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J Nurs Manag. 2012 Mar;20(2):206-14. doi: 10.1111/j.1365-2834.2011.01376.x. Epub 2012 Jan 12.

A quality registers impact on community nurses' in end-of-life care - a grounded theory study.

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Primary Health Care Research, Development and Education Centre and County Administration of West Sweden, Vänersborg and Community Health Services, Åmål, Sweden.



The aim of the study was to identify the impact of a quality register in end-of-life-care, from community nurses' perspective.


There is a lack of knowledge about the impact of such a register in end-of-life care.


Data were collected by means of focus group interviews with a total of 12 nurses, from two communities in the western part of Sweden. Data analysis was based on grounded theory.


Feedback is the core category that influences all other processes. Two main categories emerged: 'Becoming aware of' and 'Acting accordingly'. These influenced the nurses and led to improved quality of care.


A quality register gives the users (nurses) feedback on the care provided, which starts a process of change.


The value of working with a quality register as a feedback system can be applicable to all professions working with quality assurance. The experiences will increase the motivation and understanding the value of using quality registers as a tool for enhanced quality. Further, nurse managers can use such a register as a feedback system, not only as a motivating tool when implementing a quality register, but in the evaluation of its outcomes.

[Indexed for MEDLINE]

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