The Relationship of Clinical Quality, Performance Improvement, and Internal Risk Scores in Nursing Homes

Author

Svea Emerson, Olivet Nazarene UniversityFollow

Date of Award

5-2010

Degree Type

Dissertation

Degree Name

Doctor of Education (EdD)

First Advisor

Melvin Welch

Second Advisor

Paul Koch

Third Advisor

Houston Thompson

Scholarship Domain(s)

Scholarship of Discovery

Abstract

A clinical quality review (CQR) assessing high-risk areas as staffing, change in condition, and pressure ulcers (PU) was completed in 31 nursing homes. Scores between the assigned clinician and the researcher were analyzed using paired t-tests and Pearson r correlations. Average scores for staffing were reliable, while the PU and change in condition scores were significantly different. Individual staffing, 6 of 9 change in condition, and 9 of 18 PU questions were reliable and consistent. Multiple regressions compared relationships between performance improvement (PI), internal risk, and CQR scores with various results. The internal risk and PI scores were inversely related. Future focus should be on PI, and review of policies and instructions for change in condition and PU areas.

Comments

Ed.D. dissertation completed in 2010 for Olivet Nazarene University.

Recommended Citation

Emerson, Svea, "The Relationship of Clinical Quality, Performance Improvement, and Internal Risk Scores in Nursing Homes" (2010). Ed.D. Dissertations. 5.
https://digitalcommons.olivet.edu/edd_diss/5