Assessing Nursing Homesʼ Capacity to Create and Sustain Improvement

Abstract

Nursing home leadership and staff in 32 nursing homes were surveyed using an adaptation of Shortell's Organization and Management Survey. An earlier psychometric assessment of Shortell's communication and leadership scales raised concerns about the reliability of these scales in the nursing home setting. Exploratory factor analysis was performed to determine if another scale structure should be considered. Using principal-axis extraction with a varimax rotation, a 5-factor solution that accounted for 47% of item variance was defined.

An Exploration of Nursing Home Organizational Processes

“…Shortell's Organization and Management Survey (Shortell et al, 1991(Shortell et al, , 1994, originally developed for hospital intensive care units with a history of strong psychometric properties, was adapted for nursing homes by Scott and colleagues (Scott, Vojir, Jones, & Moore, 2005;Scott-Cawiezell et al, 2004). Shortell's measure contained the constructs of communication, teamwork, and leadership.…”

“…The measure has been used in three nursing home studies with more than 6,700 nursing home staff (Scott et al, 2005;Scott-Cawiezell et al, 2004). Exploratory factor analysis resulted in four dimensions: connectedness (8 items), organizational harmony (15 items), clinical leadership (5 items), and timeliness and understanding of information (7 items; Scott et al, 2005).…”

“…Exploratory factor analysis resulted in four dimensions: connectedness (8 items), organizational harmony (15 items), clinical leadership (5 items), and timeliness and understanding of information (7 items; Scott et al, 2005). Cronbach's alpha for the overall instrument was .89.…”

Entrepreneurial Program of Research and Service to Improve Nursing Home Care

“…In mid-2005, Scott-Cawiezell's work on measuring organizational capacity to create and sustain improvement will play a key role in the QIO federal initiative nationwide (Scott, Vojir, Jones, & Moore, 2005;Scott-Cawiezell, in press;Scott-Cawiezell et al, in press). As a member of our research team, she is assisting QIPMO and QIO nurses to learn expanded strategies to help facility staff build the organizational capacity to create and sustain improvement in clinical care.…”

¿Cómo analizar las características de los departamentos de comunicación en los hospitales y sus consecuencias en el ciudadano? Ejemplo metodológico / How to analyze the characteristics of communication departments in hospitals and their consequences

“…En la actualidad, las personas aprenden sobre medicina y salud a través de familiares y amigos, publicidad, series de televisión, páginas web, foros, blogs, redes sociales, folletos, etc (Amador-Romero, 2004;Avery et al, 2010;Freberg et al, 2013;Jiménez- Pernett et al, 2009;Kreps;Bonaguro;Query, 1998;Lupiáñez-Villanueva, 2009;Wrenn, 2002). En consecuencia, la comunicación en el ámbito sanitario es cada vez más necesaria (Anand & Chakravarti, 1981;Costa Sánchez, 2012;Díaz, 2011;Henderson, 2005;Hibbard, Stockard, & Tusler, 2005;Keller et al, 2014;Kirdar, 2007;Meath, 2006;Menéndez Prieto & Vadillo Olmo, 2010;Pham, Coughlan, & O'Malley, 2006;Scott, Vojir, Jones, & Moore, 2005;Springston & Weaver Lariscy, 2005). El público de los centros dedicados a la salud ya no es simplemente el paciente, sino que otros grupos, como los empleados, los familiares y visitas, la comunidad, las agrupaciones, etc., también son relevantes (Anand; Chakravarti, 1981;Balima, 2006;Díaz, 2011;Gordon;Kelly, 1999;Gudykunst;Kim, 1992;Guy et al, 2007;Igartua-Perosanz, 2006;Ivanov;Sims;Parker, 2013;Kirdar, 2007;Kreps;Kunimoto, 1994;Kreps, 2008;Kurtz, 1969;Champion, 2004;Springston, 2007;…”