title: Nursing home staff's views on quality improvement interventions: a follow-up study.
abstract: Ongoing problems with nursing home care mandates understanding nursing home staff's perspectives on innovative quality improvement programs. This follow-up study used focus groups to examine the experiences of staff who participated in a clinical trial that involved Quality Indicator (QI) feedback reports, quality improvement training, and APN consultation. The authors found that QI reports provided staff with a benchmark to judge their care and a means to track problems; APN consultation was essential for staff to learn best practices; and staff questioned the validity of the QI reports, which hindered them from seeking new solutions to problems identified in the QI reports. Findings indicate that innovative QI programs and APN consultation can positively influence nursing home quality improvement efforts and improve care.
authors.affiliation: College of Nursing, University of Arkansas for Medical Sciences, Little Rock, USA. Grando-Victoria@uams.edu
authors.forename: Victoria T
authors.initials: VT
authors.lastname: Grando
authors.forename: Marilyn J
authors.initials: MJ
authors.lastname: Rantz
authors.forename: Meridean
authors.initials: M
authors.lastname: Maas
mesh_terms: D001291:Attitude of Health Personnel; D019985:Benchmarking / Q000458:organization & administration; D003625:Data Collection; D004509:Education, Nursing, Continuing; D017144:Focus Groups; D005500:Follow-Up Studies; D005851:Geriatric Nursing / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D008923:Missouri; D015337:Multicenter Studies as Topic; D009718:Nurse Administrators / Q000458:organization & administration / Q000523:psychology; D009720:Nurse Clinicians; D009735:Nursing Homes / Q000458:organization & administration; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology*; D036301:Qualitative Research; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D016032:Randomized Controlled Trials as Topic; D017749:Total Quality Management / Q000458:organization & administration*