J Korean Acad Nurs.  2011 Aug;41(4):510-519. 10.4040/jkan.2011.41.4.510.

Development of an Evaluation Instrument for Service Quality in Nursing Homes

• Lee J
• Ji ES

• KMID: 1018336
• DOI: http://doi.org/10.4040/jkan.2011.41.4.510

Abstract

PURPOSE
The purposes of this study were to identify the factors influencing service quality in nursing homes, and to develop an evaluation instrument for service quality.
METHODS
A three-phase process was employed for the study. 1) The important factors to evaluate the service quality in nursing homes were identified through a literature review, panel discussion and focus group interview, 2) the evaluation instrument was developed, and 3) validity and reliability of the study instrument were tested by factor analysis, Pearson correlation coefficient, Cronbach's alpha and Cohen's Kappa.
RESULTS
Factor analysis showed that the factors influencing service quality in nursing homes were healthcare, diet/assistance, therapy, environment and staff. To improve objectivity of the instrument, quantitative as well as qualitative evaluation approaches were adopted. The study instrument was developed with 30 items and showed acceptable construct validity. The criterion-related validity was a Pearson correlation coefficient of .85 in 151 care facilities. The internal consistency was Cronbach's alpha=.95.
CONCLUSION
The instrument has acceptable validity and a high degree of reliability. Staff in nursing homes can continuously improve and manage their services using the results of the evaluation instrument.

Keyword

Skilled nursing facility; Quality; Instrument

MeSH Terms

Humans
Interviews as Topic
Nursing Evaluation Research
*Nursing Homes/standards
Program Development
Quality of Health Care/*standards
Questionnaires

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