Due to nursing home (NH) regulatory and payment changes emphasizing person-centered
care and value-based payment,
1
,
2
we conducted a follow-up of a 2009–2010 survey
3
to understand NH practice changes. In particular, our focus was on understanding
NH culture change (CC) practices aimed at advancing person-centered care and deinstitutionalizing
NHs.
4
,
5
Unlike the 2009–2010 survey of directors of nursing (DONs) and NH administrators
(NHAs), this follow-up survey's budget could only accommodate responses from 1 survey
recipient at a facility. Thus, we used cognitive interviewing (CI) to identify the
most credible target for this survey. Traditionally, CI has been used for creating
and refining relevant and coherent questions with good respondent comprehension, which
also helps increase survey response rates.
6
,
7
We report here on an innovative use of CI to identify the most credible survey recipient.To read this article in full you will need to make a payment
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References
- Value-Based Payment in Nursing Facilities: Options and Lessons for States and Managed Care Plans.Integrated Care Resource Center, Philadelphia, PA2017
- (No. 192)Reform of Requirements for LongTerm Care Facilities Federal Register. 81. 2016 (Rules and Regulations Baltimore, MD: Centers for Medicare & Medicaid Services)
- Culture change practice in U.S. nursing homes: Prevalence and variation by state Medicaid Reimbursement Policies.Gerontologist. 2014; 54: 434-445
- Transforming nursing home culture: Evidence for practice and policy.Gerontologist. 2014; 54: S1-S5
- What does the evidence really say about culture change in nursing homes?.Gerontologist. 2014; 54: S6-S16
- Cognitive research improves questionnaires.Am J Public Health. 1989; 79: 1053-1055
- You can't fix by analysis what you've spoiled by design: Developing survey instruments and collecting validity evidence.J Grad Med Educ. 2012; 4: 407-410
- Are we there yet? Data saturation in qualitative research.Qual Rep. 2015; 20: 1408-1416
- Qualitative Research Practice: A Guide for Social Science Students and Researchers.SAGE, Thousand Oaks, CA2012
- How valid are the responses to nursing home survey questions? Some issues and concerns.Gerontologist. 2011; 51: 201-211
Article info
Publication history
Published online: June 16, 2018
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© 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
