Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

SAGETRACK

Sign In to gain access to subscriptions and/or personal tools.
Western Journal of Nursing Research
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (2)
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Wan, T. T.H.
Right arrow Articles by Unruh, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wan, T. T.H.
Right arrow Articles by Unruh, L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Predictors of Resident Outcome Improvement in Nursing Homes

Thomas T.H. Wan

Ning Jackie Zhang

Lynn Unruh

University of Central Florida

The effects of contextual characteristics and nursing-related factors on the overall quality improvement of resident outcomes, measured by a weighted index in incidents of pressure ulcers, physical restraints, and catheter use in nursing homes, were investigated by autoregressive latent trajectory modeling of panel data (1997-2003). Findings show that in the initial study period, nursing homes with a smaller bed size, being for-profit, caring for more Medicare residents, having residents with lower acuity levels, being located elsewhere than the South, having a high level of nurse staffing, and certified with lower frequencies of nursing care deficiencies had better quality. The intercept factor, representing the baseline of quality, was well predicted by six of the eight contextual and facility characteristics variables, and the slope trajectory of quality was only weakly predicted by them. The improved quality in resident outcomes was associated with facilities having fewer nursing care deficiency citations than their counterparts.

Key Words: autoregressive latent trajectory modeling • resident outcomes improvement • nursing care deficiencies • nurse staffing

Western Journal of Nursing Research, Vol. 28, No. 8, 974-993 (2006)
DOI: 10.1177/0193945906289331
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 The GerontologistHome page
H. Kim, C. Harrington, and W. H. Greene
Registered Nurse Staffing Mix and Quality of Care in Nursing Homes: A Longitudinal Analysis
Gerontologist, March 18, 2009; (2009) gnp014v1.
[Abstract] [Full Text] [PDF]

Home page
 Journal of Applied GerontologyHome page
N. G. Castle
Nursing Home Caregiver Staffing Levels and Quality of Care: A Literature Review
Journal of Applied Gerontology, August 1, 2008; 27(4): 375 - 405.
[Abstract] [PDF]