Satisfaction of Discharged Nursing Home Residents

Abstract

The psychometric properties of The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Nursing Home survey: Discharged Resident Instrument (NHCAHPS-D) are examined. A random sample of 550 nursing homes was selected from across the United States and 365 agreed to participate (participation rate = 66%). From 7,020 surveys sent to discharged residents, 4,926 were returned (response rate = 70%). The psychometric properties of the resident responses and the survey items were robust. Confirmatory factor analyses model fit statistics met the criterion for good conformance. Five of the initial NHCAHPS-D instrument domains were identified (environment, care, communication and respect, autonomy, and activities), along with a sixth (transitions) added by the authors. The standardization and reliability that NHCAHPS-D provides could facilitate the same benefits we have seen in other industries for the CAHPS family of instruments (i.e., quality improvement, reimbursement, public reporting, and benchmarking) and also become an industry standard.

Quality Indicators for Residential Long-Term Care for the Elderly: A Scoping Review

“…This focus on these clinical issues may neglect other dimensions that consumers and their families may consider important when choosing or evaluating a facility. A recent report on the quality of care in North American nursing homes (National Academics of Sciences & Medicine, 2022) highlights this gap in the system regarding measuring and making certain quality dimensions visible, such as resident and family satisfaction assessment (Castle et al, 2018), quality of life or end-of-life care (Steel et al, 2003), among others.…”

Factors in Residence Satisfaction of Elderly from Nursing Homes: Evidence from China

“…The correlation between the factors and satisfaction was the fi rst indicator applied by them. As for the research on satisfaction, some focused on residents' satisfaction, such as life satisfaction, consumer satisfaction, satisfaction with care and so on (Yoon, 2018;Castle, Engberg, & Men, 2018;Barsanti et al, 2017;Bangerter et al, 2017;Nadash et al, 2019), and others took family satisfaction or social satisfaction into consideration (Shippeeet al, 2017;Maenhout et al, 2019).…”

The CoreQ: Development and Testing of a Nursing Facility Resident Satisfaction Survey

“…(CAHPS®) is notable (Castle et al, 2018). CAHPS® is a family of survey instruments used in health care settings.…”

“…With this general recognition of the importance of measuring consumer satisfaction in nursing facilities, the development of numerous instruments has resulted. For example, The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) is notable (Castle et al, 2018). CAHPS® is a family of survey instruments used in health care settings.…”