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Development and testing of a staff questionnaire for evaluating the quality of services at nursing homes in Japan
1Department of Gerontological Policy, National Institute of Longevity Sciences, NCGG, Aichi, Japan. kojiabe@nils.go.jp
Objectives:
The purpose of this study was to develop a self-assessment tool for evaluating the quality of services provided in nursing homes in Japan and to test the validity of the imputation method for the analysis of missing data.
Design:
A mailed survey based on a self-administered questionnaire.
Setting:
Gifu Prefecture in central Japan.
Participants:
We recruited 124 health care workers from 15 nursing homes located in the Gifu Prefecture.
Measurements:
Demographic data, self-assessment of the quality of services provided in nursing homes, Maslach Burnout Inventory-General Survey, General Health Questionnaire, self-rated score of the nursing facility, and job satisfaction.
Results:
Factor analysis with maximum-likelihood estimation extracted a factor in both the complete observed data and the data obtained by imputing values using the expectation-maximization (EM) algorithm. The factor score was significantly associated with burnout, self-rated score of the nursing facility, and job satisfaction.
Conclusions:
The simple self-assessment tool that was developed in this study for evaluating the quality of services provided in nursing homes has high internal reliability and criterion-related validity. The imputation method using the EM algorithm might be useful for the analysis of missing data with regard to long-term care and management.
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