Title

A Systems Framework For Evaluating Nursing Care Quality In Nursing Homes

Keywords

Nursing care quality; Nursing home quality; SPO framework; Systems framework

Abstract

Given the ongoing concerns about the quality of care in nursing homes, a theoretical framework to guide a systems approach to quality is important. Existing frameworks either do not model causality, or do so in a linear fashion in which the actual linkages between components of quality may not be well specified. Through a review of frameworks for nursing home quality, and empirical studies on the subject, the authors construct a framework for nursing home quality that links contextual components of quality with structure, structure with process, and process with outcomes, focusing on nursing care quality. Intrastructural relationships and feedback mechanisms are also modeled. The framework is matched with a discussion of multilevel structural equation analysis for statistical application. Future research should expand the framework to include non-nursing components of quality.

Publication Date

1-1-2004

Publication Title

Journal of Medical Systems

Volume

28

Issue

2

Number of Pages

197-214

Document Type

Review

Personal Identifier

scopus

DOI Link

https://doi.org/10.1023/b:joms.0000023302.80118.74

Socpus ID

3442886514 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/3442886514

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