Is the influence of nurse care practices and nursing home organization understood? A qualitative study.

Aim: 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.

Design: 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.

Conclusion: Understanding the meaning of nursing home organization and nursing care practices with nursing home residents might provide deeper insight into their expectations.

Implications For Nursing Management: 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.