – from micro level risk assessments and care planning - via meso levels where professional’s interaction and team work take place – to macro levels where resources, development and support can be based on knowledge gained in the project.