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The relationship between organizational factors and resident satisfaction with nursing home care and life
Authors:Lucas Judith A  Levin Carrie A  Lowe Timothy J  Robertson Brian  Akincigil Ayse  Sambamoorthi Usha  Bilder Scott  Paek Eun Kwang  Crystal Stephen
Institution: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
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.
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