Structural Factors Influencing the Quality Management Activities in Nursing Homes

Tae Wha Lee; Jane Chung

doi:10.11111/jkana.2010.16.2.162

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Lee and Chung: Structural Factors Influencing the Quality Management Activities in Nursing Homes

Original Article

Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2010; 16(2): 162-171.

Published online: 30 June 2010

DOI: https://doi.org/10.11111/jkana.2010.16.2.162

Structural Factors Influencing the Quality Management Activities in Nursing Homes

Tae Wha Lee¹, Jane Chung²

¹Professor, College of Nursing, Nursing Policy Research Institute, Yonsei University, Korea.

²Doctoral Candidate of Washington University, USA.

Correspondence: Lee, Tae Wha. College of Nursing, Yonsei University, 250 Seongsanro, Seodeamun-gu, Seoul, Korea. Tel: 82-2-2228-3305, Fax: 82-2-392-5440, twlee5@yuhs.ac

Received 12 April 2010 Revised 2 June 2010 Accepted 2 June 2010

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

Figures and Tables

Table 1

Structural characteristics of the facilities

Table 2

The current status of quality improvement activities (N=170)

Table 3

The predictors of quality improvement activities (N=170)

Notes

This work was supported by National Research Foundation of Korea Grant funded by the Korean Government(KRF-2005-041-E00448).

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