Related Experiment Video
Updated: Jul 24, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
A conceptual framework for achieving high-quality care in nursing homes
J G Stevenson1, C Beck, P Heacock
1University of Arkansas at Little Rock, USA. jgstevenson@ualr.edu
Summary
This study introduces a systems model to understand nursing home quality. It identifies factors contributing to poor care, aiding administrators in quality improvement initiatives.
Area of Science:
- Healthcare Management
- Organizational Science
- Quality Improvement
Background:
- Nursing home care represents a significant portion of US healthcare spending.
- Substantial concerns exist regarding the quality of care in nursing home settings.
Purpose of the Study:
- To present a comprehensive systems model for analyzing nursing home organizational environments.
- To identify factors contributing to poor quality of care in nursing homes through a literature review.
- To provide a framework for nursing home administrators and quality professionals for quality improvement.
Main Methods:
- Development of a comprehensive systems model with four interacting dimensions: organizing arrangements, social factors, technology, and physical setting.
- Extensive literature review utilizing the systems model as a conceptual framework.
- Identification of factors contributing to poor nursing home care and review of existing research.
Main Results:
- The systems model provides a structured approach to understanding nursing home environments.
- Key factors contributing to poor quality of care were identified.
- Previous research efforts were highlighted.
Conclusions:
- The proposed systems model offers a valuable framework for analyzing and improving nursing home quality.
- The literature review serves as a guide for practical quality improvement implementation.
- Future research directions in nursing home quality are suggested.
Related Concept Videos
01:30Theoretical Foundations of Nursing Practice
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
01:25Fundamentals of Nursing Process II
There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
01:21Planning Nursing Care I
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
01:29Planning Nursing Care II
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including: