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Original Article

Structural Factors Influencing the Quality Management Activities in Nursing Homes

Tae Wha Lee1, Jane Chung2
Journal of Korean Academy of Nursing Administration 2010;16(2):162-171.
Published online: June 30, 2010

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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: April 12, 2010   • Revised: June 2, 2010   • Accepted: June 2, 2010

Copyright © 2010 Korean Academy of Nursing Administration

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  • 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.
  • Key Words: Management quality; Nursing home; Structure activity relationship

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

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Table 1
Structural characteristics of the facilities
jkana-16-162-i001.jpg
Table 2
The current status of quality improvement activities (N=170)
jkana-16-162-i002.jpg
Table 3
The predictors of quality improvement activities (N=170)
jkana-16-162-i003.jpg

Figure & Data

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    Structural Factors Influencing the Quality Management Activities in Nursing Homes
    J Korean Acad Nurs Adm. 2010;16(2):162-171.   Published online June 30, 2010
    DOI: https://doi.org/10.11111/jkana.2010.16.2.162
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    Structural Factors Influencing the Quality Management Activities in Nursing Homes
    J Korean Acad Nurs Adm. 2010;16(2):162-171.   Published online June 30, 2010
    DOI: https://doi.org/10.11111/jkana.2010.16.2.162
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    Structural Factors Influencing the Quality Management Activities in Nursing Homes
    Structural Factors Influencing the Quality Management Activities in Nursing Homes

    Structural characteristics of the facilities

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

    The predictors of quality improvement activities (N=170)
    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)

    Table 1

    Table 2

    Table 3

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