Understanding the relationship between nursing home quality initiatives and caregiving behaviors
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Citation of Original Publication
Weston, Stephanie, Nancy Kusmaul, Nancy Miller, Zoë McLaren, and H. Wayne Nelson. “Understanding the Relationship between Nursing Home Quality Initiatives and Caregiving Behaviors.” Geriatric Nursing 66 (November 2025): 103673. https://doi.org/10.1016/j.gerinurse.2025.103673.
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Abstract
Background and ObjectivesQualitative research including frontline worker voices on nursing home quality is important but limited in the current available literature. This research aims to explore the perspectives of nursing home staff in relation to CMS quality initiatives and identify themes to better inform policymakers of the frontline worker experience.Research Design and MethodsThis qualitative study included 20 participants from four nursing homes in the Baltimore/Washington DC metropolitan area. Interviews were performed in person based on an open-ended questionnaire developed by the PI. Interviews were transcribed and audio recorded if consent was given. Themes were identified, extracted, and coded related to participant knowledge of CMS quality initiatives and their opinions on quality care.ResultsFindings suggest that participants have little knowledge of CMS quality initiatives, and their definitions of high-quality care do not align with metrics tracked by CMS.Discussion and ImplicationsPolicymakers must work to incorporate frontline worker views when defining and measuring quality care. Additionally, facility leaders may benefit from incorporating frontline worker input into quality improvement programming.