title: Quality improvement nursing facilities: a nursing leadership perspective.
abstract: The purposes of this study were to characterize the state of quality improvement (QI) in nursing facilities and to identify barriers to improvement from nursing leaders' perspectives. The study employed a non-experimental descriptive design, using closed- and open-ended survey questions in a sample of 51 nursing facilities in a midwestern state. Only two of these facilities had active QI programs. Furthermore, turnover and limited training among these nursing leaders represented major barriers to rapid implementation of such programs. This study is consistent with earlier findings that QI programs are limited in nursing homes.
authors.affiliation: Gerontological Nursing, Emporia State University, Newman Division of Nursing, Kansas 66801, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Adams-Wendling
authors.forename: Robert
authors.initials: R
authors.lastname: Lee
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D005260:Female; D005544:Forecasting; D005851:Geriatric Nursing / Q000592:standards / Q000639:trends; D019538:Health Care Surveys; D006707:Homes for the Aged / Q000592:standards / Q000639:trends; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators / Q000592:standards* / Q000639:trends; D009723:Nurse-Patient Relations; D009735:Nursing Homes / Q000592:standards* / Q000639:trends; D011361:Professional Competence; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D014481:United States