Research considerations: nursing home quality perceptions.
1. One of our nation's most challenging health care problems is providing quality care for nursing home residents. Those of us who desire to evaluate and to improve the quality of care provided in a nursing home must attempt to define quality in specific terms, even though it is a product of many factors. 2. Ideally, there should be congruence between resident and staff perceptions of the importance and occurrence of indicators of quality in a nursing home setting. However, minimal to moderate congruence of perceptions was found in this study. 3. The fact that the majority of 30 residents in two nursing homes considered these 17 quality indicators to be important further validates them as markers of the quality of care in nursing homes. Use of a comprehensive quality assurance process that includes some or all of these indicators for evaluating and improving care in nursing homes could demonstrate a real commitment to quality that would go beyond only responding to the requirements of consumers and external regulators.