title: The development and testing of a questionnaire to measure complexity of nursing work performed in nursing homes: NCCQ-NH.
abstract: The quality of care in nursing homes has improved over the last 2 decades; however serious problems persist. Although staffing levels are a primary concern, studies show that ineffective management structures may be a contributing factor to poor quality care. Evidence suggests that the complexity of work performed within the organization is an important consideration in developing effective management structures. The purpose of this article is to describe the development and initial testing of an instrument to measure the complexity of nursing work in nursing homes. A sample of 168 nursing personnel (RNs, LPNs, CNAs) from 7 nursing homes participated in the study. The results of measures to determine the reliability and validity were generally acceptable for a new scale. A modified version of the original scale can be used to provide scientific evidence on which to base the design of management structures in nursing homes.
authors.affiliation: University of Arizona College of Nursing, Tucson, USA.
authors.forename: Donna
authors.initials: D
authors.lastname: Velasquez
mesh_terms: D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D003659:Decision Making, Organizational; D005163:Factor Analysis, Statistical; D005851:Geriatric Nursing / Q000458:organization & administration; D006801:Humans; D019359:Knowledge; D016294:Models, Nursing; D024802:Nurse's Role; D009728:Nursing Assistants / Q000458:organization & administration / Q000523:psychology; D015403:Nursing Evaluation Research / Q000379:methods* / Q000592:standards; D009735:Nursing Homes / Q000458:organization & administration; D015404:Nursing Methodology Research / Q000379:methods* / Q000592:standards; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology; D009743:Nursing, Practical / Q000458:organization & administration; D015279:Organizational Culture; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D011594:Psychometrics; D015206:Southwestern United States; D011795:Surveys and Questionnaires / Q000592:standards*; D013996:Time and Motion Studies; D016526:Workload