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Assessing Nursing Homes' Capacity to Create and Sustain Improvement

Scott, Jill PhD, RN; Vojir, Carol PhD; Jones, Katherine PhD, RN, FAAN; Moore, Laurie MPH

Journal of Nursing Care Quality:

Nursing home leadership and staff in 32 nursing homes were surveyed using an adaptation of Shortell's Organization and Management Survey. An earlier psychometric assessment of Shortell's communication and leadership scales raised concerns about the reliability of these scales in the nursing home setting. Exploratory factor analysis was performed to determine if another scale structure should be considered. Using principal-axis extraction with a varimax rotation, a 5-factor solution that accounted for 47% of item variance was defined.

Author Information

University of Missouri – Columbia, Sinclair School of Nursing (Dr Scott); the University of Colorado Health Sciences Center, School of Nursing, Denver, Colo (Dr Vojir); the Yale University School of Nursing, New Haven, Conn (Dr Jones); and the University of Colorado Health Sciences Center, Colorado Health Outcomes Program, Denver, Colo (Ms Moore).

Corresponding author: Jill Scott, PhD, RN, University of Missouri – Columbia, Sinclair School of Nursing, Columbia, MO 65211 (e-mail:

This project was funded by grant #1 RO1 HS12028-01 from the Agency for Healthcare Research and Quality (AHRQ) (principal investigator Jill Scott). Special thanks to the remainder of our research team: Debbi Main, PhD, Jean Kutner, MD, Paul Nutting, MD, Karen Pennington, MS, and Kay Wagner, MS.

Accepted for publication: January 21, 2004

© 2005 Lippincott Williams & Wilkins, Inc.