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Measurement of Nursing Home Culture Change: Systematic Review
Research in Gerontological Nursing
|January 23, 2018
Summary
Nursing home culture change (NHCC) requires valid measures. This review identified ten NHCC instruments but found limited psychometric testing and outcome studies, highlighting a need for further research.
Area of Science:
- Gerontology
- Healthcare Management
- Nursing Research
Background:
- Nursing home culture change (NHCC) initiatives aim to improve care quality.
- Robust measurement tools are essential for evaluating NHCC's effectiveness.
- Existing literature lacks comprehensive reviews of NHCC measurement instruments.
Purpose of the Study:
- To systematically review instruments measuring NHCC at the organizational level.
- To provide criteria for selecting appropriate NHCC measurement tools.
- To identify gaps in the current measurement landscape.
Main Methods:
- Systematic literature search for NHCC measurement instruments.
- Review of identified instruments for development and psychometric properties.
- Analysis of studies linking NHCC measures to patient outcomes.
Main Results:
- Ten organizational-level NHCC instruments were identified.
- Limited information on instrument development was available for most.
- Few studies have examined the relationship between NHCC and patient outcomes.
- A common limitation was the lack of rigorous psychometric testing (validity and reliability).
Conclusions:
- Current NHCC instruments have limitations in psychometric validation.
- Further research is needed to establish the reliability and validity of existing tools.
- More studies are required to link NHCC measures to tangible patient outcomes.
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