Browse > Article

Development and Application of Nursing Service Quality Indicators in Nursing Homes  

Chung, Ja-Ne (College of Nursing, Yonsei University)
Publication Information
Journal of Korean Academy of Nursing / v.37, no.3, 2007 , pp. 401-413 More about this Journal
Abstract
Purpose: This study was designed to develop Nursing Service Quality Indicators(NSQIs) in nursing homes that would lead to an appropriate evaluation and improvement of nursing service quality. Methods: The preliminary NSQIs were developed through literature reviews and analysis of existing quality indicators. A content validity testing was done twice by using a panel of experts who were from academia and the clinical areas. The final NSQIs were confirmed and applied in three nursing homes to test feasibility. Results: The preliminary NSQIs had 4 domains and 31 indicators. Two content validity testings were performed. The indicators scoring over.80 CVI for each testing were selected and modified by experts' opinions. The final NSQIs consisted of 7 domains and 33 indicators. They were applied in three nursing homes and it was revealed that all the indicators were applicable. Conclusion: In this study, it is shown that this new 'Nursing Service Quality Indicators in Nursing Homes' is suitable for a holistic evaluation of nursing service quality of elderly patients in nursing homes. This NSQIs will be able to provide a basis for establishing nursing care standards and improving the nursing care quality in nursing homes.
Keywords
Nursing services; Nursing homes; Quality indicators;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Karon, S. L., & Zimmerman, D. R. (1996). Using indicators to structure quality improvement initiatives in long-term care. Qual Manag Health Care, 4, 54-66   DOI   PUBMED
2 Kim, K. A. (2001). A study on nursing service quality of the elderly facilities. Unpublished master's thesis, Dankook University, Seoul
3 OECD (2005, March). Policy brief Ensuring quality long-term care for older people. Retrieved October 10, 2005, from the OECD Web site: http://www.oecd.org/dataoecd/53/4/34585571.pdf
4 ANA (1998). Standard of clinical nursing practice (2nd ed.). American Nurses Association
5 Simmons, S. F., Cadogan, M. P., Cabrera, G. R., AI-Samarrai, N. R., Jorge, J. S., Levy-Storms, L., Osterweil, D., & Schnelle, J. F. (2004). The minimum data set depression quality indicator: Does it reflect differences in care processes? Gerontologist, 44(4), 554-564   DOI   PUBMED   ScienceOn
6 Zimmerman, D. R. (2003). Improving nursing home quality of care through outcomes data: The MDS quality indicators. Int J Geriatr Psychiatry, 18(3), 250-257   DOI   ScienceOn
7 Berlowitz, D. R., Brandeis, G. H., Anderson, J. J., Ash, A. S., Kader, B., Morris, J. N., Moskowitz, M. A. (2001). Evaluation of a risk-adjustment model for pressure ulcer development using the minimum data set. J Am Geriatr Soc, 49, 872-876   DOI   ScienceOn
8 Arling, G., Karon, S. L., Sainfort, F., Zimmerman, D. R., Ross, R. (1997). Risk adjustment of nursing home quality indicators. Gerontologist, 37(6), 757-766   DOI   PUBMED   ScienceOn
9 Muller, C., & Karon, S. L. (2004). ANA nurse sensitive quality indicators for long-term care facilities. J Nurs Care Qual, 19(1), 39-47   DOI   PUBMED   ScienceOn
10 Cho, H. S. (2005). Development of quality management index in Korean nursing homes. Unpublished doctoral dissertation, Korea University, Seoul
11 Wagner, C., Van der Wal, G., Groenewegen, P. P., & Bakker, D. H. (2001). The effectiveness of quality systems in nursing homes: A review. Qual Health Care, 10(4), 211-217   DOI
12 CMS (2002). Minimum Data Set Version 2.0., Retrieved July 6, 2005, from the Centers for Medicare and Medicaid Services Web site: http://www.cms.hhs.gov/NursingHomeQualityInits
13 Rantz, M. J., Mehr, D. R., Petroski, G. F., Madsen, R. W., Popejoy, L. L., Hicks, L. L., Conn, V. S., Grando, V. T., Wipke-Tevis, D. D., Bostick, J., Porter, R., Zwygart-Staffacher, M., Maas, M. (2000). Initial field testing of an instrument to measure: Observable indicators of nursing home care quality. J Nurs Care Qual, 14(3), 1-12   PUBMED
14 Steinke, E. E. (1997). Sexuality in aging: Implications for nursing facility staff. J Contin Educ Nurs, 28(2), 59-63   PUBMED
15 Kang, S. M. (2000). Development of nursing assessment tools for elderly patients with dementia. Unpublished master's thesis, Yonsei University, Seoul
16 Lynn, M. R. (1986). Determination and quantification of content validity. Nurs Res, 35(6), 382-385   PUBMED
17 Thomson, R., Taber, S., Lally, J., & Kazandjian, V. (2004). UK quality indicator project and the UK independent health care sector: A new development. Int J Qual Health Care, 16(1), 51-56   DOI   ScienceOn
18 Hillman, J. L., & Stricker, G. (1994). A linkage of knowledge and attitudes toward elderly sexuality: Not necessarily a uniform relationship. Gerontologist, 34(2), 256-260   DOI   PUBMED   ScienceOn
19 Kane, R. L. (1995). Improving the quality of long-term care. JAMA, 273(17), 1376-1380   DOI
20 Kovner, C., Mezey, M., & Harrington, C. (2000). Research priorities for staffing, case mix, and quality of care in U. S. Nursing Homes. J Nurs Scholarsh, 32(1), 77-80   DOI   ScienceOn
21 Center for Health Systems Research and Analysis (1999, January). Quality indicators for implementation. Retrieved June 20, 2005, from the CHSRA Web site: http://www.chsra.wisc.edu/chsra/qi/
22 Arling, G., Kane, R. L., Lewis, T., Mueller, C. (2005). Future development of nursing home quality indicators. Gerontologist, 45(2), 147-156   DOI   PUBMED   ScienceOn
23 Ministry of Health and Social Welfare (2006). A review of senior citizens welfare institutions. http://www.mohw.go.kr
24 Gordon, M. (1994). Nursing diagnosis. Process and application. 3rd. Missouri: Mosby
25 Lee, S. H. (2006). The determinants of nursing home quality indicators: A multilevel analysis. J Korean Acad Nurs Adm, 12(3), 473-481
26 Jensdottir, A. B., Rantz, A., Hjaltadottir, I., Guomundsdottir, H., Rook, M., Grando, V. (2003). International comparison of quality indicators in United States, Icelandic and Canadian nursing facilities. Int Nurs Rev, 50(2), 79-84   DOI   ScienceOn
27 Wipke-Tevis, D. D., Williams, D. A., Rantz, M. J., Popejoy, L. L., Madsen, R. W., Petroski, G. F., & Vogelsmeier, A. A. (2004). Nursing home quality and pressure ulcer prevention and management practices. J Am Geriatr Soc, 52(4), 583-588   DOI   ScienceOn
28 interRAI (2000). RAI-HC assessment manual version 2.0. Marblehead, USA: Opus Communications
29 Kane, R. L. (1988). Assessing quality in nursing homes. Clin Geriatr Med, 4(3), 655-666   PUBMED