PROBLEM. This study examined whether an agency's investigation of complaints in 40 nursing homes is positively correlated with the quality of nursing home care. METHODS. A quantitative methodology design using quantitative and qualitative data was used to assess the relationship between Agency X's investigation of consumers' nursing home complaints and the quality of nursing home care. FINDINGS. Results showed fewer violations after the agency's interventions, indicating improvement in the nursing care. Analysis showed on average 0.14 fewer violations. This decrease is statistically significant (p =.015), indicating that this agency's intervention improved nursing home care. CONCLUSIONS. Additional studies are needed to further explore the quality of care given in nursing homes. Nurses may propose to the Centers for Medicare & Medicaid Services to establish a new innovative system for ensuring high quality nursing home care by requiring the establishment of outside agencies, such as Agency X, to monitor care in addition to the annual surveys conducted by the Department of Health and Human Services.
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Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USAUniv Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA
Wagner, Laura M.
Brush, Barbara L.
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Univ Michigan, Sch Nursing, Nursing Populat Hlth, Ann Arbor, MI 48109 USAUniv Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA
Brush, Barbara L.
Engberg, John B.
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RAND, Pittsburgh, PA 15213 USAUniv Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA
Engberg, John B.
Castle, Nicholas G.
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Univ Pittsburgh, Dept Hlth Policy & Management, Pittsburgh, PA 15260 USAUniv Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA
Castle, Nicholas G.
Capezuti, Elizabeth
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William Randolph Hearst Fdn, Gerontol, New York, NY 10019 USA
CUNY Hunter Coll, Hunter Bellevue Sch Nursing, New York, NY 10065 USAUniv Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA