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Achieving Quality Improvement in the Nursing Home: Influence of Nursing Leadership on Communication and Teamwork

Vogelsmeier, Amy PhD, RN; Scott-Cawiezell, Jill PhD, RN, FAAN

doi: 10.1097/NCQ.0b013e31820e15c0

Leadership, communication, and teamwork are essential elements of organizational capacity and are linked to organizational performance. How those organizations actually achieve improved performance, however, is not clearly understood. In this comparative case study, nursing leadership who facilitated open communication and teamwork achieved improvement while nursing leadership who impeded open communication and teamwork did not.

Sinclair School of Nursing, University of Missouri, Columbia (Dr Vogelsmeier); and College of Nursing, University of Iowa, Iowa City (Dr Scott-Cawiezell). Dr Vogelsmeier is a John A. Hartford Claire M. Fagin Postdoctoral Scholar.

Correspondence: Amy Vogelsmeier, PhD, RN, S314 Sinclair School of Nursing, University of Missouri, Columbia, MO 65211 (

The study was funded by the Agency for Healthcare Research and Quality, grant 5 UCI S1428102 (secondary study).

Accepted for publication: January 5, 2011

© 2011 Lippincott Williams & Wilkins, Inc.