Conceptualizing the Roles of Nursing Home Management & Generating a Program of Research

2.50
Hdl Handle:
http://hdl.handle.net/10755/157631
Type:
Presentation
Title:
Conceptualizing the Roles of Nursing Home Management & Generating a Program of Research
Abstract:
Conceptualizing the Roles of Nursing Home Management & Generating a Program of Research
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Siegel, Elena, PhD, RN
P.I. Institution Name:Oregon Health & Science University School of Nursing
Title:Assistant Professor
Contact Address:3455 SW UW Veterans Hospital Rd SN-6S, Portland, OR, 97239, USA
Contact Telephone:503-494-4611
Purpose:  Nursing Home Administrators (NHA) and Directors of Nursing (DON) form the core management team in most nursing homes.  Little is known about the factors that best position this team to tackle widespread industry challenges and reverse the substandard care delivery practices and poor work environments that exist in many of our country's facilities.  Heavy regulation and resource constraints complicate the questions we need to ask regarding the potential for this team to efficiently and effectively engage in quality improvement efforts and innovation in these settings. The purpose of this paper is to present a conceptual model that provides directions for a program of research focused on the roles of management teams in nursing home settings and relationships between the team's performance and outcomes.  Description of Methodological Framework:  The conceptual model illustrates concepts, relationships among concepts, and directions for research, including: Industry and organizational needs for the NHA and DON roles; Structural elements of job descriptions, job designs, and minimum qualifications for NHA and DON roles; Situational factors associated with the way NHA and DON job descriptions are enacted,  in practice, including societal, organizational, and individual factors; Primary outcome measures of performance (i.e., tasks and behaviors) and secondary outcome measures at resident/family, staff, and organization levels. Process Used:  The conceptual model draws from Industrial & Organizational Psychology, with well-established and well-recognized conceptual underpinnings and methodological approaches to developing roles, clarifying role expectations, evaluating performance, and establishing foundations to link role performance to outcomes of interest. Linkage to nursing practice and research problem:  This conceptual model is used to guide the development of a program of research focusing on the core management teams in nursing homes, as integrated dyads. The short term goal is to identify the educational, organizational, and individual factors that support and promote efficient high quality nursing care delivery practices, quality of life for residents, and quality work environments.  The long term goal is to establish nursing home industry infrastructures that ensure a well-trained nursing workforce capable of managing and leading pervasive high quality care practices. Conclusions:  Effective management and leadership teams are critically needed to address the ongoing quality crisis in our nation's nursing homes.  This conceptual model will guide the planning and execution of a series of studies - beginning with evidence-based NHA and DON job descriptions - and serve as a foundation for leading organization and industry-level change efforts.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleConceptualizing the Roles of Nursing Home Management & Generating a Program of Researchen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157631-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Conceptualizing the Roles of Nursing Home Management &amp; Generating a Program of Research</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Siegel, Elena, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Oregon Health &amp; Science University School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3455 SW UW Veterans Hospital Rd SN-6S, Portland, OR, 97239, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">503-494-4611</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">siegele@ohsu.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose:&nbsp; Nursing Home Administrators (NHA) and Directors of Nursing (DON) form the core management team in most nursing homes.&nbsp; Little is known about the factors that best position this team to tackle widespread industry challenges and reverse the substandard care delivery practices and poor work environments that exist in many of our country's facilities.&nbsp; Heavy regulation and resource constraints complicate the questions we need to ask regarding the potential for this team to efficiently and effectively engage in quality improvement efforts and innovation in these settings. The purpose of this paper is to present a conceptual model that provides directions for a program of research focused on the roles of management teams in nursing home settings and relationships between the team's performance and outcomes.&nbsp; Description of Methodological Framework:&nbsp; The conceptual model illustrates concepts, relationships among concepts, and directions for research, including: Industry and organizational needs for the NHA and DON roles; Structural elements of job descriptions, job designs, and minimum qualifications for NHA and DON roles; Situational factors associated with the way NHA and DON job descriptions are enacted,&nbsp; in practice, including societal, organizational, and individual factors; Primary outcome measures of performance (i.e., tasks and behaviors) and secondary outcome measures at resident/family, staff, and organization levels. Process Used:&nbsp; The conceptual model draws from Industrial &amp; Organizational Psychology, with well-established and well-recognized conceptual underpinnings and methodological approaches to developing roles, clarifying role expectations, evaluating performance, and establishing foundations to link role performance to outcomes of interest.&nbsp;Linkage to nursing practice and research problem:&nbsp; This conceptual model is used to guide the development of a program of research focusing on the core management teams in nursing homes, as integrated dyads. The short term goal is to identify the educational, organizational, and individual factors that support and promote efficient high quality nursing care delivery practices, quality of life for residents, and quality work environments.&nbsp; The long term goal is to establish nursing home industry infrastructures that ensure a well-trained nursing workforce capable of managing and leading pervasive high quality care practices. Conclusions:&nbsp; Effective management and leadership teams are critically needed to address the ongoing quality crisis in our nation's nursing homes.&nbsp; This conceptual model will guide the planning and execution of a series of studies - beginning with evidence-based NHA and DON job descriptions - and serve as a foundation for leading organization and industry-level change efforts.</td></tr></table>en_GB
dc.date.available2011-10-26T20:03:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:03:18Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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