Interdisciplinary Performance Improvement: Progress of Pitfalls?: PDF OnlyNursing Home Care Quality: A Multidimensional Theoretical ModelRantz, Marilyn J. RN, PhD, FAAN1,*; Mehr, David R. MD, MS2,†; Popejoy, Lori MSN, RN3,*; Zwygart-Stauffacher, Mary PhD, RN4; Hicks, Lanis L. PhD5,†; Grando, Victoria PhD, RN6,*; Conn, Vicki S. PhD, RN7,*; Porter, Rose PhD, RN8,*; Scott, Jill MSN, RN9,*; Maas, Meridean PhD, RN, FAAN10Author Information 1Associate Professor, University Hospital Professor of Nursing 2Assistant Professor of Family and Community Medicine 3Long Term Care Research Nurse 4Associate Professor School of Nursing, University of Minnesota Minneapolis, Minnesota 5Associate Professor of Health Services Management 6Assistant Professor 7Associate Professor 8Associate Professor and Associate Dean 9Doctoral Student 10Professor College of Nursing, University of Iowa College of Nursing,Iowa City, Iowa *Sinclair School of Nursing, University of Missouri- Columbia, Columbia, Missouri †School of Medicine. University of Missouri-Columbia, Columbia, Missouri Journal of Nursing Care Quality: February 1998 - Volume 12 - Issue 3 - p 30-46 Buy Abstract This exploratory study was undertaken to discover the defining dimensions of nursing home care quality and to propose a conceptual model to guide nursing home quality research and the development of instruments to measure nursing home care quality. Three focus groups were conducted in three central Missouri communities. A naturalistic inductive analysis of the transcribed content was completed. Two core variables (interaction and odor) and several related concepts emerged from the data. Using the core variables, related concepts, and detailed descriptions from participants, three models of nursing home care quality emerged from the analysis: (1) a model of a nursing home with good quality care; (2) a model of a nursing home with poor quality care; and (3) a multidimensional model of nursing home care quality. The seven dimensions of the multidimensional model of nursing home care quality are: central focus, interaction, milieu, environment, individualized care, staff, and safety. To pursue quality, the many dimensions must be of primary concern to nursing homes. We are testing an instrument based on the model to observe and score the dimensions of nursing home care quality. © 1998 Aspen Publishers, Inc.