Shippee Tetyana P, Henning-Smith Carrie, Gaugler Joseph E, Held Robert, Kane Robert L
1 Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
2 School of Nursing, University of Minnesota, Minneapolis, MN, USA.
Res Aging. 2017 Mar;39(3):418-442. doi: 10.1177/0164027515615182. Epub 2016 Aug 3.
This article explores the factor structure of a new family satisfaction with nursing home care instrument and determines the relationship of resident quality of life (QOL) and facility characteristics with family satisfaction. Data sources include (1) family satisfaction interviews ( n = 16,790 family members), (2) multidimensional survey of resident QOL ( n = 13,433 residents), and (3) facility characteristics ( n = 376 facilities). We used factor analysis to identify domains of family satisfaction and multivariate analyses to identify the role of facility-level characteristics and resident QOL on facility-mean values of family satisfaction. Four distinct domains were identified for family satisfaction: "care," "staff," "environment," and "food." Chain affiliation, higher resident acuity, more deficiencies, and large size were all associated with less family satisfaction, and resident QOL was a significant (albeit weak) predictor of family satisfaction. Results suggest that family member satisfaction is distinct from resident QOL but is associated with resident QOL and facility characteristics.
本文探讨了一种新型的养老院护理家庭满意度量表的因子结构，并确定了居民生活质量（QOL）和机构特征与家庭满意度之间的关系。数据来源包括：（1）家庭满意度访谈（n = 16,790名家庭成员），（2）居民生活质量多维度调查（n = 13,433名居民），以及（3）机构特征（n = 376个机构）。我们使用因子分析来确定家庭满意度的领域，并使用多变量分析来确定机构层面特征和居民生活质量对家庭满意度机构均值的作用。家庭满意度被确定为四个不同的领域：“护理”、“员工”、“环境”和“食物”。连锁关系、居民病情较重、缺陷较多以及规模较大均与较低的家庭满意度相关，居民生活质量是家庭满意度的一个显著（尽管较弱）预测指标。结果表明，家庭成员满意度与居民生活质量不同，但与居民生活质量和机构特征相关。
