Nursing Home Care Quality: A Multidimensional Theoretical Model

Marilyn J. Rantz, David R. Mehr, Lori Popejoy, Mary Zwygart-Stauffacher, Lanis L. Hicks, Victoria Grando, Vicki S. Conn, Rose Porter, Jill Scott, Meridean Maas

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

This exploratory study was undertaken to discover the defining dimensions of nursing home care quality and to propose a conceptual model to guide nursing home quality research and the development of instruments to measure nursing home care quality. Three focus groups were conducted in three central Missouri communities. A naturalistic inductive analysis of the transcribed content was completed. Two core variables (interaction and odor) and several related concepts emerged from the data. Using the core variables, related concepts, and detailed descriptions from participants, three models of nursing home care quality emerged from the analysis: (1) a model of a nursing home with good quality care; (2) a model of a nursing home with poor quality care; and (3) a multidimensional model of nursing home care quality. The seven dimensions of the multidimensional model of nursing home care quality are: central focus, interaction, milieu, environment, individualized care, staff, and safety. To pursue quality, the many dimensions must be of primary concern to nursing homes. We are testing an instrument based on the model to observe and score the dimensions of nursing home care quality.

Original languageEnglish (US)
Pages (from-to)30-46
Number of pages17
JournalJournal of Nursing Care Quality
Volume12
Issue number3
DOIs
StatePublished - Feb 1998

Keywords

  • Nursing care
  • Nursing homes
  • Quality improvement
  • Quality measurement

ASJC Scopus subject areas

  • Nursing(all)

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    Rantz, M. J., Mehr, D. R., Popejoy, L., Zwygart-Stauffacher, M., Hicks, L. L., Grando, V., Conn, V. S., Porter, R., Scott, J., & Maas, M. (1998). Nursing Home Care Quality: A Multidimensional Theoretical Model. Journal of Nursing Care Quality, 12(3), 30-46. https://doi.org/10.1097/00001786-199802000-00007