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Development and testing of a staff questionnaire for evaluating the quality of services at nursing homes in Japan.

Research paper by Koji K Abe, Akira A Ohashi

Indexed on: 24 Feb '09Published on: 24 Feb '09Published in: Journal of the American Medical Directors Association



Abstract

The purpose of this study was to develop a self-assessment tool for evaluating the quality of services provided in nursing homes in Japan and to test the validity of the imputation method for the analysis of missing data.A mailed survey based on a self-administered questionnaire.Gifu Prefecture in central Japan.We recruited 124 health care workers from 15 nursing homes located in the Gifu Prefecture.Demographic data, self-assessment of the quality of services provided in nursing homes, Maslach Burnout Inventory-General Survey, General Health Questionnaire, self-rated score of the nursing facility, and job satisfaction.Factor analysis with maximum-likelihood estimation extracted a factor in both the complete observed data and the data obtained by imputing values using the expectation-maximization (EM) algorithm. The factor score was significantly associated with burnout, self-rated score of the nursing facility, and job satisfaction.The simple self-assessment tool that was developed in this study for evaluating the quality of services provided in nursing homes has high internal reliability and criterion-related validity. The imputation method using the EM algorithm might be useful for the analysis of missing data with regard to long-term care and management.