Understanding Nursing Home Quality of Care: PDF OnlyUnderstanding Nursing Home Quality of Care Incorporating Caregivers' Perceptions through Structure, Process, and OutcomeSchirm, Victoria; Albanese, Terry; Garland, Neal T.Author Information Victoria Schirm, PhD, RN, CS,is Professor, College of Nursing, The University of Akron, Akron, Ohio. Terry Albanese, PhD,is Undergraduate Program Coordinator, Institute for LifeSpan Development and Gerontology, The University of Akron, Akron, Ohio T. Neal Garland, PhD,is Professor, Department of Sociology, The University of Akron, Akron, Ohio A version of this paper was presented at the Gerontological Society of America Annual Meeting in November 1997. This research was supported by funding from The University of Akron Research (Faculty Projects) Committee to Drs. Garland and Schirm. Quality Management in Health Care: Volume 8 - Issue 1 - p 55-63 Buy Abstract Nursing home quality of care has been influenced by the Omnibus Budget Reconciliation Act of 1987. This legislation mandated changes within the structure, process, and outcomes of care. These care elements are examined from the viewpoints of 32 licensed nurses and 40 nurse assistants. Accounts of good care, obtained through focus groups, are presented within the context of structure, process, and outcome to understand quality care. Implications about training nursing personnel are considered within the structure and the process of care and how these elements affect care outcomes. ©1999Aspen Publishers, Inc.