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Quality of Nursing Home Care: Perceptions of Physicians, Psychologists, and Nurse Practitioners

Cohen-Mansfield, Jiska PhD, ABPP; Jensen, Barbara PhD; Resnick, Barbara PhD, CRNP, FAAN, FAANP; Norris, Margaret PhD

doi: 10.1097/NCQ.0b013e31822f2e81

Physicians, psychologists, and nurse practitioners rated the quality of nursing home care and the importance and feasibility of improvement strategies. Overall care was rated better than care of residents, followed by treatment of staff. Physicians rated care highest and nurse practitioners rated it lowest. In terms of suggestions for quality improvement, improving treatment of frontline staff and of families was rated as most important overall. We found differences across professional groups in recommended improvements, a finding that suggests the importance of interdisciplinary communication and developing an integrated viewpoint in optimizing care for older persons.

Research Institute on Aging, Charles E. Smith Life Communities, Rockville, Maryland (Drs Cohen-Mansfield and Jensen); Sackler Faculty of Medicine and Herczeg Institute on Aging, Tel-Aviv University, Israel, and George Washington University Medical Center, The George Washington University, Washington, District of Columbia (Dr Cohen-Mansfield); University of Maryland School of Nursing, Baltimore (Dr Resnick); and Independent Practice, College Station, Texas (Dr Norris).

Correspondence: Jiska Cohen-Mansfield, PhD, ABPP, Research Institute on Aging, Charles E. Smith Life Communities, 6121 Montrose Rd, Rockville, MD 20852 (

The authors declare no conflicts of interest.

Accepted for publication: July 25, 2011.

Published online before print: August 24, 2011.

© 2012 Lippincott Williams & Wilkins, Inc.