| HOME | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|---|
| ||||||||||||||||||||||||||||||||
Correspondence: Address correspondence to Judith A. Lucas, EdD, APN-BC, Rutgers, The State University of New Jersey, Institute for Health, Health Care Policy, and Aging Research, 30 College Avenue, New Brunswick, NJ 08901-1293. E-mail: Jlucas{at}ihhcpar.rutgers.edu
Purpose: We identify environmental and organizational predictors that best discriminate between formal continuous quality improvement (CQI) adopters and nonadopters in nursing homes (NHs) and create a diagnostic profile for facility administrators and policy makers to promote CQI. Design and Methods: We performed a cross-sectional survey of licensed NH administrators in New Jersey in 1999, using The Nursing Care Quality Improvement Survey ( Zinn, Weech, & Brannon, 1998) and The New Jersey NH Profiles Chart. We also performed a discriminant analysis. Of 350 NHs, 46% returned completed questionnaires. Results: Using variance innovation, resource dependence, and institutional perspectives for our framework, we found that new requirements, environmental competition, organizational time and structural facilitators, and manager training made statistically significant contributions to discriminating between formal CQI adopters and nonadopters. Implications: Regardless of size, NHs adopt formal CQI to meet external expectations of new regulations and accreditation criteria. CQI adoption is facilitated by information systems, flexible use of personnel, and team supports, as well as CQI training for managers. This profile of adopters can guide administrators and policy makers in promoting CQI for NHs, and it can help NHs already interested in CQI focus internal resources on key facilitators.
Key Words: Innovation adoption • NH organization, and environment
This article has been cited by other articles:
 |
|
 |
|
  B. O. Kjos, G. Botten, and T. I. Romoren Quality improvement in a publicly provided long-term care system: the case of Norway Int. J. Qual. Health Care, December 1, 2008; 20(6): 433 - 438. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. D. Mezey, E. L. Mitty, and S. G. Burger Rethinking Teaching Nursing Homes: Potential for Improving Long-Term Care Gerontologist, February 1, 2008; 48(1): 8 - 15. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Kaasalainen, E. Coker, L. Dolovich, A. Papaioannou, T. Hadjistavropoulos, A. Emili, and J. Ploeg Pain Management Decision Making Among Long-Term Care Physicians and Nurses West J Nurs Res, August 1, 2007; 29(5): 561 - 580. [Abstract] [PDF]
|
|
|
|
|
|
N. G. Castle Nurse Aides' ratings of the resident safety culture in nursing homes Int. J. Qual. Health Care, October 1, 2006; 18(5): 370 - 376. [Abstract] [Full Text] [PDF]
|
|
| HOME | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|---|
