Biomaterial Database

Community presence and nursing home quality of care: the ombudsman as a complementary role. 1993

R L Cherry

Gerontology Center, Purdue University Calumet, Hammond, IN 46323.

Nursing home ombudsmen represent a community presence in long-term care facilities. This study examines ombudsmen in the context of Litwak's theory of complementary roles in order to assess the theory's association with quality of care. A multivariate analysis of a random sample of 210 Missouri nursing homes revealed that the presence of an ombudsman in intermediate care facilities is significantly related to both process and outcome measures of quality of nursing care. The implication is that conceptualizations of complementary roles should include the quality assurance functions illustrated by ombudsmen.

UI	MeSH Term	Description	Entries
D007380	Intermediate Care Facilities	Institutions which provide health-related care and services to individuals who do not require the degree of care which hospitals or skilled nursing facilities provide, but because of their physical or mental condition require care and services above the level of room and board.	Care Facilities, Intermediate,Care Facility, Intermediate,Facilities, Intermediate Care,Facility, Intermediate Care,Intermediate Care Facility
D008923	Missouri	State bounded on the east by Illinois and Kentucky, on the south by Arkansas, on the west by Kansas, and on the north by Iowa.
D009732	Nursing Care	Care given to patients by nursing service personnel.	Care, Nursing,Management, Nursing Care,Nursing Care Management
D009735	Nursing Homes	Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.	Homes, Nursing,Nursing Home
D010344	Patient Advocacy	Promotion and protection of the rights of patients, frequently through a legal process.	Patient Ombudsmen,Patient Representatives,Clinical Ombudsman,Patient Ombudsman,Advocacy, Patient,Ombudsman, Clinical,Ombudsman, Patient,Ombudsmen, Patient,Patient Representative,Representative, Patient,Representatives, Patient
D011582	Psychological Theory	Principles applied to the analysis and explanation of psychological or behavioral phenomena.	Social Cognitive Theory,Psychologic Theory,Psychological Theories,Theories, Psychological,Theory, Psychological,Cognitive Theories, Social,Cognitive Theory, Social,Psychologic Theories,Social Cognitive Theories,Theories, Psychologic,Theories, Social Cognitive,Theory, Psychologic,Theory, Social Cognitive
D011785	Quality Assurance, Health Care	Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.	Quality Assessment, Health Care,Health Care Quality Assessment,Health Care Quality Assurance,Healthcare Quality Assessment,Healthcare Quality Assurance,Quality Assessment, Healthcare,Quality Assurance, Healthcare,Assessment, Healthcare Quality,Assessments, Healthcare Quality,Assurance, Healthcare Quality,Assurances, Healthcare Quality,Healthcare Quality Assessments,Healthcare Quality Assurances,Quality Assessments, Healthcare,Quality Assurances, Healthcare
D012044	Regression Analysis	Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.	Regression Diagnostics,Statistical Regression,Analysis, Regression,Analyses, Regression,Diagnostics, Regression,Regression Analyses,Regression, Statistical,Regressions, Statistical,Statistical Regressions
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012380	Role	The expected and characteristic pattern of behavior exhibited by an individual as a member of a particular social group.	Role Concept,Concept, Role,Concepts, Role,Role Concepts,Roles