This ambitious and long-awaited volume brings together foremost nursing scholars and educators to review and critique the state of nursing research across topics most relevant to current practice. Comprehensive in scope, cogent and truly thought provoking, a book such as the Handbook for Clinical Nursing Research is a must-have shelf reference for every nurse carrying out research or aspiring to conduct research and for those who teach them.
Chapter 35: Quality Outcomes and Contextual Variables in Nursing Homes
Quality Outcomes and Contextual Variables in Nursing Homes
There is increasing emphasis on measurement of resident outcomes to determine the effectiveness and quality of health care services. Substantial research, including nursing research, has focused on testing the effects of specific interventions on resident outcomes, but the study of the effects of context on quality outcomes has received little attention by nurse researchers. For nursing homes, the enactment of the Omnibus Budget Reconciliation Act (OBRA) in 1987 focused attention on specific outcomes for long-term care residents and mandated ...