Quality improvement in nursing care facilities: extent, impetus, and impact.

Academic Article


  • This study examines the extent, motivation, and performance implications of normal quality improvement (QI) programs in Pennsylvania nursing care facilities. Responses to a 20-item survey sent to facility administrators indicate that continuous quality improvement/total quality management (CQI/TQM) adopters are more motivated by quality of care and human resource concerns in implementing QI, more satisfied with the results of QI efforts, and more aware of a competitive environment than are non-adopters. There are few differences between adopters and non-adopters with respect to organizational characteristics or performance on quality of care measures. Comparison with the results of a study of QI implementation in hospitals reveals some differences in motivation, but similarities in satisfaction with results.
  • Published In


  • Factor Analysis, Statistical, Health Facility Administrators, Health Services Research, Humans, Motivation, Nursing Homes, Organizational Objectives, Pennsylvania, Professional Competence, Surveys and Questionnaires, Total Quality Management
  • Digital Object Identifier (doi)

    Author List

  • Zinn JS; Brannon D; Weech R
  • Start Page

  • 51
  • End Page

  • 61
  • Volume

  • 12
  • Issue

  • 1