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Resident Satisfaction and Its Components in Residential Aged Care

^a School of Public Health, Curtin University of Technology, Perth, Western Australia, Australia
^b Freemasons Center for Research into Aged Care Services, Division of Health Sciences, Curtin University of Technology, Perth, Western Australia, Australia

Correspondence: Duncan P. Boldy, PhD, Department of Health Policy and Management, School of Public Health, Curtin University of Technology, GPO Box U 1987, Perth 6845, Western Australia, Australia. E-mail: dboldy{at}health.curtin.edu.au.

Decision Editor: Laurence G. Branch, PhD

Purpose: The purpose of this study was to assess the direction and magnitude of the effects among the components of resident satisfaction in residential aged care and to examine if the relationships among satisfaction components vary according to facility type (i.e., nursing home and hostel). Briefly, a hostel is a low-care facility in which residents are more independent and receive personal but not nursing care. Design and Methods: A cross-sectional survey design was adopted to collect the required information, and a stratified random sampling approach was used to select facilities. Structural equation modeling was used to examine relationships among satisfaction components in a sample of 394 nursing home and 752 hostel residents. Results: The results indicate that satisfaction with staff care has a moderate and positive effect on all other aspects of resident satisfaction. The relationships among satisfaction components are different for nursing home and hostel residents. Implications: The findings lead to an improved understanding of the interrelationship among resident satisfaction components, which has important implications for improving quality outcomes (e.g., resident satisfaction) through appropriate intervention (e.g., enhancing staff care).

Key Words: Long-term care • Quality • Staff care • Modeling

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