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Updated: Aug 19, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Assessing nursing homes' capacity to create and sustain improvement
Jill Scott1, Carol Vojir, Katherine Jones
1University of Missouri - Columbia, Sinclair School of Nursing, MO 65211, USA. scottji@missouri.edu
Abstract:
Nursing home leadership and staff in 32 nursing homes were surveyed using an adaptation of Shortell's Organization and Management Survey. An earlier psychometric assessment of Shortell's communication and leadership scales raised concerns about the reliability of these scales in the nursing home setting. Exploratory factor analysis was performed to determine if another scale structure should be considered. Using principal-axis extraction with a varimax rotation, a 5-factor solution that accounted for 47% of item variance was defined.
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