Understanding the relationship between nursing home quality initiatives and caregiving behaviors
| dc.contributor.author | Weston, Stephanie | |
| dc.contributor.author | Kusmaul, Nancy | |
| dc.contributor.author | Miller, Nancy | |
| dc.contributor.author | McLaren, Zoe | |
| dc.contributor.author | Nelson, H. Wayne | |
| dc.date.accessioned | 2025-12-15T14:58:36Z | |
| dc.date.issued | 2025-10-27 | |
| dc.description.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. | |
| dc.description.sponsorship | This work was supported by the Graduate Student Association of University of Maryland, Baltimore County. | |
| dc.description.uri | https://www.sciencedirect.com/science/article/pii/S0197457225005166 | |
| dc.format.extent | 25 pages | |
| dc.genre | journal articles | |
| dc.genre | preprints | |
| dc.identifier | doi:10.13016/m2iyq5-vsma | |
| dc.identifier.citation | 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. | |
| dc.identifier.uri | https://doi.org/10.1016/j.gerinurse.2025.103673 | |
| dc.identifier.uri | http://hdl.handle.net/11603/41250 | |
| dc.language.iso | en | |
| dc.publisher | Elsevier | |
| dc.relation.isAvailableAt | The University of Maryland, Baltimore County (UMBC) | |
| dc.relation.ispartof | UMBC Faculty Collection | |
| dc.relation.ispartof | UMBC School of Public Policy | |
| dc.relation.ispartof | UMBC School of Social Work | |
| dc.rights | This item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author. | |
| dc.subject | “nursing home quality” “Five-Star Rating” “Quality Measures” | |
| dc.title | Understanding the relationship between nursing home quality initiatives and caregiving behaviors | |
| dc.type | Text | |
| dcterms.creator | https://orcid.org/0000-0003-2278-8495 | |
| dcterms.creator | https://orcid.org/0000-0003-2515-9731 |