TY - JOUR
T1 - Nursing Home Care Quality
T2 - A Multidimensional Theoretical Model
AU - Rantz, Marilyn J.
AU - Mehr, David R.
AU - Popejoy, Lori
AU - Zwygart-Stauffacher, Mary
AU - Hicks, Lanis L.
AU - Grando, Victoria
AU - Conn, Vicki S.
AU - Porter, Rose
AU - Scott, Jill
AU - Maas, Meridean
PY - 1998/2
Y1 - 1998/2
N2 - 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.
AB - 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.
KW - Nursing care
KW - Nursing homes
KW - Quality improvement
KW - Quality measurement
UR - http://www.scopus.com/inward/record.url?scp=0031990521&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031990521&partnerID=8YFLogxK
U2 - 10.1097/00001786-199802000-00007
DO - 10.1097/00001786-199802000-00007
M3 - Article
C2 - 9447801
AN - SCOPUS:0031990521
VL - 12
SP - 30
EP - 46
JO - Journal of Nursing Care Quality
JF - Journal of Nursing Care Quality
SN - 1057-3631
IS - 3
ER -