First-Line Managers’ Perceptions of Their Psychosocial Work Environment in Nursing Homes: A Qualitative Analysis of the Influence of Ownership Type

Table 3

First-line managers’ suggested improvements for the nursing home work environment.

Suggestion	Description	Outcome
Task assignment	Assign tasks based on staff skills and expertise	Optimised performance for reduced staff conflicts and improved care
Staff-manager ratio	Reduce the number of employees per manager	Reduced workload
Staff development	Invest in attracting, training, and retaining highly skilled staff	Improved care and more accessible staff recruitment
Time for interaction	Allocate dedicated time for managers to interact with staff and residents	Better communication could act as a resource for both staff and managers
Administrative support	Employ additional administrative staff to assist managers and frontline staff	Lightened workload for managers and staff
Organisational support	Enhance communication channels and framework for support functions	More effective support for managers
Smaller units	Implement smaller nursing home units	Better staff engagement and faster learning processes for less conflict
Improve public perception	Promote positive aspects of working in nursing homes	Attract more employees to the sector, making recruitment easier
Scheduling and compensation	Remove full-time positions in municipal care and offer higher weekend compensation	Easier scheduling and improved cost efficiency

The improvement suggestions were derived from the comments of study participants.