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Challenges to achieving adequate sample sizes for facility level evaluations of nursing home resident satisfaction
- Authors:
- CASTLE Nicholas G., ELLIOTT Marc N.
- Journal article citation:
- Ageing International, 35(1), March 2010, pp.61-71.
- Publisher:
- Springer
- Place of publication:
- New York
Several initiatives are underway to measure the satisfaction of nursing home residents. However, an important consideration is the sample size needed to achieve this objective. This study used National data from the US Minimum Data Set (MDS) was used to examine the distribution of resident sample sizes, lengths of stay, and cognitive status across nursing homes to gain further insight into how these factors could impact the sample size of respondents. The associations of cognitive status with length of stay, bed size and hospital affiliation was estimated. The analyses were performed using approximately 3.5 million MDS records collected from US nursing homes during 2001. It was assumed that target sample sizes should be between 20 and 30 residents per facility. The results showed adequately precise information for long-stay residents will be available from 4 to 46% of hospital-based facilities and 67-90% of freestanding facilities, whereas information from short-stay residents will be available from 34-95% of hospital based facilities and 14-50% of freestanding facilities. The authors comment that the analyses show the challenges satisfaction initiatives face in obtaining adequate numbers of residents for benchmarking or for purposes of comparisons across facilities.
A review of satisfaction instruments used in long-term care settings
- Author:
- CASTLE Nicholas G.
- Journal article citation:
- Journal of Aging and Social Policy, 19(2), 2007, pp.9-41.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
The authors review studies in the published literature using satisfaction surveys in long-term care settings. These settings include nursing homes, assisted living facilities, hospital long-term care units, and residential care homes. Rather than simply describe instruments in existence, the review compares and contrasts the format, content, and administration of these instruments. 50 studies were identified that have either developed or used satisfaction instruments in long-term care facilities. However, the review also shows that satisfaction instruments in the published literature vary greatly in numerous ways, including the number of questions they contain, the number of respondents included in the study, assessment of psychometric properties, and in the number of domains used. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).