title: Quality improvement in nursing care facilities: extent, impetus, and impact.
abstract: This study examines the extent, motivation, and performance implications of normal quality improvement (QI) programs in Pennsylvania nursing care facilities. Responses to a 20-item survey sent to facility administrators indicate that continuous quality improvement/total quality management (CQI/TQM) adopters are more motivated by quality of care and human resource concerns in implementing QI, more satisfied with the results of QI efforts, and more aware of a competitive environment than are non-adopters. There are few differences between adopters and non-adopters with respect to organizational characteristics or performance on quality of care measures. Comparison with the results of a study of QI implementation in hospitals reveals some differences in motivation, but similarities in satisfaction with results.
authors.affiliation: Department of Health Administration, School of Business and Management, Temple University, Philadelphia, PA 19122, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Zinn
authors.forename: D
authors.initials: D
authors.lastname: Brannon
authors.forename: R
authors.initials: R
authors.lastname: Weech
mesh_terms: D005163:Factor Analysis, Statistical; D006270:Health Facility Administrators / Q000523:psychology*; D006302:Health Services Research; D006801:Humans; D009042:Motivation; D009735:Nursing Homes / Q000592:standards*; D009937:Organizational Objectives; D010414:Pennsylvania; D011361:Professional Competence; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration*