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Castle, Nicholas G.; Engberg, John – Gerontologist, 2010
Purpose: Nursing facilities that are determined to have a greater number of quality problems, more serious problems than average, and a demonstrated pattern of quality problems are included in the Special Focus Facility (SFF) initiative. The purpose of this research was to provide descriptive information on these SFFs and to examine the quality…
Descriptors: Nurses, Nursing, Nursing Homes, Health Facilities
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Castle, Nicholas G.; Decker, Frederic H. – Gerontologist, 2011
Purpose: The purpose of this study was to examine the association of Nursing Home Administrator (NHA) leadership style and Director of Nursing (DON) leadership style with quality of care. Design and Methods: Leaders were categorized into 4 groups: consensus managers, consultative autocrats, shareholder managers, or autocrats. This leadership style…
Descriptors: Leadership Styles, Leadership Effectiveness, Nursing Homes, Health Facilities
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Castle, Nicholas G.; Ferguson, Jamie C. – Gerontologist, 2010
Purpose: In this commentary, we examine nursing home quality and indicators that have been used to measure nursing home quality. Design and Methods: A brief review of the history of nursing home quality is presented that provides some context and insight into currently used quality indicators. Donabedian's structure, process, and outcome (SPO)…
Descriptors: Nursing Homes, Health Facilities, Certification, Gerontology
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Donoghue, Christopher; Castle, Nicholas G. – Gerontologist, 2009
Purpose: The purpose of this study was to examine the associations between nursing home administrator (NHA) leadership style and staff turnover. Design and Methods: We analyzed primary data from a survey of 2,900 NHAs conducted in 2005. The Online Survey Certification and Reporting database and the Area Resource File were utilized to extract…
Descriptors: Nurses, Leadership Styles, Labor Turnover, Nursing Homes