Background: Earlier studies show that nurses work environment is a factor that may affect the quality in nursing care negatively. Other factors are: number of employees, working hours, work structure and planning and working relationships between colleagues. Work relationships are particularly important for nurses as they can affect patient safety. Nurses are prone to stressrelated illnesses and high stress levels prove to have a negative affect on the quality of nursing care. To develop and assure the quality demands effort from every employee. Aim: The aim of the study was to explore factors that influence the quality in nursing care from a nurse perspective. Method: An inductive, qualitative approach was used. Ten nurses from Community Home Care and Primary Health Care establishments where interviewed. An analysis of the tape-recorded interview material was carried out using thematic content analysis. Results: The study showed that a nurse's work situation affects the care they give. Nurses experience shortfalls which can lead to lower quality in nursing care. Job satisfaction is an important ingredient in providing care of high quality, a happy nurse is a motivated nurse and the quality of care rises accordingly. Nurses feel that improvements are needed to further develop the quality in nursing care.