title: Family Satisfaction With Nursing Home Care.
abstract: This article explores the factor structure of a new family satisfaction with nursing home care instrument and determines the relationship of resident quality of life (QOL) and facility characteristics with family satisfaction. Data sources include (1) family satisfaction interviews ( n = 16,790 family members), (2) multidimensional survey of resident QOL ( n = 13,433 residents), and (3) facility characteristics ( n = 376 facilities). We used factor analysis to identify domains of family satisfaction and multivariate analyses to identify the role of facility-level characteristics and resident QOL on facility-mean values of family satisfaction. Four distinct domains were identified for family satisfaction: "care," "staff," "environment," and "food." Chain affiliation, higher resident acuity, more deficiencies, and large size were all associated with less family satisfaction, and resident QOL was a significant (albeit weak) predictor of family satisfaction. Results suggest that family member satisfaction is distinct from resident QOL but is associated with resident QOL and facility characteristics.
authors.affiliation: 1 Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
authors.forename: Tetyana P
authors.initials: TP
authors.lastname: Shippee
authors.affiliation: 1 Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
authors.forename: Carrie
authors.initials: C
authors.lastname: Henning-Smith
authors.affiliation: 2 School of Nursing, University of Minnesota, Minneapolis, MN, USA.
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Gaugler
authors.affiliation: 3 Minnesota Department of Human Services, Minneapolis, MN, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Held
authors.affiliation: 1 Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Kane
mesh_terms: D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology*; D005260:Female; D006282:Health Personnel; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care; D008297:Male; D009735:Nursing Homes; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011788:Quality of Life / Q000523:psychology*
keywords: family; long-term care services and supports; quality of life; satisfaction