Nursing Home Care Quality: A Multidimensional Theoretical Model

Rantz, Marilyn; Mehr, David R.; Popejoy, Lori; Zwygart-Stauffacher, Mary; Hicks, Lanis L.; Grando, Victoria; Conn, Vicki S.; Porter, Rose; Scott, Jill; Maas, Meridean

doi:10.1097/00001786-199802000-00007

Cited by 52 publications

(34 citation statements)

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“…Several at the SSON had experience working in long-term care, had active research programs focused on improving care to older adults, and many had a desire to see things done differently (Rantz, Marek, & Zwygart-Stauffacher, 2000). Older adults and their family members who participated in faculty research projects about aging services consistently related how they wanted to stay at home as long as possible; they feared moving to a nursing home (Rantz et al, 1998(Rantz et al, , 1999.…”

Section: The Sparkmentioning

confidence: 99%

TigerPlace, A State-Academic-Private Project to Revolutionize Traditional Long-Term Care

Rantz

Porter

Cheshier

et al. 2008

Journal of Housing For the Elderly

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The Aging in Place Project at the University of Missouri (MU) required legislation in 1999 and 2001 to be fully realized. An innovative home health agency was initiated by the Sinclair School of Nursing specifically to help older adults age in place in the environment of their choice. In 2004, an innovative independent living environment was built and is operated by a private long term care company, as a special facility where residents can truly age in place and never fear being moved to a traditional nursing home unless they choose to do so. With care provided by the home care agency with registered nurse care coordination services, residents receive preventative and early illness recognition assistance that have markedly improved their lives. Evaluation of aging in place reveal registered nurse care coordination improves outcomes of cognition, depression, activities of daily living, incontinence, pain, and shortness of breath as well as delaying or preventing nursing home placement. Links with MU students, faculty, and nearly every school or college on campus enrich the lives of the students and residents of the housing environment. Research projects are encouraged and residents who choose to participate are enjoying helping with developing cutting technology to help other seniors age in place.

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Section: The Sparkmentioning

confidence: 99%

TigerPlace, A State-Academic-Private Project to Revolutionize Traditional Long-Term Care

Rantz

Porter

Cheshier

et al. 2008

Journal of Housing For the Elderly

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“…From a validity perspective, two expert panels of people experienced in the assisted-living field reviewed and advised on additions made to the version of the instrument that was fieldtested in this study. The initial version of the OIQ-AL was derived from the OIQ-NH, which had extensive qualitative and quantitative development (Rantz et al, 1998(Rantz et al, , 1999(Rantz et al, , 2000(Rantz et al, , 2006Rantz & Mehr, 2001;, and a contentvalidity index calculated for that version was high (3.4 out of a maximum of 4) . Because there are no national assisted-living resident-assessment data such as the Minimum Data Set assessment instrument that is used in nursing homes, known group analysis for additional construct validation was not attempted.…”

Section: Discussionmentioning

confidence: 99%

Field Testing, Refinement, and Psychometric Evaluation of a New Measure of Quality of Care for Assisted Living

Rantz¹,

Aud²,

Zwygart-Stauffacher³

et al. 2008

J Nurs Meas

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Field test results are reported for the Observable Indicators of Nursing Home Care Quality Instrument-Assisted Living Version, an instrument designed to measure the quality of care in assisted living facilities after a brief 30-minute walk-through. The OIQ-AL was tested in 207 assisted-living facilities in two states using classical test theory, generalizability theory, and exploratory factor analysis. The 34-item scale has a coherent six-factor structure that conceptually describes the multidimensional concept of care quality in assisted living. The six factors can be logically clustered into process (Homelike and Caring, 21 items) and structure (Access and Choice; Lighting; Plants and Pets; Outdoor Spaces) subscales and for a total quality score. Classical test theory results indicate most subscales and the total quality score from the OIQ-AL have acceptable interrater, test-retest, and strong internal consistency reliabilities. Generalizability theory analyses reveal that dependability of scores from the instrument are strong, particularly by NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript including a second observer who conducts a site visit and independently completes an instrument, or by a single observer conducting two site visits and completing instruments during each visit. Scoring guidelines based on the total sample of observations (N = 358) help guide those who want to use the measure to interpret both subscale and total scores. Content validity was supported by two expert panels of people experienced in the assisted-living field, and a content validity index calculated for the first version of the scale is high (3.43 on a four-point scale). The OIQ-AL gives reliable and valid scores for researchers, and may be useful for consumers, providers, and others interested in measuring quality of care in assisted-living facilities.Keywords assisted living; residential care; nursing homes; quality of care; generalizability theory; reliability and validityThe number of assisted living facilities in the United States increased rapidly during the 1990s with an estimated 33,000 facilities caring for approximately 800,000 residents (NCAL, 2001). While the concept of assisted living is not new, having its roots in congregant housing in the 1960s (Pruchno & Rose, 2000), today's assisted-living facilities provide housing and supportive services with some capacity to meet both scheduled and unscheduled health care needs of an older and more frail adult population (Allen, 1999;Brummett, 1997). Today's assisted-living facilities also emphasize the social model of care rather than the medical model of care. Frail older adults and their families are attracted to homelike environments that do not resemble hospitals or traditional nursing homes and that stress independence, autonomy, and continuation of prior lifestyles.Quality of care or life has been only minimally addressed in the slowly growing body of research literature related to assisted-living facilities. Quality of life in assist...

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“…(Donabedian 1988;Maxwell 1992;Campbell et al 2000;IOM 2001;Evans et al 2001;Arah et al 2006;Allen-Duck et al 2017): Wirksamkeit (Efficacy, Effectiveness), Wirtschaftlichkeit (Efficiency, Economy), Zugang zur Versorgung (Accessibility, Access to care), Sicherheit (Safety), Gleichheit (Equity, Fairness), Angemessenheit (Appropriateness, Relevance to Need), Patientenorientierung (Social Acceptibility, PatientCenteredness, Responsiveness), Zufriedenheit ( Satisfaction), Kontinuität (Continuity of Care, Integrated Care) oder Rechtzeitigkeit (Timeliness). Hierzu ergänzend und vertiefend werden für die Langzeitpflege häufig Aspekte der beziehungsorientierten Interaktion besonders betont (Rantz et al 1998;1999).…”

Section: Modelltheoretische Zugänge Zum Qualitätsbegriffunclassified

Nursing Home Care Quality: A Multidimensional Theoretical Model

Cited by 52 publications

References 0 publications

TigerPlace, A State-Academic-Private Project to Revolutionize Traditional Long-Term Care

TigerPlace, A State-Academic-Private Project to Revolutionize Traditional Long-Term Care

Field Testing, Refinement, and Psychometric Evaluation of a New Measure of Quality of Care for Assisted Living

Qualität und Qualitätsmessung in der Pflege – Theoretische Grundlagen und methodische Zugänge

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