This exploratory study was undertaken to discover the defining dimensions of nursing home care quality from the viewpoint of consumers of nursing home care. Eleven focus groups were conducted in five Missouri communities. The seven dimensions of the consumer multidimensional model of nursing home care quality are: staff, care, family involvement, communication, environment, home, and cost. The views of consumers and families are compared with the results of a previous study of providers of nursing home services. An integrated, multidimensional theoretical model is presented for testing and evaluation. An instrument based on the model is being tested to observe and score the dimensions of nursing home care quality.
While much is written about the topic of nursing home care quality, little attention is paid to carefully defining it or developing a theoretical model of the dimensions of nursing home care quality. Rantz and colleagues proposed a multidimensional theoretical model of nursing home care quality based on research with experienced providers. This second exploratory study was undertaken to discover the defining dimensions of nursing home care quality from the perspectives of consumers, to propose a conceptual model that integrates the views of both providers and consumers of nursing home care to guide nursing home quality research, and to develop instruments to measure nursing home care quality based on the integrated model.
Rantz, M. J., Zwygart-Stauffacher, M., Popejoy, L., Grando, V., Mehr, D., Hicks, L., Conn, V., Wipke-Tevis, D., Porter, R., Bostick, J. & Maas, M. (1999). Nursing home care quality: A multidimensional theoretical model integrating the views of consumers and providers. Journal of Nursing Care Quality, 14(1), 16-37.