BACKGROUND Performance measurement and benchmarking are common concerns in the delivery of long term care. It is common to measure the performance of providers and to publicly report these data. This paper examines selected technical challenges facing those who design, implement and disseminate health care quality performance measures. METHOD Review of the application of measures of performan...

PURPOSE The purpose of this study was to evaluate the sensitivity of family members' responses to open-ended interview questions about an intervention to improve incontinence and mobility care for their relative in a nursing home. DESIGN AND METHODS The study was a randomized, controlled intervention trial with incontinent nursing home residents (N = 145), wherein research staff provided toil...

Increasing care needs and a declining workforce put pressure on the quality and continuity of long-term elderly care. The need to attract and retain a solid workforce is increasingly acknowledged. This study reports about a change initiative that aimed to improve the quality of care and working life in residential elderly care. The research focus is on understanding the process of workforce cha...

This study was planned and conducted to assess the quality of life (QOL) as perceived by 140 selected elderly people living in 3 public nursing homes in Amman, Jordan. Factors that may influence quality of life among the residents were analyzed, and the relationship between quality of life and certain demographics in the nursing homes was determined The data were collected through administratio...

PURPOSE This study investigated whether the use of restraining devices and related measures of care quality are different in nursing homes that score in the upper and lower quartiles on the Minimum Data Set (MDS) "prevalence of restraint" quality indicator, which assesses daily use of restraining devices when residents are out of bed. DESIGN AND METHODS The study was a cross-sectional study, ...

Objective: This study examined the effect of Positive and Negative Spiritual and Religious Coping (SRC) upon older Brazilian's quality of life (QOL). Method: A secondary analysis of data collected from 77 nursing home residents (NHRs; M age = 76.56) and 326 community-dwelling residents (CDRs; M age = 67.22 years) was conducted. Participants had completed the Brief SRC, and the World Health Orga...

The structure versus process approach to quality of care presented by Donabedian is one of the most cited ever. However, there has been a paucity of research into the empirical validity of this framework, specifically concerning the relative effects of structure and process on satisfaction with elderly care as perceived by the older persons themselves. The current research presents findings fro...

PURPOSE OF THE STUDY In this article, I examine the association between turnover of nursing home administrators and five important quality of care outcomes. DESIGN AND METHODS The data came from a survey of 420 nursing facilities and the 1999 On-line Survey, Certification, and Reporting System. Using multivariate logistic regression analyses, I looked at the effects of turnover of administrat...

BACKGROUND The quality of care in nursing homes is weakly defined, and has traditionally focused on quantify nursing homes outputs and on comparison of nursing homes' resources. Rarely the point of view of clients has been taken into account. The aim of this study was to ascertain what means "quality of care" for residents of nursing homes. METHODS Grounded theory was used to design and analy...

OBJECTIVE To compare nursing homes (NHs) that report different staffing statistics on quality of care. DATA SOURCES Staffing information generated by California NHs on state cost reports and during onsite interviews. Data independently collected by research staff describing quality of care related to 27 care processes. STUDY DESIGN Two groups of NHs (n=21) that reported significantly differ...