Continuous quality improvement as an innovation: Which nursing facilities adopt it?

Judith A. Lucas, Tamara Avi-Itzhak, Joanne P. Robinson, Catherine G. Morris, Mary Jane Koren, Susan C. Reinhard

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Purpose: We identify environmental and organizational predictors that best discriminate between formal continuous quality improvement (CQI) adopters and nonadopters in nursing homes (NHs) and create a diagnostic profile for facility administrators and policy makers to promote CQI. Design and Methods: We performed a cross-sectional survey of licensed NH administrators in New Jersey in 1999, using The Nursing Care Quality Improvement Survey (Zinn, Weech, & Brannon, 1998) and The New Jersey NH Profiles Chart. We also performed a discriminant analysis. Of 350 NHs, 46% returned completed questionnaires. Results: Using variance innovation, resource dependence, and institutional perspectives for our framework, we found that new requirements, environmental competition, organizational time and structural facilitators, and manager training made statistically significant contributions to discriminating between formal CQI adopters and nonadopters. Implications: Regardless of size, NHs adopt formal CQI to meet external expectations of new regulations and accreditation criteria. CQI adoption is facilitated by information systems, flexible use of personnel, and team supports, as well as CQI training for managers. This profile of adopters can guide administrators and policy makers in promoting CQI for NHs, and it can help NHs already interested in CQI focus internal resources on key facilitators.

Original languageEnglish (US)
Pages (from-to)68-77
Number of pages10
JournalGerontologist
Volume45
Issue number1
DOIs
StatePublished - Feb 2005

Fingerprint

Quality Improvement
Nursing
Nursing Homes
Administrative Personnel
Accreditation
Discriminant Analysis
Nursing Care
Information Systems
Cross-Sectional Studies

All Science Journal Classification (ASJC) codes

  • Gerontology
  • Geriatrics and Gerontology

Keywords

  • Environment
  • Innovation adoption
  • NH organization

Cite this

Lucas, J. A., Avi-Itzhak, T., Robinson, J. P., Morris, C. G., Koren, M. J., & Reinhard, S. C. (2005). Continuous quality improvement as an innovation: Which nursing facilities adopt it? Gerontologist, 45(1), 68-77. https://doi.org/10.1093/geront/45.1.68
Lucas, Judith A. ; Avi-Itzhak, Tamara ; Robinson, Joanne P. ; Morris, Catherine G. ; Koren, Mary Jane ; Reinhard, Susan C. / Continuous quality improvement as an innovation : Which nursing facilities adopt it?. In: Gerontologist. 2005 ; Vol. 45, No. 1. pp. 68-77.
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Lucas, JA, Avi-Itzhak, T, Robinson, JP, Morris, CG, Koren, MJ & Reinhard, SC 2005, 'Continuous quality improvement as an innovation: Which nursing facilities adopt it?', Gerontologist, vol. 45, no. 1, pp. 68-77. https://doi.org/10.1093/geront/45.1.68

Continuous quality improvement as an innovation : Which nursing facilities adopt it? / Lucas, Judith A.; Avi-Itzhak, Tamara; Robinson, Joanne P.; Morris, Catherine G.; Koren, Mary Jane; Reinhard, Susan C.

In: Gerontologist, Vol. 45, No. 1, 02.2005, p. 68-77.

Research output: Contribution to journalArticle

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Lucas JA, Avi-Itzhak T, Robinson JP, Morris CG, Koren MJ, Reinhard SC. Continuous quality improvement as an innovation: Which nursing facilities adopt it? Gerontologist. 2005 Feb;45(1):68-77. https://doi.org/10.1093/geront/45.1.68