How to Measure the Quality of Nursing Home?

Faizul Hasan*
Welly Vitriawan, S.Kep. Ns. M.Kep. Sp.KMB**

*Student of Nursing Departement Health Polytechnic of Malang
**Lecture of Nursing Departement Health Polytechnic of Malang

Nursing home care and long-term care were synonymous. In recent years, the long-term care sector has changed considerably and is arguably evolving into a “system” in which care can be provided in settings that are more appropriate for consumers’ needs. This includes care by home health provid¬ers, adult day care, residential care, and assisted living. However, nursing homes are still an essential component of the current long-term care system. Enduring issues surrounding nursing homes have been quality related. The often-poor quality of nursing homes has been a consistent issue of concern for consum¬ers, government, and researchers.

Nursing home is a comphehensive care for patient who needs a simple medicine care and still need a nursing care. In Malang, nursing home is a big chance for nurse to do, like diabetic nursing home, stroke, aids and cancer nursing home. Nurse has big chance to manage nursing home to increase the quality of life of the patient

Nurse have responsibilities to realize of adequate of quality in nursing home by indicators of quality measures.

The relationship with quality of nursing home explained above, have to give specific attention about how to make and manage a nursing home service.

High quality of human resource (nurse) is very helpful to create a better service. Beside a complete instrument that also really helpful.

Quality could be mea¬sured in terms of structures (S), processes (P), and outcomes (O). Structural measures are the organi¬zational characteristics associated with the provi¬sion of care. Process measures are characteristics of things done to and for the resident. Outcome mea¬sures are the desired states one would (or would not) like to achieve for the resident.

The SPO approach also has theoretical under¬pinnings in that good structure should facilitate good process and good process should facilitate good outcomes. However, we note that the theo¬retical SPO underpinnings were not developed specifically for nursing homes and some have ques¬tioned its suitability for this setting (Glass, 1991). Moreover, SPO linkages are not always validated in the nursing home literature (Gustafson, Sainfort, Van Konigsveld, & Zimmerman, 1990). Some scholars have also further substantially developed components of this approach by including factors such as culture (S) and work groups (P), whereas others in long-term care have modified the SPO theory, for example by combining it with contingency theory (Zinn & Mor, 1998).

Some nursing home care service that give nursing home care in Malang is good enough but it is still hard because of the human resource quality and the instrument still simple, beside that nursing home is not known yet by the society.

The payment of nursing home also very expensive that make the society like to choose home care.

Nurse can finish that problem by giving complete explanation and information about nursing home, advantages and good service.

With respect to the development and use of quality indicators, policy interventions are signifi¬cant. However, clearly, it is provider initiatives that ultimately influence nursing home quality. These initiatives include the use of Quality Assess¬ment (QA), Total Quality Management (TQM), Continuous Quality Improvement (CQI), and Per¬fecting Patient Care. It is worth clarifying also that the development and measure¬ment of quality indicators are not necessarily related to solutions to quality. It is effective use by providers that is most related to quality solutions. Nevertheless, with respect to quality indicators, one provider development, culture change, has sig¬nificantly affected the development and measure¬ment of quality indicators.

References
Glass, A. (1991). Nursing home quality: A framework for analysis. Jour¬nal of Applied Gerontology, 10, 5–18.
Gustafson, D. H., Sainfort, F. C., Van Konigsveld, R., & Zimmerman, D. R. (1990). The quality assessment index (QAI) for measuring nursing home quality. Health Services Research, 25, 97–128.
Zinn, J. S., & Mor, V. (1998). Organizational structure and the delivery of primary care to older Americans. Health Services Research, 33(2, Pt. 2), 355–380.