Indicating Care Process Quality: A Multidimensional Scaling Analysis.
J Nurs Meas 2021;
30:364-387. [PMID:
33431558 DOI:
10.1891/jnm-d-20-00096]
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Abstract
BACKGROUND AND PURPOSE
Resident assessments are analyzed by multidimensional scaling.
METHODS
We analyzed observer-based real care and support time in four facilities with 209 residents during two working days; resident, organizational data and pairs of residents were assessed by registered and assistant nurses regarding the dissimilarity of resident pairs. Registered- and assistant nurses dissimilarity assessments are compared to criteriabased nursing management assessment.
RESULTS
The fits of management criteria matrices as external restrictions are higher in registered nurses' than in assistant nurses' assessments. These differences disappear with low staffing.
CONCLUSION
The influence of qualification levels on assessment is affected by staffing. Low complexity of Assistant Nurses assessments is connected to higher nursing care and support time in groups of demanding residents.
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