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Structural Factors Influencing the Quality Management Activities in Nursing Homes  

Lee, Tae-Wha (College of Nursing, Nursing Policy Research Institute, Yonsei University)
Chung, Jane (Washington University, USA)
Publication Information
Journal of Korean Academy of Nursing Administration / v.16, no.2, 2010 , pp. 162-171 More about this Journal
Abstract
Purpose: Nursing home quality indicators have been focused widely on result outcomes, not for the environment in that quality of service are delivered, This study aimed to examine structural factors influencing quality management activities in nursing homes. Method: Sample was 170 nursing homes responded to the survey questionnaire which was distributed to the 543 nursing homes nation-wide, Data were collected on structural characteristics, types of services, and quality management activities, Data were analyzed with the descriptive statistics, Pearson correlations, and multiple regression. Result: Most of the nursing homes were operated as free of charge by the social welfare ownership. Average number of residents was 52.1 with severe and mild dementia and bedridden status, In terms of quality management activities, 34% of the sample had CQI committee that focused their activities on services delivery process, performance appraisal, record keeping regularly. 30.6% of quality management activities were accounted for by the number of residents with dementia, the ratio of RN to residents, rehabilitation services, and social wefare services in nursing homes. Conclusion: We recommend that more comprehensive quality management activities should be developed as process quality indicators in conjunction with the outcome indicators.
Keywords
Management quality; Nursing home; Structure activity relationship;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Morgan, J. C., & Konrad, T. R. (2008). A mixed-method evaluation of a workforce development intervention for nursing assistants in nursing homes: The case of WIN A STEP UP. The Gerontologist, 48(1), 71-79.   DOI
2 Schnell, J. F., Simmons, S. F., Harrington, C., Cadogan, M., Marcia, E., & Bates-Jensen, B. M. (2004). Relationship of nursing home staffing to quality of care. Health Services Research, 39(2), 225-250.   DOI   ScienceOn
3 Wagner, C., van der Wal, G., Groenewegen, P. P., de Bakker, D. H. (2001). The effectiveness of quality systems in nursing homes: a review. Quality in Health Care, 10, 211-217.   DOI
4 Rantz, M. J., Hicks, L., Grando, V. T., Petroski, G. F., Madson, R. W., Mehr, D. R., et al. (2004). Nursing Home Quality, Cost, Staffing and Staff mix. The Gerontologist, 44(1), 24-37.   DOI   ScienceOn
5 Ministry of Health & Welfare. (2006). The current status of social welfare center. Retrieved March 10, 2006 from http://www.mohw.go.kr
6 Scott-Cawiezell, J., & Vogelsmeier, A. (2006). Nursing home safety: A review of the literature. Annual Review of Nursing Research, 24, 179-215.
7 Organization for Economic Cooperation and Development (OECD). (2005). Policy brief: Ensuring quality long-term care for older people. Retrieved October 10, 2005, from http://www.oecd.org/dataoecd/53/4/34585571.pdf
8 Ministry for Health, Welfare, and Family Affairs. (2008). The current status of elderly care center. Retrieved Dec 4, 2008 from http://www.mw.go.kr
9 Lee, J. (2008). Validity and reliability of the Korean version of the observable indicators of nursing home care quality evaluation instrument. Journal of Korean Academic Nursing, 38(3), 474-482.   과학기술학회마을   DOI
10 Ministry of Government Legislation (2008). Welfare of the aged Act. Retrieved December 11, 2008, from http://www.klaw.go.kr/DRF/link_sframe.jsp
11 Korean National Statistical Office. (2006). Population projects for Korea.
12 Dominique, P., & Beatrice J. (2005). Assessing resident satisfaction with institutional living. Journal of Gerontological Nursing, 31(8), 6-11.
13 Kovner, C., Mezey, M., & Harrington, C. (2000). Research priorities for staffing, case mix, and quality of care in U. S. Nursing Homes. Journal of Nursing Scholarship, 32(1), 77-80.   DOI   ScienceOn
14 Korea Health Industry Development Institute (2002). Development of tools and evaluation system for quality improvement of hospital based home health care.
15 Jung, E. W., Jeong, S. W., Seo, Y., & Choi, D. B. (2007). Related factors to the service level of aged care facilities in Korea. Korean Journal of Hospital Management, 12(4), 22-44.
16 Kim, M. S., & Lee, S. H. (2008). Development and application of service quality indicators in nursing homes: structureprocess evaluation. Journal of Korean Academic Nursing Administration, 14(2), 131-143.   과학기술학회마을
17 Harrington, C. (2001). Regulation nursing home: Residential nursing facitlities in the United States. British Medical Journal, 323, 507-510.
18 Harrington, C., Woolhandler, S., Mullan, J., Carrilol, H., Himmelstein, D. U. (2002). Does investor ownership of nursing homes compromise the quality of care?. International Journal of Health Services, 32(2), 315-325.   DOI   ScienceOn
19 Jensdottir, A. B., Rantz, A., Hjaltadóttir, I., Guomundsdòttir, H., Rock, M., & Grando, V. (2003). International comparison of quality indicators in United States, Icelanic and Canadian nursing facilities. International Nurse Review, 50(2), 79-84.   DOI   ScienceOn
20 Chung, J. (2007). Development and application of nursing service quality indicators in nursing homes. Journal of Korean Academic Nursing, 37(3), 401-413.   과학기술학회마을
21 Donabedian, A. (1988). The quality of care: How can it be assessed? Journal of Medical Association, 260, 1743-1748.   DOI   ScienceOn
22 Harrington, C., Zimmerman, D., Sarita, L. K., Robinson, J., & Beutel, P. (2000). Nursing home staffing and its relationship to deficiencies. Journal of Gerontology, 55B(5), S278-287.
23 Castle, N. G. (2001). Administrator turnover and quality of care in nursing homes. The Gerontologist, 41(6), 757-767.   DOI   ScienceOn
24 Bleismer, M. M., Smayling, M., Kane, R. L., & Shannon, I. (1998). The relationship between nursing staffing levels and nursing home outcomes. Journal of Aging and Health, 10, 351-371.   DOI   ScienceOn
25 Bostick, J. E., Rantz, M. J., Flesner, M. K., & Riggs, C. J. (2006). Systematic review of studies of staffing and quality in nursing homes. Journal of American Medical Directors Association, July, 366-376.
26 Byun, J. K. (2001). Evaluation of nursing homes and policy suggestions. Health, Welfare Policy Forum, 56, 5-16.
27 Centers for Medicare and Medicaid Services (CMS) (2001). Appropriateness of minimum nurse staffing ratios in nursing homes. Retrieved October 5, 2008, from http://www.camgov.medicaid/reports/rp1201home.asp.
28 Zimmerman, D. R., Gruber-Baldini, A. L., Hebel, J. R., Sloane, P. D., & Magaziner, J. (2002). Nursing home facility risk factors for infection and hospitalization: Importance of registered nurse turnover, administration, and social factors. Journal of American Geriatrics Society, 50(12), 1987-1995.   DOI   ScienceOn
29 Bates-Jensen, B. M., Schnell, J. F., Alessi, C. A., Al-Samarrai, N. R., & Levy-Storms, L. (2004). The effects of staffing on in-bed times of nursing home residents. Journal of the American Geriatrics Society, 52(6), 931-938.   DOI   ScienceOn
30 Berg, K., Mor, V., Morris, J., Murphy, K., Moore, T., & Harris, Y. (2002). Identification and evaluation of existing nursing homes quality indicators. Health Care Financing Review, 23(4), 19-36.