title: The relationship between organizational factors and resident satisfaction with nursing home care and life.
abstract: We examined the relationships between nursing home (NH) resident satisfaction and NH organizational characteristics, while controlling for the effect of resident characteristics within facilities. We used a stratified, random sample of NHs (N = 72) from two states and a prescreened and randomized sample of 1496 residents. Data sources included resident interviews, an administrator survey, the Minimum Data Set (MDS), and the Online Survey, Certification and Reporting System (OSCAR). Using Hierarchical Linear Modeling (HLM) techniques, we found that non-chain affiliation, certified nursing assistant staffing, and provision of a family council had significant positive effects on total resident satisfaction. The presence of a special care unit was associated with lower levels of satisfaction.
authors.affiliation: Institute for Health, Health Care Policy, and Aging Research, Rutgers University, The State University of New Jersey, New Brunswick, NJ 08901, USA. JLucas@ifh.rutgers.edu
authors.forename: Judith A
authors.initials: JA
authors.lastname: Lucas
authors.forename: Carrie A
authors.initials: CA
authors.lastname: Levin
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Lowe
authors.forename: Brian
authors.initials: B
authors.lastname: Robertson
authors.forename: Ayse
authors.initials: A
authors.lastname: Akincigil
authors.forename: Usha
authors.initials: U
authors.lastname: Sambamoorthi
authors.forename: Scott
authors.initials: S
authors.lastname: Bilder
authors.forename: Eun Kwang
authors.initials: EK
authors.lastname: Paek
authors.forename: Stephen
authors.initials: S
authors.lastname: Crystal
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003258:Consumer Behavior; D003625:Data Collection; D005260:Female; D006304:Health Status; D006801:Humans; D007902:Length of Stay; D008281:Maine; D008297:Male; D008875:Middle Aged; D009515:New Jersey; D009735:Nursing Homes / Q000458:organization & administration*; D011787:Quality of Health Care; D011788:Quality of Life