Managers’ perspectives on their role in implementing fall prevention interventions: a qualitative interview study in Norwegian homecare services
Linnerud, Siv; Bjerk, Maria; Olsen, Nina Rydland; Taraldsen, Kristin; Brovold, Therese; Kvæl, Linda Aimee Hartford
Peer reviewed, Journal article
Published version
Permanent lenke
https://hdl.handle.net/11250/3157453Utgivelsesdato
2024Metadata
Vis full innførselSamlinger
Originalversjon
10.3389/frhs.2024.1456028Sammendrag
Introduction: The implementation of fall prevention interventions in homecare
services is crucial for reducing falls among older adults and effective
leadership could determine success. Norwegian homecare services provide
home nursing, rehabilitation, and practical assistance, to residents living in
private homes or assisted living facilities. This study aims to explore how
managers in Norwegian homecare services experience implementation of fall
prevention interventions and how they perceive their roles.
Methods: We conducted 14 semi-structured individual interviews with managers
from different levels of homecare services in five city districts. The interviews
were transcribed verbatim and reflexive thematic analysis was used to analyze
the material.
Results: The analysis resulted in three main themes: (1) understanding
organizational mechanisms to facilitate new practices, (2) practicing positive
leadership behavior to facilitate implementation, and (3) demonstrating
persistence to sustain implementation. Our results showed the importance of
clear leadership across all levels of the organization and the value of devoting
time and utilizing existing systems. Managers described using recognition and
positive attitudes to motivate employees in the implementation process. They
emphasized listening to and involving employees, providing trust, and being
flexible. However, the implementation process could be challenging,
highlighting the need for managers to be persistent.
Conclusion: Managers at all levels play an important role in the implementation of
fall prevention, but there is a need to define and align their specific roles in the
process. Understanding how to use existing systems and influence through
positive leadership behavior seem to be vital for success. Recognizing the
demanding nature of implementation, managers emphasized the importance of
systems for long term support. The study findings may influence how managers
in clinical practice engage in the implementation process and inform future
researchers about managers’ roles in implementation in homecare services.