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Quality Assessment in Nursing Homes by Systematic Direct Observation: Feeding Assistance

2002; Oxford University Press; Volume: 57; Issue: 10 Linguagem: Inglês

10.1093/gerona/57.10.m665

1758-535X

Sean Simmons, Sarah Babineau, Elena González, John F. Schnelle,

Dementia and Cognitive Impairment Research

Background. Direct observation of care is an important data source for nursing home (NH) quality assessment, especially in light of evidence that chart information is inaccurate or incomplete for many daily care areas. The purpose of this study was to describe a standardized feeding assistance observational protocol that is designed for routine use by external (survey teams) and internal (licensed NH staff) quality assurance personnel to (i) maximize the amount of useful information gained from relatively brief observational periods; (ii) provide specific rules of measurement, which allow for replication and valid comparisons between NHs; and (iii) provide specific scoring rules that allow defensible categorical statements to be made about feeding assistance care quality within the NH.