MEANING OF QUALITY NURSING CARE IN THE NURSING HOME.
Contributors: University of Virginia.
Published: 1991
Number of pages: 254
Subjects: Health Sciences, Nursing.; Gerontology.
Description: Quality nursing care in the nursing home has been measured, assessed, assured, and evaluated. However, it has not been defined. The lack of definition, the use quality assurance measures adopted from acute care programs, and the government's use of indicators of quality identified in early social science research have led to confusion about which variables accurately assess the quality of nursing care in a nursing home.

The purpose of this study was to determine the meaning of quality nursing care in nursing homes from the perspective of those most closely involved: nursing home residents, their family members, and nursing care providers. The grounded theory method was used to identify (a) how nursing home nursing care providers, residents, and family members describe quality nursing care; (b) the similarities and differences in these descriptions; and (c) differences between nursing homes.

Eighteen residents, nine family members, and 18 nursing care providers were interviewed over six months. The theory of care and caring was developed through the use of constant comparative data analysis of the study participants' descriptions of quality nursing care in a nursing home. The domains of context, meeting needs, and mediating factors were identified. Each of these domains contains concepts and categories that more fully describe the study participants' meaning of quality nursing care in a nursing home. Five propositions illustrate the relationships between these concepts and categories.
Notes: Source: Dissertation Abstracts International, Volume: 53-01, Section: B, page: 0201.

Thesis (PH.D.)--UNIVERSITY OF VIRGINIA, 1991.

School code: 0246.